Spinal Plexus
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A nerve plexus is a
plexus In anatomy, a plexus (from the Latin term for 'braid') is a branching network of blood vessels, lymphatic vessels, or nerves. The nerves are typically axons outside the central nervous system. The standard plural form in English is plexuses. Al ...
(branching network) of intersecting
nerve A nerve is an enclosed, cable-like bundle of nerve fibers (called axons). Nerves have historically been considered the basic units of the peripheral nervous system. A nerve provides a common pathway for the Electrochemistry, electrochemical nerv ...
s. A nerve plexus is composed of afferent and efferent fibers that arise from the merging of the anterior rami of spinal nerves and blood vessels. There are five
spinal nerve A spinal nerve is a mixed nerve, which carries Motor neuron, motor, Sensory neuron, sensory, and Autonomic nervous system, autonomic signals between the spinal cord and the body. In the human body there are 31 pairs of spinal nerves, one on each s ...
plexuses, except in the thoracic region, as well as other forms of autonomic plexuses, many of which are a part of the
enteric nervous system The enteric nervous system (ENS) is one of the three divisions of the autonomic nervous system (ANS), the others being the sympathetic nervous system (SNS) and parasympathetic nervous system (PSNS). It consists of a mesh-like system of neurons th ...
. The nerves that arise from the plexuses have both sensory and motor functions. These functions include muscle contraction, the maintenance of body coordination and control, and the reaction to sensations such as heat, cold, pain, and pressure. There are several plexuses in the body, including: * Spinal plexuses **
Cervical plexus The cervical plexus is a nerve plexus of the anterior rami of the first (i.e. upper-most) four cervical spinal nerves C1-C4. The cervical plexus provides motor innervation to some muscles of the neck, and the diaphragm; it provides sensory inne ...
serves the head, neck and shoulders **
Brachial plexus The brachial plexus is a network of nerves (nerve plexus) formed by the anterior rami of the lower four Spinal nerve#Cervical nerves, cervical nerves and first Spinal nerve#Thoracic nerves, thoracic nerve (cervical spinal nerve 5, C5, Cervical spi ...
serves the chest, shoulders, arms and hands **
Lumbosacral plexus The anterior divisions of the lumbar nerves, sacral nerves, and coccygeal nerve form the lumbosacral plexus, the first lumbar nerve being frequently joined by a branch from the twelfth thoracic. For descriptive purposes this plexus is usually d ...
***
Lumbar plexus The lumbar plexus is a web of nerves (a nerve plexus) in the lumbar region of the body which forms part of the larger lumbosacral plexus. It is formed by the divisions of the first four lumbar nerves (L1–L4) and from contributions of the su ...
serves the back, abdomen, groin, thighs, knees, and calves **** Subsartorial plexusbelow the sartorius muscle of thigh ***
Sacral plexus In human anatomy, the sacral plexus is a nerve plexus which provides motor and sensory nerves for the posterior thigh, most of the lower leg and foot, and part of the pelvis. It is part of the lumbosacral plexus and emerges from the lumbar verteb ...
serves the pelvis, buttocks, genitals, thighs, calves, and feet *** Pudendal plexus **
Coccygeal plexus The coccygeal plexus is a small nervous plexus upon the pelvic (anterior) surface of the coccygeus muscle. This plexus is formed by the ventral rami of the fourth and fifth sacral nerves (S4-S5), and the ventral ramus of the coccygeal nerve (C ...
serves a small region over the coccyx * Autonomic plexuses **
Celiac plexus The celiac plexus, also known as the solar plexus because of its radiating nerve fibers, is a nerve plexus, complex network of nerves located in the abdomen, near where the celiac trunk, superior mesenteric artery, and renal arteries branch fro ...
(solar plexus)serves internal organs ** Auerbach's plexus (myenteric plexus)serves the gastrointestinal tract **
Meissner's plexus The submucosal plexus (Meissner's plexus, plexus of the submucosa, plexus submucosus) lies in the submucosa of the intestinal wall. The nerves of this plexus are derived from the myenteric plexus which itself is derived from the plexuses of para ...
(submucosal plexus)serves the gastrointestinal tract **
Pharyngeal plexus of vagus nerve The pharyngeal plexus is a nerve plexus located upon the outer surface of the pharynx. It contains a motor component (derived from the vagus nerve (cranial nerve X)), a sensory component (derived from the glossopharyngeal nerve (cranial nerve ...
serves the palate and pharynx ** Cardiac plexusserves the heart


Spinal plexuses

The following table shows the nerves that arise from each spinal plexus as well as the spinal level each plexus arises from.


