THORACOLUMBAR SYSTEM

Introduction
The thoracolumbar system is a network of structures that provide stability and mobility to the spine and torso. It consists of the thoracic spine, lumbar spine, and associated muscles, ligaments, and nerves. The thoracolumbar system is important for providing the body with stability and mobility, allowing us to carry out everyday activities such as sitting, standing, and walking. Injury to any structure of the thoracolumbar system may lead to significant pain and disability. This article aims to provide an overview of the anatomy and physiology of the thoracolumbar system, as well as the implications of injury and disability.

Anatomy and Physiology
The thoracolumbar system is composed of the thoracic and lumbar vertebrae, the intervertebral discs, the ligaments, the muscles, and the nerves. The thoracic spine is comprised of twelve vertebrae, which are separated by intervertebral discs and connected by ligaments. The lumbar spine is composed of five vertebrae and is also connected by ligaments. The thoracic and lumbar spines are connected by the sacrum, which is composed of five fused vertebrae. The muscles of the thoracolumbar system include the erector spinae muscles, which extend the spine, and the multifidus, which stabilize the spine. The ligaments of the thoracolumbar system provide stability and include the supraspinous, interspinous, and ligamentum flavum ligaments. The nerves of the thoracolumbar system include the spinal nerves and the autonomic nervous system.

Injury and Disability
Injury to any of the structures of the thoracolumbar system may lead to significant pain and disability. Injury to the vertebrae, intervertebral discs, or ligaments can cause instability and pain. Injury to the muscles can cause limited range of motion and pain. Injury to the nerves can cause numbness and weakness. Treatment for thoracolumbar system injuries may include rest, physical therapy, bracing, medications, and in some cases, surgery.

Conclusion
The thoracolumbar system is a complex network of structures that provide stability and mobility to the spine and torso. It is composed of the thoracic and lumbar vertebrae, the intervertebral discs, the ligaments, the muscles, and the nerves. Injury to any structure of the thoracolumbar system may lead to significant pain and disability. Treatment for thoracolumbar system injuries may include rest, physical therapy, bracing, medications, and in some cases, surgery.

References
Henderson, C. N., & Cifu, D. X. (Eds.). (2015). Rehabilitation of the spine: A practitioner’s manual (3rd ed.). Philadelphia, PA: Lippincott Williams & Wilkins.

Hoppenfeld, S. (1976). Physical examination of the spine and extremities. New York, NY: Appleton-Century-Crofts.

Kim, Y. J., & Lee, S. H. (2016). Anatomy, Thoracic Spine. StatPearls. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK539836/

Mannion, A. F., & Junge, A. (2015). Lumbar spine disorders. In A. F. Mannion, C. N. Henderson, & D. X. Cifu (Eds.), Rehabilitation of the spine: A practitioner’s manual (3rd ed., pp. 88-108). Philadelphia, PA: Lippincott Williams & Wilkins.

Pellegrino, M. J., & Anderson, S. (2015). Ligaments of the spine. In A. F. Mannion, C. N. Henderson, & D. X. Cifu (Eds.), Rehabilitation of the spine: A practitioner’s manual (3rd ed., pp. 109-120). Philadelphia, PA: Lippincott Williams & Wilkins.

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