Overview
The epaxial muscles form three parallel columns, from lateral to medial:
- Iliocostalis (m. iliocostalis): from the ilium and lumbar vertebrae to the ribs.
- Longissimus (m. longissimus): the largest, from the ilium to the skull, between the transverse and spinous processes.
- Transversospinalis (m. transversospinalis): short bundles next to the spinous processes (spinalis, semispinalis, multifidus, rotatores).
The model shows the three columns as a single mass, from the ilium to the axis; in the neck it also stands for the deep dorsal neck muscles.
Origin and insertion
Ilium, sacrum, vertebral processes and ribs; each bundle spans one or several segments.
Action
Extend and stabilise the vertebral column. Acting on one side only, they bend it laterally.
Innervation
Dorsal branches of the spinal nerves.
Clinical relevance
- The lumbar epaxial muscles are a common intramuscular injection site.
- Their bulk is palpated for muscle condition scoring: atrophy is an early sign of chronic disease.
- Painful spasm of these muscles often accompanies intervertebral disc disease.