Cervical plexus

The
cervical plexus The cervical plexus is a nerve plexus of the anterior rami of the first (i.e. upper-most) four cervical spinal nerves C1-C4. The cervical plexus provides motor innervation to some muscles of the neck, and the diaphragm; it provides sensory inne ...
is formed by the ventral rami of the upper four cervical nerves and the upper part of fifth cervical ventral ramus. The network of rami is located deep to the sternocleidomastoid within the neck. The cervical plexus innervates muscles of the neck and areas of skin on the head, neck and chest. The deep branches innervate muscles, while the superficial branches supply areas of skin. A long branch (primarily of fibers of C4 and with contributions of fibers from C3 and C5; nervus phrenicus) innervates muscles of the diaphragm. The cervical plexus also communicates with the
cranial nerve Cranial nerves are the nerves that emerge directly from the brain (including the brainstem), of which there are conventionally considered twelve pairs. Cranial nerves relay information between the brain and parts of the body, primarily to and f ...
s
vagus nerve The vagus nerve, also known as the tenth cranial nerve (CN X), plays a crucial role in the autonomic nervous system, which is responsible for regulating involuntary functions within the human body. This nerve carries both sensory and motor fibe ...
and
hypoglossal nerve The hypoglossal nerve, also known as the twelfth cranial nerve, cranial nerve XII, or simply CN XII, is a cranial nerve that innervates all the extrinsic and intrinsic muscles of the tongue except for the palatoglossus, which is innervated b ...
.


Brachial plexus

The
brachial plexus The brachial plexus is a network of nerves (nerve plexus) formed by the anterior rami of the lower four Spinal nerve#Cervical nerves, cervical nerves and first Spinal nerve#Thoracic nerves, thoracic nerve (cervical spinal nerve 5, C5, Cervical spi ...
is formed by the ventral rami of C5-C8-T1 spinal nerves, and lower and upper halves of C4 and T2 spinal nerves. The plexus extends toward the armpit. The ventral rami of C5 and C6 form upper trunk, the ventral ramus of C7 forms the middle trunk, and the ventral rami of C8 and T1 join to form the lower trunk of the brachial plexus. Under the clavicle, the trunks reorganize to form cords ''(fasciculi)'' around the
axillary artery In human anatomy, the axillary artery is a large blood vessel that conveys oxygenated blood to the lateral aspect of the thorax, the axilla (armpit) and the upper limb. Its origin is at the lateral margin of the first rib, before which it is c ...
''(arteria axillaris)''. The lateral cord ''(fasciculus lateralis)'' is formed by the upper and middle trunk, all three trunks join to form the posterior cord ''(fasciculus posterior)'', the lower trunk continues to the medial trunk ''(fasciculus medialis)''. The
nerves A nerve is an enclosed, cable-like bundle of nerve fibers (called axons). Nerves have historically been considered the basic units of the peripheral nervous system. A nerve provides a common pathway for the electrochemical nerve impulses called ...
(containing
motor An engine or motor is a machine designed to convert one or more forms of energy into mechanical energy. Available energy sources include potential energy (e.g. energy of the Earth's gravitational field as exploited in hydroelectric power gene ...
and sensory fibers) to the
shoulder The human shoulder is made up of three bones: the clavicle (collarbone), the scapula (shoulder blade), and the humerus (upper arm bone) as well as associated muscles, ligaments and tendons. The articulations between the bones of the shoulder m ...
and to the
upper limb The upper Limb (anatomy), limbs or upper extremities are the forelimbs of an upright posture, upright-postured tetrapod vertebrate, extending from the scapulae and clavicles down to and including the digit (anatomy), digits, including all the musc ...
emerge from the brachial plexus.


