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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.
There are a total of 31 bilaterally-paired spinal nerves :
8 cervical
12 thoracic
5 lumbar
5 sacral
1 coccygeal
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 nerves
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. The dorsal roots contain afferent
sensory axons, and the ventral roots contain efferent motor axons.
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 dorsal roots of each side continue outwards, along the way forming a dorsal
root ganglion (also called a spinal ganglion).
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 they are called a mixed spinal nerve
Fate of the spinal nerve
After the dorsal and ventral roots fuse to form a spinal nerve, the nerve
bifurcates into dorsal and ventral primary rami. The dorsal primary ramus
supplies the muscles and sensory nerves of the back, while the ventral primary
ramus supplies the rest of the body wall.
Each primary ramus has two branches: from the dorsal primary ramus emerges a
lateral and medial branch; from the ventral primary ramus sprout 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 nerves
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.
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