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Muscle Origin* Insertion** Primary action
Posterior muscles
Erector spinae (e-REK-tor SPEE-nuh): Spinalis
Spinalis cervicis
(spi-NA-lis ser-VIS-us)
Spinous processes of
C7 (sometimes T1-2)
Spinous processes
of C2-C4
Spinal extension
Spinal lateral flexion (same)
Spinalis thoracis
(spi-NA-lis tho-RA-sis)
Spinous processes
T11-L2
Spinous processes
of upper thoracic
vertebrae (T1-4 or T8)
Spinal extension
Spinal lateral flexion (same)
Erector spinae: Longissimus
Longissimus capitis
(lon-JIS-i-mus kah-PIT-us)
Transverse processes
of T1-4 or T5,
articular processes of
C4 or C5-7
Inferior, lateral skull
(mastoid process)
Extension of head
Lateral flexion of head and C spine (same)
Rotation of head (same)
Longissimus cervicis
(lon-JIS-i-mus ser-VIS-us)
Transverse processes
of T1-4 or T6
Transverse
processes of C2-6
C spinal extension
C spinal lateral flexion (same)
C spinal rotation (same)
Longissimus thoracis
(lon-JIS-i-mus tho-RA-sis)
Lumbar spinous
processes,
thoracolumbar fascia
Transverse pro-
cesses of T1-L5,
posteromedial portion
of lower 10 ribs
Spinal extension
Spinal lateral flexion (same)
Spinal rotation (same)
Erector spinae: Iliocostalis
Iliocostalis cervicis
(il-ee-o-kos-TA-lis ser-VIS-us)
3rd-6th rib angles Transverse
processes of C4-6
Spinal extension
Spinal lateral flexion (same)
Spinal rotation (same)
Iliocostalis thoracis
(il-ee-o-kos-TA-lis tho-RA-sis)
Upper borders of
angles of lower 6 ribs
Angles of upper
6 ribs, transverse
process of C7
Spinal extension
Spinal lateral flexion (same)
Spinal rotation (same)
Iliocostalis lumborum
(il-ee-o-kos-TA-lis lum-BOR-um)
Spinous processes
of T11-L5, posterior
sacrum, iliac crest
Inferior border of
angles of lower 6 or
7 ribs
Spinal extension
Spinal lateral flexion (same)
Spinal rotation (same)
Semispinalis
(sem-ee-spi-NA-lis)
Slips of muscles spanning several vertebrae
from the transverse processes of C4-T10 to
the posterior skull or spinous processes of
C2-T4
Extension of head and C spine
Lateral flexion of head and C spine (same)
Rotation of head and C spine (opposite)
Deep posterior spinal group 1. Spinous process to spinous process
(interspinales)
- Transverse process to transverse process
(intertransversales) - Transverse process to laminae of
vertebra above (rotatores) - Generally transverse process to spinous
processes above (multifidus)
Stabilization
Local spinal extension
Local spinal lateral flexion (same)
Local spinal rotation (opposite)
Lateral muscles
Quadratus lumborum
(kwod-RA-tus lum-BOR-um)
Posterior iliac crest,
iliolumbar ligament
12th rib, tips
of transverse
processes L1-4
Fixes or depresses lower rib
Spinal lateral flexion (same)
Stabilizes spine and pelvis
*Inferior, lateral, or proximal attachment for anterior muscles; inferior attachment for posterior and lateral spinal muscles.
**Superior, medial, or distal attachment for anterior muscles; superior attachment for posterior and lateral spinal muscles.