Lumbar plexus

Since the
lumbar plexus The lumbar plexus is a web of nerves (a nerve plexus) in the lumbar region of the body which forms part of the larger lumbosacral plexus. It is formed by the divisions of the first four lumbar nerves (L1–L4) and from contributions of the su ...
and
sacral plexus In human anatomy, the sacral plexus is a nerve plexus which provides motor and sensory nerves for the posterior thigh, most of the lower leg and foot, and part of the pelvis. It is part of the lumbosacral plexus and emerges from the lumbar verteb ...
are interconnected, they are sometimes referred to as the
lumbosacral plexus The anterior divisions of the lumbar nerves, sacral nerves, and coccygeal nerve form the lumbosacral plexus, the first lumbar nerve being frequently joined by a branch from the twelfth thoracic. For descriptive purposes this plexus is usually d ...
. The
intercostal nerves The intercostal nerves are part of the somatic nervous system, and arise from the anterior rami of the thoracic spinal nerves from T1 to T11. The intercostal nerves are distributed chiefly to the thoracic pleura and abdominal peritoneum, and dif ...
that give rami to the chest and to the upper parts of the abdominal wall efferent
motor An engine or motor is a machine designed to convert one or more forms of energy into mechanical energy. Available energy sources include potential energy (e.g. energy of the Earth's gravitational field as exploited in hydroelectric power gene ...
innervation and to the
pleura The pleurae (: pleura) are the two flattened closed sacs filled with pleural fluid, each ensheathing each lung and lining their surrounding tissues, locally appearing as two opposing layers of serous membrane separating the lungs from the med ...
and
peritoneum The peritoneum is the serous membrane forming the lining of the abdominal cavity or coelom in amniotes and some invertebrates, such as annelids. It covers most of the intra-abdominal (or coelomic) organs, and is composed of a layer of mesotheli ...
afferent sensory innervation are the only ones that do not originate from a plexus. The ventral rami of L1–L5 spinal nerves with a contribution of T12 form lumbar plexus. This plexus lies within the
psoas major muscle The psoas major ( or ; from ) is a long fusiform muscle located in the lateral lumbar region between the vertebral column and the brim of the lesser pelvis. It joins the iliacus muscle to form the iliopsoas. In other animals, this muscle is equ ...
. Nervi of the plexus serve the skin and the muscles of the lower
abdominal wall In anatomy, the abdominal wall represents the boundaries of the abdominal cavity. The abdominal wall is split into the anterolateral and posterior walls. There is a common set of layers covering and forming all the walls: the deepest being the vi ...
, the
thigh In anatomy, the thigh is the area between the hip (pelvis) and the knee. Anatomically, it is part of the lower limb. The single bone in the thigh is called the femur. This bone is very thick and strong (due to the high proportion of bone tissu ...
and external genitals. The largest nerve of the plexus is the
femoral nerve The femoral nerve is a nerve in the thigh that supplies skin on the upper thigh and inner leg, and the muscles that extend the knee. It is the largest branch of the lumbar plexus. Structure The femoral nerve is the major nerve supplying the ant ...
. It supplies anterior muscles of the thigh and a part of skin distal to the
inguinal ligament The inguinal ligament (), also known as Poupart's ligament or groin ligament, is a band running from the pubic tubercle to the anterior superior iliac spine. It forms the base of the inguinal canal through which an indirect inguinal hernia may ...
.


Sacral plexus

Ventral rami of L4–S3 with parts of L4 and S4 spinal nerves form the
sacral plexus In human anatomy, the sacral plexus is a nerve plexus which provides motor and sensory nerves for the posterior thigh, most of the lower leg and foot, and part of the pelvis. It is part of the lumbosacral plexus and emerges from the lumbar verteb ...
. It is located on the posterior wall of
pelvic cavity The pelvic cavity is a body cavity that is bounded by the bones of the pelvis. Its oblique roof is the pelvic inlet (the superior opening of the pelvis). Its lower boundary is the pelvic floor. The pelvic cavity primarily contains the reproduc ...
(pelvis minor). Nervi of the plexus innervate the perineal region,
buttocks The buttocks (: buttock) are two rounded portions of the exterior anatomy of most mammals, located on the posterior of the pelvic region. In humans, the buttocks are located between the lower back and the perineum. They are composed of a lay ...
and the
lower limb Lower may refer to: *Lower (album), ''Lower'' (album), 2025 album by Benjamin Booker *Lower (surname) *Lower Township, New Jersey *Lower Receiver (firearms) *Lower Wick Gloucestershire, England See also

