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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.
The sympathetic ganglia, or paravertebral ganglia, are autonomic ganglia of the sympathetic nervous system.Ganglia are 20,000 to 30,000 afferent and efferent nerve cell bodies that run along on either side of the spinal cord.
Virchow's nodes are named after Rudolf Virchow (1821–1902), the German pathologist who first described the nodes and their association with gastric cancer in 1848. [4] The French pathologist Charles Emile Troisier noted in 1889 that other abdominal cancers, too, could spread to the nodes.
The sympathetic trunk is a fundamental part of the sympathetic nervous system, and part of the autonomic nervous system.It allows nerve fibres to travel to spinal nerves that are superior and inferior to the one in which they originated.
The dorsal ramus of spinal nerve, posterior ramus of spinal nerve, or posterior primary division is the posterior division of a spinal nerve.The dorsal rami provide motor innervation to the deep (a.k.a. intrinsic or true) muscles of the back, and sensory innervation to the skin of the posterior portion of the head, neck and back.
The SCG receives pre-ganglionic sympathetic afferents from the ciliospinal center which synapse in the ganglion. Post-ganglionic efferents then leave the SCG and join the internal carotid nerve plexus of the internal carotid artery, accompanying first this artery and subsequently its branches to reach the orbit and ultimately innervate the dilator pupillae muscle to mediate pupillary dilatation.
Dysfunction of the superior cluneal nerves is often due to entrapment as the nerves cross the iliac crest – this can result in numbness, tingling or pain in the low back and upper buttocks region. Superior cluneal nerve dysfunction is a clinical diagnosis that can be supported by diagnostic nerve blocks.
The number of vertebrae in a region can vary but overall the number remains the same. In a human spinal column, there are normally 33 vertebrae. [3] The upper 24 pre-sacral vertebrae are articulating and separated from each other by intervertebral discs, and the lower nine are fused in adults, five in the sacrum and four in the coccyx, or tailbone.