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Nerve: Spinal nerves
Spinal nerve
The formation of the spinal nerve from the dorsal and ventral roots
Gray799
Scheme showing structure of a typical spinal nerve.
1. Somatic efferent.
2. Somatic afferent.
3,4,5. Sympathetic efferent.
6,7. Sympathetic afferent.
Latin nervi spinales
Gray's subject #208 916
Innervates
From
To
MeSH A08.800.800.720

The term spinal nerve generally refers to the mixed spinal nerve, which is formed from the dorsal and ventral roots that come out of the spinal cord. The spinal nerve is the bit that passes out of the vertebrae through the intervertebral foramen.

NumberingEdit

There are a total of 31 bilaterally-paired spinal nerves :

The first to seventh cervical nerves (C1 to C7) exit from the vertebral canal above the respective cervical vertebra (that is to say, C1 exits above the first cervical vertebra; C2 exits above the second, and so forth). The C8 spinal nerve exits below the seventh cervical vertebra, and all the other spinal nerves leave below their corresponding vertebra.

Formation of the spinal nervesEdit

Inside the spinal cord, there is grey matter, surrounded by white matter. From out of the grey matter, two dorsal roots (one on the left side, and one on the right side) and two ventral roots emerge. (Dorsal means back, ventral means front.) As the body is symmetrical, the same thing happens on both the left and right side of the body. This happens in each vertebra of the spine.

  • The ventral roots similarly continue out from the spinal column, and meet and mix with their corresponding dorsal nerve root at a point after the ganglion.

At this point, the combination of the dorsal roots and ventral roots is called a mixed spinal nerve.

Fate of the spinal nerveEdit

After the dorsal and ventral roots fuse to form a spinal nerve, the nerve bifurcates into dorsal and ventral primary rami. Each primary ramus has two branches.

DorsalEdit

The two main branches are a lateral and medial branch.

VentralEdit

The two main branches are an anterior and lateral cutaneous branch. In addition, the anterior cutaneous bifurcates, forming a medial and lateral branch, while the lateral cutaneous branch splits into an anterior and posterior branch. These secondary and tertiary branches themselves typically have muscular and sensory branches that innervate the body wall.

The ventral primary rami also give rise to the roots of the various nervous plexuses (e.g. the brachial plexus), which become the sensory and motor nerves of the limbs.

Before forming the plexuses, the ventral rami have two branches leading to a sympathetic ganglion. These ganglia connect to the one above and below them, forming the sympathetic chain.

Importance of the spinal nervesEdit

The muscles that one particular spinal root supplies are that nerve's myotome, and the dermatomes are the areas of sensory innervation on the skin for each spinal nerve.

This is of great importance in the diagnosis of neurological disorders, as lesions of one or more nerve roots result in typical patterns of neurologic defects (muscle weakness, loss of sensation) that allow localisation of the causating lesion.

Additional imagesEdit

See alsoEdit

ReferencesEdit

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Spinal cord

epidural space, dura mater, subdural space, arachnoid mater, subarachnoid space, pia mater, denticulate ligaments, conus medullaris, cauda equina, filum terminale, cervical enlargement, lumbar enlargement, anterior median fissure, dorsal root, dorsal root ganglion, dorsal ramus, ventral root, ventral ramus, sympathetic trunk, gray ramus communicans, white ramus communicans

grey matter: central canal, substantia gelatinosa of Rolando, reticular formation, substantia gelatinosa centralis, interneuron, anterior horn, lateral horn, posterior horn (column of Clarke, dorsal spinocerebellar tract)

white matter: anterior funiculus: descending (anterior corticospinal tract, vestibulospinal fasciculus, tectospinal tract), ascending (anterior spinothalamic tract, anterior proper fasciculus)

lateral funiculus: descending (lateral corticospinal tract, rubrospinal tract, olivospinal tract), ascending dorsal spinocerebellar tract, ventral spinocerebellar tract, spinothalamic tract, lateral spinothalamic tract, anterior spinothalamic tract, spinotectal tract, posterolateral tract, lateral proper fasciculus, medial longitudinal fasciculus

posterior funiculus: fasciculus gracilis, fasciculus cuneatus, posterior proper fasciculus

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