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Semispinalis Thoracis Detail

musculus semispinalis thoracis detail

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.

Nerve: Dorsal rami of thoracic spinal nerves Blood Supply: Posterior intercostal arteries Region: Chest
Anatomical Data

Origin, Insertion & Supply

OriginTransverse processes of T6-T10
InsertionSpinous processes of C6-T4 — spanning 5-6 vertebral levels
Nerve SupplyDorsal rami of thoracic spinal nerves
Blood SupplyPosterior intercostal arteries
Biomechanics

Function & Actions

ActionsExtends the thoracic and lower cervical spine; Contralateral thoracic rotation
Clinical Relevance

Clinical Notes

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.

Palpation

Palpated as the lateral paraspinal mass adjacent to the thoracic spinous processes.

Pathology

Common Injuries & Conditions

Semispinalis Thoracis Denervation in Posterior Surgery

Multi-level dorsal rami injury producing semispinalis thoracis denervation and thoracic paraspinal atrophy after multilevel posterior spinal instrumentation.

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