Skip to content

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
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

left ventral hornright ventral hornleft intermediate zoneright intermediate zoneleft dorsal hornright dorsal hornAnteriorPosteriorLR
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 viewer

What 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.

    Betts et al. 2022, §13.4 · Show on the body

  • 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.

    Betts et al. 2022, §13.4 · Show on the body

  • 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.

    Rupp et al. 2021; Kirshblum et al. 2011 · Show on the body

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.