Structures · Spinal cord segments
S2 spinal cord segment
The piece of spinal cord that gives rise to the S2 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
- S2 segment (spinal cord level)
- Lies opposite
- L1 (vertebral level)Model mapping; varies between people. Frostell et al. 2016; De Leener et al. 2018; Cadotte et al. 2014
- Length along the cord
- 9.3 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
- Midpoint of the popliteal fossaRupp et al. 2021; Kirshblum et al. 2011
Cross-section at S2
Regions in this section (text list)
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 lateral horn , which is only found in the thoracic, upper lumbar, and sacral regions, contains cell bodies of motor neurons of the autonomic nervous system.” Betts et al. 2022, §13.2
“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
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.
Spinal nerves and plexuses
Pudendal nerve: voluntary control of the urethral sphincter
Holding urine in is voluntary: the pudendal nerve, from S2 to S4, controls the external urethral sphincter.
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.
Parasympathetic outflow
Sacral parasympathetic: S2–S4 to the pelvic organs
Parasympathetic neurons in sacral segments S2 to S4 leave in the pelvic splanchnic nerves to the lower large intestine, the bladder and the reproductive organs. They empty the bladder.
Wulf and Tom 2023; Betts et al. 2022, §25.2 · Show on the body
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- Autonomic outflow and the bladder
Where the cord sends its automatic, involuntary commands. Sympathetic outflow leaves from the thoracic and upper lumbar cord, parasympathetic from the brainstem and sacral cord, and the bladder shows how both work with voluntary control.
- Spinal cord injury
What happens when the cord is damaged, how the standard examination classifies the injury by level and completeness, which functions depend on the level, and what research is trying to restore.
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, §25.2; Wulf and Tom 2023.