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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.
They are located laterally to the transverse processes between prevertebral muscles from the medial side and vertebral (m. scalenus, m. levator scapulae, m. splenius cervicis) from lateral side. There is anastomosis with accessory nerve, hypoglossal nerve and sympathetic trunk. It is located in the neck, deep to the sternocleidomastoid muscle. [5]
Spinal nerve Typical spinal nerve location. Each spinal nerve is a mixed nerve, formed from the combination of nerve root fibers from its dorsal and ventral roots. The dorsal root is the afferent sensory root and carries sensory information to the brain. The ventral root is the efferent motor root and carries motor information from the brain.
It formed by the coalescence of four ganglia, corresponding to the four upper-most cervical nerves C1–C4. The bodies of its preganglionic sympathetic afferent neurons are located in the lateral horn of the spinal cord. Their axons enter the SCG to synapse with postganglionic neurons whose axons then exit the rostral end of the SCG and proceed ...
In humans, the right and left phrenic nerves are primarily supplied by the C4 spinal nerve, but there is also a contribution from the C3 and C5 spinal nerves. From its origin in the neck, the nerve travels downward into the chest to pass between the heart and lungs towards the diaphragm.
The spinal cord is an estimated 45 centimetres (18 inches) long in males and about 43 cm (17 in) in females. [citation needed] It is ovoid-shaped and is enlarged in the cervical and lumbar regions. The cervical enlargement, stretching from the C4 to T1 vertebrae, is where sensory input comes from and motor output goes to the arms and trunk.
The levator scapulae is a slender [1]: 910 skeletal muscle situated at the back and side of the neck. It originates from the transverse processes of the four uppermost cervical vertebrae; it inserts onto the upper portion of the medial border of the scapula.