Spinalis capitis muscle

Musculus spinalis capitis

Spinalis capitis is a thin, often indistinct strand of the erector spinae that reaches the skull from the upper thoracic and lower cervical spines.

At a glance

English
Spinalis capitis muscle
Latin (TA2)
Musculus spinalis capitis
System
Muscle
Region
Neck
Side
Paired, left and right

About the spinalis capitis muscle

Spinalis capitis is the uppermost part of the spinalis column, the most medial of the three columns of erector spinae. It is small and poorly defined, and many modern atlases leave it out altogether. Older texts called it biventer cervicis. In most bodies it cannot be peeled cleanly away from semispinalis capitis, with which it shares its course and its attachment on the skull.

When it can be traced, it is a set of fibres arising from the spinous processes of the upper thoracic and lowest cervical vertebrae, usually T1 and C7, sometimes from more of the upper thoracic spines. These fibres climb close to the midline in the back of the neck and reach the occipital bone between the superior and inferior nuchal lines, where they blend with the medial part of semispinalis capitis.

Because it passes from the spine to the skull, its main work is to extend the head and neck when both sides act. Acting on one side it may help to tilt the head towards that side. In practice its action cannot be separated from that of semispinalis capitis, which is far larger and does most of the work of holding the head up and drawing it back.

Spinalis capitis lies deep to trapezius and splenius capitis and medial to semispinalis capitis. Its small size means it has little clinical importance of its own, but it is part of the deep neck extensor mass that is involved in neck strain, postural neck pain and the treatment of whiplash-type injuries.

Attachments, action and supply

Origin
Spinous processes of the lowest cervical and upper thoracic vertebrae, mainly C7 and T1.
Insertion
Occipital bone between the superior and inferior nuchal lines, blended with semispinalis capitis.
Action
Helps to extend the head and neck; on one side may help to tilt the head to that side.
Nerve supply
Dorsal rami of the lower cervical and upper thoracic spinal nerves.
Blood supply
Deep cervical and occipital arteries.

Anthromica

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