The 'lumbar nerves' are the five
spinal nerves emerging from the
lumbar vertebrae. They are divided into posterior and anterior divisions.
Posterior divisions
The medial branches of the posterior divisions of the lumbar nerves run close to the articular processes of the vertebræ and end in the
Multifidus.
The lateral branches supply the
Sacrospinalis.
The upper three give off cutaneous nerves which pierce the aponeurosis of the
Latissimus dorsi at the lateral border of the Sacrospinalis and descend across the posterior part of the
iliac crest to the skin of the
buttock, some of their twigs running as far as the level of the
greater trochanter.
Anterior divisions
The anterior divisions of the lumbar nerves (rami anteriores) increase in size from above downward.
They are joined, near their origins, by
gray rami communicantes from the
lumbar ganglia of the
sympathetic trunk.
These rami consist of long, slender branches which accompany the
lumbar arteries around the sides of the vertebral bodies, beneath the
Psoas major.
Their arrangement is somewhat irregular: one ganglion may give rami to two lumbar nerves, or one lumbar nerve may receive
rami from two
ganglia.
The first and second, and sometimes the third and fourth lumbar nerves are each connected with the lumbar part of the sympathetic trunk by a
white ramus communicans.
The nerves pass obliquely outward behind the
Psoas major, or between its
fasciculi, distributing filaments to it and the
Quadratus lumborum.
The first three and the greater part of the fourth are connected together in this situation by anastomotic loops, and form the
lumbar plexus.
The smaller part of the fourth joins with the fifth to form the
lumbosacral trunk, which assists in the formation of the
sacral plexus.
The fourth nerve is named the
nervus furcalis, from the fact that it is subdivided between the two plexuses.
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