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The thoracolumbar fascia (lumbodorsal fascia or thoracodorsal fascia) is a complex, [1]: 1137 multilayer arrangement of fascial and aponeurotic layers forming a separation between the paraspinal muscles on one side, and the muscles of the posterior abdominal wall (quadratus lumborum, and psoas major [1]: 1137 ) on the other.
They are also known as the sacrospinalis group of muscles. These muscles lie on either side of the spinous processes of the vertebrae and extend throughout the lumbar, thoracic, and cervical regions. The erector spinae is covered in the lumbar and thoracic regions by the thoracolumbar fascia, and in the cervical region by the nuchal ligament.
The posterior layer is thick, being reinforced by the aponeurosis (origin) of the latissimus dorsi muscle. [1]: 274 It consists of a superficial lamina derived primarily from the latissimus dorsi and serratus posterior inferior, and a deeper lamina which forms a retinacular sheet encapsulating the paraspinal muscles. [3]
The transverse and spinous processes and their associated ligaments serve as important attachment sites for back and paraspinal muscles and the thoracolumbar fasciae. The spinous processes of the cervical and lumbar regions can be felt through the skin, and are important surface landmarks in clinical medicine.
Paraspinal inhibition is an osteopathic manipulative technique in which the fascia around the spine is softened with one's hands in order to decrease the sympathetic output from the sympathetic ganglion which reside in the paraspinal area.
The psoas lies posterolateral to the lumbar sympathetic ganglia, and the needle tip will often pass through the psoas major during a lumbar sympathetic block. The genitofemoral nerve is formed in the midsection of the psoas muscle by the union of branches from the anterior rami of L1 and L2 nerve roots. The nerve then courses inferiorly within ...
Muscle cramps, also known as muscle spasms or charley horses, are the involuntary contraction of muscle fibers, says Dr. Lucas Buchler, a physician of sports medicine and orthopaedic surgery at ...
The longissimus thoracis et lumborum is the intermediate and largest of the continuations of the erector spinae.. In the lumbar region (longissimus lumborum), where it is as yet blended with the iliocostalis, some of its fibers are attached to the whole length of the posterior surfaces of the transverse processes and the accessory processes of the lumbar vertebrae, and to the anterior layer of ...