*Nizhny {{Disambiguation ...
. The largest nerve of the human body, the
sciatic nerve The sciatic nerve, also called the ischiadic nerve, is a large nerve in humans and other vertebrate animals. It is the largest branch of the sacral plexus and runs alongside the hip joint and down the right lower limb. It is the longest and widest ...
, is the main branch that gives rami to the
motor An engine or motor is a machine designed to convert one or more forms of energy into mechanical energy. Available energy sources include potential energy (e.g. energy of the Earth's gravitational field as exploited in hydroelectric power gene ...
innervation of the
muscles Muscle is a soft tissue, one of the four basic types of animal tissue. There are three types of muscle tissue in vertebrates: skeletal muscle, cardiac muscle, and smooth muscle. Muscle tissue gives skeletal muscles the ability to muscle contra ...
of the
thigh In anatomy, the thigh is the area between the hip (pelvis) and the knee. Anatomically, it is part of the lower limb. The single bone in the thigh is called the femur. This bone is very thick and strong (due to the high proportion of bone tissu ...
, the
leg A leg is a weight-bearing and locomotive anatomical structure, usually having a columnar shape. During locomotion, legs function as "extensible struts". The combination of movements at all joints can be modeled as a single, linear element cap ...
, and the
foot The foot (: feet) is an anatomical structure found in many vertebrates. It is the terminal portion of a limb which bears weight and allows locomotion. In many animals with feet, the foot is an organ at the terminal part of the leg made up o ...
. Common peroneal nerve and its branches innervate some parts of the skin of the foot, the peroneal muscles of the leg, and the dorsal muscles of the foot.


Coccygeal plexus

Coccygeal plexus The coccygeal plexus is a small nervous plexus upon the pelvic (anterior) surface of the coccygeus muscle. This plexus is formed by the ventral rami of the fourth and fifth sacral nerves (S4-S5), and the ventral ramus of the coccygeal nerve (C ...
originates from the ventral rami of spinal nerves S4, S5, and Co. It is interconnected with the lower part of
sacral plexus In human anatomy, the sacral plexus is a nerve plexus which provides motor and sensory nerves for the posterior thigh, most of the lower leg and foot, and part of the pelvis. It is part of the lumbosacral plexus and emerges from the lumbar verteb ...
. The only nerve of the plexus is the
coccygeal nerve A spinal nerve is a mixed nerve, which carries motor, sensory, and autonomic signals between the spinal cord and the body. In the human body there are 31 pairs of spinal nerves, one on each side of the vertebral column. These are grouped into th ...
, that serves sensory innervation of the skin in the coccygeal region.


