Terminal filium
Cauda equina and filum terminale seen from behind. The dura mater has been opened and spread out, and the arachnoid has been removed. (Filum terminale labeled at center right.)
Sagittal section of vertebral canal to show the lower end of the medulla spinalis and the filum terminale. Li, Lv. First and fifth lumbar vertebra. SII Second sacral vertebra. 1. Dura mater. 2. Lower part of subarachnoid cavity. 3. Lower extremity of medulla spinalis. 4. Filum terminale internum. 5. Filum terminale externum. 6. Attachment of filum terminale to first segment of coccyx.
Latin	filum terminale
Gray's	subject #185 750

The filum terminale ("terminal thread"), is a delicate strand of fibrous tissue, about 20 cm. in length, proceeding downward from the apex of the conus medullaris. It gives longitudinal support to the spinal cord and consists of two parts:

• The upper part, or filum terminale internum, is about 15 cm. long and reaches as far as the lower border of the second sacral vertebra. It is continuous above with the pia mater and contained within a tubular sheath of the dura mater. In addition, it is surrounded by the nerves forming the cauda equina, from which it can be easily recognized by its bluish-white color.

• The lower part, or filum terminale externum, closely adheres to the dura mater. It extends downward from the apex of the tubular sheath and is attached to the back of the first segment of the coccyx in a structure sometimes referred to as the coccygeal ligament.

The most inferior of the spinal nerves, the coccygeal nerve leaves the spinal cord at the level of the conus medullaris, superior to the filum terminale. However, adhering to the outer surface of the filum terminale are a few strands of nerve fibers which probably represent rudimentary second and third coccygeal nerves^{[citation needed]}. Furthermore, the central canal of the spinal cord extends 5 to 6 cm beyond the conus medullaris, downward into the filum terminale.

  See also

• Spinal cord
• Conus medullaris

  References

• Martini, F. Timmons, M. and Tallitsch, R. Human Anatomy. 5th ed. San Francisco: Pearson/Benjamin Cummings, 2006.

  External links

• terminal+filum at eMedicine Dictionary
• MedEd at Loyola grossanatomy/dissector/practical/back/back2.html
• lesson6spinalcord&coverings at The Anatomy Lesson by Wesley Norman (Georgetown University)
• SUNY Labs 02:08-0104 - "Vertebral Canal and Spinal Cord: Regions of the Spinal Cord"
• Roche Lexicon - illustrated navigator, at Elsevier 03281.000-1

This article was originally based on an entry from a public domain edition of Gray's Anatomy. As such, some of the information contained within it may be outdated.

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