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Transversospinal muscles
What is this muscle group?

- Semispinalis muscles
- Multifidus
- Rotatores
What makes up the transversospinal muscles?
Semispinalis muscles
What are these?

- Semispinalis thoracis
- Semispinalis cervicis
- Semispinalis capitalis
What makes up the semispinalis muscles? (3)
Semispinalis thoracis
What is this?

Transverse processes of lower 6-10 thoracic vertebrae
What is the origin of the semispinalis thoracis?
Spinous processes of C6-T4
What is the insertion of the semispinalis thoracis?
- Extension/posterior sagittal rotation
- Rotation to opposite side
What are the actions of the semispinalis thoracis? (2)
Posterior rami of adjacent spinal nerve
What is responsible for peripheral innervation of the semispinalis thoracis?
Semispinalis cervicis
What is this?

Transverse processes of upper 5-6 thoracic vertebrae
What is the origin of the semispinalis cervicis?
Spinous processes of C2-5
What is the insertion of the semispinalis cervicis?
Cervical extension
What is the action of the semispinalis cervicis when acting bilaterally?
Rotation to opposite side
What is the action of the semispinalis cervicis when acting unilaterally?
posterior rami of adjacent spinal nerve
What is responsible for the peripheral innervation of the semispinalis cervicis?
Semispinalis capitus
What is the top muscle shown in this picture?

- Transverse process of C7-T7
- Articular processes of C4-6
What are the origins of the semispinalis capitus? (2)
Occipital bone
What is the insertion of the semispinalis capitus?
Extension
What is the action of the semispinalis capitus when acting bilaterally?
Rotation to opposite side
What is the action of the semispinalis capitus when acting unilaterally?
Posterior rami of adjacent spinal nerve
What is responsible for the peripheral innervation of the semispinalis capitus?
Multifidus
What is this?

- Posterior sacrum
- Posterior superior iliac spine
- Posterior sacroiliac ligaments
What are the origins of the multifidus in the sacral region? (3)
Transverse processes of L5 through C4
What is the origin of the multifidus in the cervical, thoracic, and cervical regions?
Spanning 2-4 vertebrae, inserted into spinous process of vertebrae above
What is the insertion of the multifidus?
- Primary stabilizer of L-spine
- Anti-flexion and anti-shear action
- Spine extension
What are the actions of the multifidus? (3)
Rotation to opposite side
What is the action of the multifidus when acting unilaterally?
Posterior rami of adjacent spinal nerves
What is responsible for the peripheral innervation of the multifidus?
Rotatores
What is this?

Transverse processes of vertebrae
What is the origin of the rotatores?
Lamina of vertebra above
What is the insertion of the rotatores?
Extension
What is the action of the rotatores when acting bilaterally?
Rotation to opposite side
What is the actoin of the rotatores when acting unilaterally?
Posterior rami of adjacent spinal nerve
What is responsible for the peripheral innervation of the rotatores?
Interspinales
What is this?

Between spinous processes, in pairs
Where do the interspinales attach?
Extension in cervical spine
What is the action of the interspinales?
Posterior rami of adjacent spinal nerves
What is responsible for the peripheral innervation of the interspinales?
Intertransversarii
What is this?

Between TPs
Where do the intertransversarii attach?
Lateral flexion in cervical
What is the action of the intertransversarii?
Posterior rami of adjacent spinal nerves
What is responsible for the peripheral innervation of the intertransverarii?
Levator costarum
What is this?

Transverse processes of C7-T11
What is the origin of the levator costarum?
External superior ribs between tubercle and angle
What is the insertion of the levator costarum?
Elevates ribs
What is the action of the levator costarum?
Posterior rami of corresponding thoracic spinal nerves
What is responsible for the peripheral innervation of the levator costarum?
T1-12
What is the segmental innervation of the levator costarum?
Quadratus lumborum
What is this?

- Iliac crest
- Iliolumbar ligament
- Occasionally transverse processes of lower 3-4 lumbar vertebrae
What are the origins of the quadratus lumborum? (3)
- Inferior border of rib 12
- Transverse processes of L1-4
What are the insertions of the quadratus lumborum? (2)
- Laterally flexes the lumbar vertebral column
- Assists in extension
- Depresses the last rib
What are the actions of the quadratus lumborum? (3)
Fixes the last two ribs during respiration
What is the action of the quadratus lumborum when it acts bilaterally together with the diaphragm?
Anterior rami
What is responsible for the peripheral innervation of the quadratus lumborum?
T(12), L1-4
What is the segmental innervation of the quadratus lumborum?
Ligamentum nuchae
What is this?

- Upper trapezius
- Serratus posterior superior
- Spinalis cervicis
- Splenius capitis
What muscles attach at the ligamentum nuchae? (4)
Thoracolumbar fascia
What is this?

- Latissimus dorsi
- Lateral internal oblique
- Transverse abdominis
- Longissimus thoracis
What muscles attach at the thoracolumbar fascia? (4)
SIJ ligaments
What are these?

Anterior sacroiliac ligament
What is this?

Posterior sacroiliac ligament
What is this?

Interosseous sacroiliac ligament
What is this?

Iliolumbar ligament
What is this?

Sacrotuberous ligament
What is this?

Sacrospinous ligament
What is this?

Spinal cord
What is this?

L1
Where does the spinal cord end?
Conus medullaris
What is this?

Conus medullaris
Where do nerve roots arise from the spinal cord?
Cervical enlargement
What is this?

Cervical enlargement
What are the anterior rami of the spinal nerves that contribute to the brachial plexus called?
Cauda equina
What is this?

Spinal sensory ganglion
What is this?

Dorsal
Are the sensory ganglion on the dorsal or ventral side?
Spinal nerve
What is this?

Ligamentum flava
What is this?

Interspinous ligament
What is this?

Supraspinous ligament
What is this?

Posterior longitudinal ligament
What is this?

Filum terminale
What is this?

No
Is the filum terminale made of neural tissue?
Spinal dura mater
What is this layer?

Spinal arachnoid mater
What is this layer?

Spinal pia mater
What is this layer?

Denticulate ligaments
What are these?

Pia mater
What spinal layer are the denticulate ligaments projections of?
Subdural space
What is this space?

Subarachnoid space
What is this space?

Subarachnoid space
Where is cerebrospinal fluid located?
Vertebral artery
What is this?

Common carotid artery
What is this?

Internal carotid artery
What is this?

External carotid artery
What is this?

Internal jugular vein
What is this?

Vagus nerve
What is this?

Spinal accessory nerve
What is this?

Phrenic nerve
What is this?

Glossopharyngeal nerve
What is this?

Hypoglossal nerve
What is this?