Autonomic plexuses

Autonomic plexuses can contain both sympathetic and parasympathetic neurons. The cardiac plexus is located near the aortic arch and the carina of the trachea. The pulmonary plexus supplies innervation to the bronchial tree. The celiac, or
solar plexus The celiac plexus, also known as the solar plexus because of its radiating nerve fibers, is a complex network of nerves located in the abdomen, near where the celiac trunk, superior mesenteric artery, and renal arteries branch from the abdomi ...
, is located around the celiac trunk and contains the celiac ganglia. The solar plexus is the largest autonomic plexus and provides innervation to multiple abdominal and pelvic organs. The
superior mesenteric plexus The superior mesenteric plexus is a continuation of the lower part of the celiac plexus, receiving a branch from the junction of the right vagus nerve with the plexus. It surrounds the superior mesenteric artery, accompanies it into the mesentery, ...
includes the superior mesenteric ganglia and is located around the superior mesenteric artery. The
inferior mesenteric plexus The inferior mesenteric plexus is derived chiefly from the aortic plexus. It surrounds the inferior mesenteric artery, and divides into a number of secondary plexuses, which are distributed to all the parts supplied by the artery, viz., the left ...
includes the inferior mesenteric ganglia and is located around the inferior mesenteric artery. Together, these plexuses innervate the intestines. Some other plexuses include the
superior Superior may refer to: *Superior (hierarchy), something which is higher in a hierarchical structure of any kind Places * Superior (proposed U.S. state), an unsuccessful proposal for the Upper Peninsula of Michigan to form a separate state *Lak ...
and
inferior hypogastric plexus Inferior may refer to: * Inferiority complex * An anatomical term of location * Inferior angle of the scapula, in the human skeleton * ''Inferior'' (book), by Angela Saini * '' The Inferior'', a 2007 novel by Peadar Ó Guilín * Inferior good: ...
,
renal plexus The renal plexus is a complex network of nerves formed by filaments from the celiac ganglia and plexus, aorticorenal ganglia, lower thoracic splanchnic nerves and first lumbar splanchnic nerve and aortic plexus. The nerves from these sourc ...
, hepatic plexus, splenic plexus,
gastric plexus The superior gastric plexus (gastric or coronary plexus) accompanies the left gastric artery along the lesser curvature of the stomach, and joins with branches from the left vagus nerve The vagus nerve, also known as the tenth cranial nerve (C ...
,
pancreatic plexus In human neuroanatomy, the pancreatic plexus is a division of the celiac plexus The celiac plexus, also known as the solar plexus because of its radiating nerve fibers, is a nerve plexus, complex network of nerves located in the abdomen, ne ...
, and
testicular plexus The spermatic plexus (or testicular plexus) is derived from the renal plexus, receiving branches from the aortic plexus. It accompanies the internal spermatic artery to the testis A testicle or testis ( testes) is the gonad in all male bilat ...
/
ovarian plexus The ovarian plexus arises from the renal plexus, and is distributed to the ovary, and fundus of the uterus. It is carried in the suspensory ligament of the ovary.Plexus In anatomy, a plexus (from the Latin term for 'braid') is a branching network of blood vessels, lymphatic vessels, or nerves. The nerves are typically axons outside the central nervous system. The standard plural form in English is plexuses. Al ...
*
Brachial plexus The brachial plexus is a network of nerves (nerve plexus) formed by the anterior rami of the lower four Spinal nerve#Cervical nerves, cervical nerves and first Spinal nerve#Thoracic nerves, thoracic nerve (cervical spinal nerve 5, C5, Cervical spi ...
*
Cranial nerve Cranial nerves are the nerves that emerge directly from the brain (including the brainstem), of which there are conventionally considered twelve pairs. Cranial nerves relay information between the brain and parts of the body, primarily to and f ...
*
Spinal nerve A spinal nerve is a mixed nerve, which carries Motor neuron, motor, Sensory neuron, sensory, and Autonomic nervous system, autonomic signals between the spinal cord and the body. In the human body there are 31 pairs of spinal nerves, one on each s ...
*
List of anatomy mnemonics This is a list of human anatomy mnemonics, categorized and alphabetized. For mnemonics in other medical specialties, see this list of medical mnemonics. Mnemonics serve as a systematic method for remembrance of functionally or systemically relate ...
*
Nerve tract A nerve tract is a bundle of nerve fibers (axons) connecting Nucleus (neuroanatomy), nuclei of the central nervous system. In the peripheral nervous system, this is known as a nerve fascicle, and has associated nervous tissue, connective tissue. T ...
*
Neural pathway In neuroanatomy, a neural pathway is the connection formed by axons that project from neurons to make synapses onto neurons in another location, to enable neurotransmission (the sending of a signal from one region of the nervous system to ano ...
* Neural circuit


Sources

* Henry Gray: Anatomy of the human body (Bartleby.com; Great Books Online) * Richard S. Snell: Clinical neuroanatomy (Lippincott Williams & Wilkins, Ed.6th 2006) Philadelphia, Baltimore, New York, London. * Eldra P. Solomon - Richard R. Schmidt - Peter J. Adragna : Human anatomy & physiology ed. 2nd 1990 (Sunders College Publishing, Philadelphia) * Jochen Staubesand (Ed.); R. Putz, R. Pabst, Johannes Sobotta: Sobotta Atlas of Human Anatomy I-II. (Urban & Schwarzenberg, München 1982) * Saladin, Kenneth S. ''Anatomy & Physiology: The Unity of Form and Function''. New York, NY: McGraw-Hill, 2007. Print.


References


Instant Anatomy, 2010, webpage


External links

* *{{MerckHome, 06, 095, d - Plexus disorders Peripheral nervous system