BACK AND SPINE PART 2: ! MUSCULAR ANATOMY!

IAP MUSCULOSKELETAL SERIES

Christian Orense, PTRP 

MUSCLES OF THE HUMAN BACK 

SUPERFICIAL

INTERMEDIATE

DEEP 

SUPERFICIAL GROUP

• LatissimusDorsi • Rhomboid Major/ Minor • Levator Scapulae

• Trapezius, 

O:Sup.Nuchal Line, EOP, Ligamentum Nuchae, Spinous Process C7-T12

Trapezius

I: Lat 1/3 clavicle, acromion, spine of scapula

A: Scapular UR/ DR Inn: CN XI 

O: Spinous Process T7-L5 Sacrum, Iliac Crest I:: Medial crest Intertubercular grove A: Sh.EXADIR INN:Thoracodorsal nn.

Latissimus Dorsi 

O: Transverse Process C1-C4

Levator Scapulae

I:Superior Angle of Scapula A: Elevates, retracts rotates scapula INN:Dorsal Scapular nn 

O: Spinous Process C6-C7

Rhomboid Minor

I:Medial Border of the Scapula A: Scapular retraction, rotation INN:Dorsal Scapular nn 

O: Spinous Process T1-T4

Rhomboid Major

I:Medial Border of the Scapula A: Scapular retraction, rotation INN:Dorsal Scapular nn 

INTERMEDIATE GROUP

• SERRATUS POSTERIOR SUPERIOR • SERRATUS POSTERIOR INFERIOR • LEVATORES COSTARUM 

O: Lower portion Ligamentum Nuchae, Spinous Process C7-T3, Supraspinous Ligaments

SERRATUS POSTERIOR SUPERIOR

I:Upper portion ribs 2-5 A:Elevates ribs 2-5 INN:Anterior Rami Upper Thoracic nn 

O: Spinous Process T11-L3, Supraspinous Ligaments

SERRATUS POSTERIOR INFERIOR

I:Upper portion ribs 2-5 A:Elevates ribs 2-5

INN:Anterior Rami Upper Thoracic nn 

LEVATORES COSTARUM
O: Spinous Process T11-L3, Supraspinous Ligaments I:Upper portion ribs 2-5 A:Elevates ribs 2-5

INN:Anterior Rami Upper Thoracic nn 

DEEP MUSCLE GROUP
SUPERFICIALLY VERTICALLY RUNNING: ERECTOR SPINAE 

O: Iliac crest, sacrum, lower thoracic vertebrae, angle of upper 6 ribs I: Angles of the lower 6 ribs, Transverse A: Trunk process C4-C7 Extension (B), Lateral flexion (unilateral) INN:Dorsal Rami

ILIOCOSTALIS 

O: Lower cervical, upper and lower cervical vertebrae I: Mastoid process, Ribs, Upper cervical, upper lumbar vertebrae A: Extends the head, neck, vertebral column INN:Dorsal Rami

LONGISSIMUS 

SPINALES
O: C6-C7, T11-L2 I: C2-C3, Middle thoracic vertebrae A: Extends neck and vertebral column INN:Dorsal Rami 

DEEP (INTERMEDIATE) MUSCLE GROUP
OBLIQUE RUNNING: TRANSVERSOSPINALES GROUP 

SEMISPINALES
O: Transverse process TVI- T10 I: Spinous process of upper 4 thoracic and lower 2 cervical vertebrae A: Extends neck and vertebral column INN:Dorsal Rami 

MULTIFIDUS
O: Transverse process I: Spinous process of superior vertebrae A: Extends & rotates vertebral column INN:Dorsal Rami 

ROTATORES
O: Transverse process I: Base of Spinous process of superior vertebrae A: Extends & rotates vertebral column INN:Dorsal Rami 

DEEPEST MUSCLE GROUP 

INTERTRANSVERSARII
O: Transverse process below I: Transverse process of vertebra above A: Extends vertebral column

INN:Dorsal Rami 

INTERSPINALES
O: Spinous Process of vertebra below I: Spinous process of vertebra above

A: Extends vertebral column

INN:Dorsal Rami 

END OF LECTURE
PLEASE PREPARE FOR POSTLEC QUIZ