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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.
The spinalis muscle is the smallest and most medial column. It has three parts: spinalis thoracis which originates from the spinous process of L3-T10 and inserts in the spinous process of T8-T2. spinalis cervicis originates from the spinous process of T2-C6 and inserts in the spinous process of C4-C2.
The supraspinous ligament connects the tips of the spinous processes from the seventh cervical vertebra to the sacrum. [1] Superior to the 7th cervical vertebra, the supraspinous ligament is continuous with the nuchal ligament.
Spinalis cervicis, or spinalis colli, is an inconstant muscle, which arises from the lower part of the nuchal ligament, the spinous process of the seventh cervical, and sometimes from the spinous processes of the first and second thoracic vertebrae, and is inserted into the spinous process of the axis, and occasionally into the spinous processes of the two cervical vertebrae below it.
The rhomboid major is a skeletal muscle of the back that connects the scapula with the vertebrae of the spinal column. [1] It originates from the spinous processes of the thoracic vertebrae T2–T5 and supraspinous ligament; it inserts onto the lower portion of the medial border of the scapula. [2]
The multifidus (multifidus spinae; pl.: multifidi) muscle consists of a number of fleshy and tendinous fasciculi, which fill up the groove on either side of the spinous processes of the vertebrae, from the sacrum to the axis. While very thin, the multifidus muscle plays an important role in stabilizing the joints within the spine.
In anatomy, a process (Latin: processus) is a projection or outgrowth of tissue from a larger body. [1] For instance, in a vertebra, a process may serve for muscle attachment and leverage (as in the case of the transverse and spinous processes), or to fit (forming a synovial joint), with another vertebra (as in the case of the articular processes). [2]
The interspinous ligaments (interspinal ligaments) are thin, membranous ligaments that connect adjoining spinous processes of the vertebra in the spine. [1] [2] They take the form of relatively weak sheets of fibrous tissue and are well developed only in the lumbar region. [3] They extend from the root to the apex of each spinous process.