Structures · Spinal cord segments
L5 spinal cord segment
The piece of spinal cord that gives rise to the L5 pair of spinal nerves. Segment names use the spinal cord level system, which does not line up with the vertebrae.
At a glance
- Level system
- L5 segment (spinal cord level)
- Lies opposite
- T12-L1 disc to L1 (vertebral levels)Model mapping; varies between people. Frostell et al. 2016; De Leener et al. 2018; Cadotte et al. 2014
- Length along the cord
- 10.0 mmMeasured on one model: the Visible Human male, imaged as a supine cadaver. Not a normal range. De Leener et al. 2018; Frostell et al. 2016
- Its nerve
- The L5 nerve exits between the L5 vertebra and the sacrum, below the L5 vertebra.Betts et al. 2022, §13.4
- ISNCSCI key sensory point
- Dorsum of the foot at the third metatarsophalangeal jointRupp et al. 2021; Kirshblum et al. 2011
- ISNCSCI key muscle
- Long toe extensors: tested by asking the person to extend the great toeRupp et al. 2021; Kirshblum et al. 2011
Cross-section at L5
Regions in this section (text list)
- left ventral horn
- right ventral horn
- left intermediate zone
- right intermediate zone
- left dorsal horn
- right dorsal horn
Grey matter and white-matter tracts at this level. 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
“The posterior horn is responsible for sensory processing.” Betts et al. 2022, §13.2
“The anterior horn sends out motor signals to the skeletal muscles.” Betts et al. 2022, §13.2
Connections to the rest of the body
Spinal nerves and plexuses
Lumbar plexus: the front of the thigh
The lumbar nerves form the lumbar plexus, which supplies the pelvic region and the front of the thigh.
Spinal nerves and plexuses
Sacral plexus: the back of the thigh and the calf
L4 to S4 form the sacral plexus, the source of the nerves to the back of the leg.
Key muscles (ISNCSCI)
L5: long toe extensors
In the standard neurological examination after spinal cord injury (ISNCSCI), the strength of the long toe extensors is the key test of segment L5. The muscle also receives other segments; the key muscle is a convention for testing, not the whole supply.
Rupp et al. 2021; Betts et al. 2022, §11.6 · Show on the body
Key sensory points (ISNCSCI)
Key sensory points: one patch of skin per segment
The examination tests light touch and pinprick at one key point per segment on each side, from C2 behind the ear to S4–5 beside the anus. The points here were placed on this body by following the standard’s written descriptions from bony landmarks, so they are approximate.
For learning only. Levels and sizes vary between people; nothing here describes a particular person or gives medical advice. Sources: Betts et al. 2022, §13.2; Frostell et al. 2016; De Leener et al. 2018; Cadotte et al. 2014; Betts et al. 2022, §13.4; Rupp et al. 2021; Kirshblum et al. 2011; Betts et al. 2022, §11.6.