Structures · Cord and roots
Rexed laminae
The layers into which the grey matter is divided. In the dorsal horn, each lamina is linked to particular kinds of sensory input: pain, heat and itch fibres end mostly in laminae I and II, touch fibres deeper.
Cross-section at C6
Regions in this section (text list)
- Lamina I, left (schematic)
- Lamina II, left (schematic)
- Lamina III, left (schematic)
- Lamina IV, left (schematic)
- Lamina V, left (schematic)
- Lamina VI, left (schematic)
- Lamina VII, left (schematic)
- Lamina VIII, left (schematic)
- Lamina IX, left (schematic)
- Lamina I, right (schematic)
- Lamina II, right (schematic)
- Lamina III, right (schematic)
- Lamina IV, right (schematic)
- Lamina V, right (schematic)
- Lamina VI, right (schematic)
- Lamina VII, right (schematic)
- Lamina VIII, right (schematic)
- Lamina IX, right (schematic)
- Lamina X (schematic)
Laminae drawn schematically over the grey matter. Outline from the PAM50 template and atlas, cut at the segment midpoint. De Leener et al. 2018; Lévy et al. 2015
Open this section in the viewerWhat the sources say
“It is organized into distinct laminae, each associated with specific types of sensory information.” Rivera-Arconada et al. 2025
“In contrast, high threshold (HT) myelinated Aδ and unmyelinated C fibers, which mediate pain, thermal sensations, and itch, mainly terminate in lamina I and II (for review see Todd, 2010 ; Merighi, 2018 ).” Rivera-Arconada et al. 2025
“In particular, myelinated Aβ and low threshold (LT) Aδ fibers, which mediate innocuous mechanical sensitivity, primarily project to lamina II inner, III, and IV.” Rivera-Arconada et al. 2025
Read more
- Gate control of pain
Melzack and Wall's 1965 idea that the dorsal horn of the cord works like a gate on pain signals, opened or closed by other inputs and by the brain. What it proposed, what it changed, and how it is described now.
- Grey matter and Rexed laminae
The H-shaped core of the cord. Its horns sort sensory input, drive muscles and run autonomic outflow, and the dorsal horn is layered into laminae that receive different kinds of sensation.
- The spinothalamic tract
The route for pain and temperature. Its fibres synapse as soon as they enter the cord and cross there, so a lesion of one side of the cord affects pain on the other side of the body.
For learning only. Levels and sizes vary between people; nothing here describes a particular person or gives medical advice. Sources: Rivera-Arconada et al. 2025.