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Cervical spinal nerve 4, also called C4, is a spinal nerve of the cervical segment. It originates from the spinal cord above the 4th cervical vertebra (C4). It contributes nerve fibers to the phrenic nerve , the motor nerve to the thoracoabdominal diaphragm .
Injuries to the cervical spine are common at the level of the second cervical vertebrae, but neurological injury is uncommon. C4 and C5 are the areas that see the highest amount of cervical spine trauma. [8]
The posterior division of the third cervical is intermediate in size between those of the second and fourth. Its medial branch runs between the Semispinalis capitis and cervicis, and, piercing the Splenius and Trapezius, ends in the skin.
A spinal nerve is a mixed nerve, which carries motor, sensory, ... (C1–C4) and brachial plexus (C5–T1). The cervical nerves innervate the sternohyoid, ...
The cervical plexus is a nerve plexus of the anterior rami of the first (i.e. upper-most) four cervical spinal nerves C1-C4. [1] [2] [3] [4] The cervical plexus ...
Within the cervical spine, most joints are innervated by the medial branch nerve (a branch of the dorsal rami) from the same levels. In other words, the facet joint between C4 and C5 vertebral segments is innervated by the C4 and C5 medial branch nerves. However, there are two exceptions:
Spinal cord injury; MRI of a fractured and dislocated cervical vertebra (C4) in the neck that is compressing the spinal cord: Specialty: Neurosurgery: Types: Complete, incomplete [1] Diagnostic method: Based on symptoms, medical imaging [1] Treatment: Spinal motion restriction, intravenous fluids, vasopressors [1] Frequency: c. 12,000 annually ...
Degenerative spinal changes are often seen at the levels where a retrolisthesis is found. These changes are more pronounced as time progresses after injury, and are evidenced by end plate osteophytosis, disc damage, disc narrowing, desiccation and disc bulging.