Semispinalis thoracis spans the greatest number of vertebral levels of all the semispinalis components, bridging from the mid-thoracic transverse processes to the lower cervical spinous processes.
| Origin | Transverse processes of T6-T10 |
|---|---|
| Insertion | Spinous processes of C6-T4 — spanning 5-6 vertebral levels |
| Nerve Supply | Dorsal rami of thoracic spinal nerves |
| Blood Supply | Posterior intercostal arteries |
| Actions | Extends the thoracic and lower cervical spine; Contralateral thoracic rotation |
|---|
Semispinalis thoracis is identified in posterior thoracic surgery as the lateral paraspinal layer deep to the erector spinae. Its long span means that segmental dorsal rami injury affects multiple vertebral levels of function.
Palpated as the lateral paraspinal mass adjacent to the thoracic spinous processes.
Multi-level dorsal rami injury producing semispinalis thoracis denervation and thoracic paraspinal atrophy after multilevel posterior spinal instrumentation.
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