Thoracic part of spinal cord
Pars thoracica medullae spinalis
- Latin synonym: Segmenta thoracica medullae spinalis
- Synonym: Thoracic segments of spinal cord
- Related terms: Thoracic part; Thoracic part; Thoracic segments [1-12]
Definition
The thoracic part of spinal cord lies between the cervical part above and the lumbar and sacral spinal regions below. Each part of spinal cord has its own distinct morphological features.
Like all other regions, the thoracic part of spinal cord consists of a central butterfly shaped gray matter with anterior (motor) and posterior (sensory) gray columns or horns. Unlike the cervical and lumbosacral regions, the thoracic part of spinal cord does not require the additional gray matter to innervate the limb musculature (hence, smaller anterior and posterior horns).
Within the anterior gray horn, only the medial group of cells can be prominently seen. These innervate structures closer to midline including the trunk musculature. Unlike the cervical region, there is no prominent central group of cells. A prominent lateral group of cells cannot be seen either, as no limb innervation is required at the thoracic level.
The posterior gray horn contains four distinct groups of nuclei. Two of these extend throughout the length of the spinal cord and include substantia gelatinosa group (receiving pain and temperature sensations) and nucleus proprius group (receiving sensory information of proprioception, vibration, and 2-point discrimination). The remaining two groups of nuclei do not extend throughout the spinal cord length and include the dorsal nucleus of Clarke (receiving subconscious proprioceptive information from cerebellum) and visceral afferent nucleus (linked with autonomic innervation).
A prominent lateral gray horn can be seen in the thoracic part of spinal cord (extending from T1 to L2 spinal segments). It contains preganglionic nerve cell bodies for the sympathetic neuronal outflow.
The gray matter on both sides–right and left–are connected by a gray commissure that contains a central canal.
The gray matter is surrounded by bundles of white matter fibers or tracts (or funiculi). These include the anterior, posterior and lateral white columns.
The anterior white column (a.k.a. anterior funiculus) contains sensory and motor tracts, such as, anterior spinothalamic, anterior corticospinal, tectospinal, vestibulospinal and pontine reticulospinal tracts.
The lateral white column (a.k.a. lateral funiculus) also contains a mixture of sensory and motor tracts, including anterior and posterior spinocerebellar, lateral spinothalamic, lateral corticospinal, lateral reticulospinal and rubrospinal tracts.
In the posterior or dorsal white column of thoracic part of spinal cord, the fasciculus gracilis can be seen throughout the length of the spinal cord, while the fasciculus cuneatus can be spotted only as far below as the T6 spinal segment. It is absent in the lower thoracic spinal cord.
References
Text written by Muhammad A. Javaid, MD, PhD © 2022 IMAIOS.
Snell, R.S. (2010). ‘Chapter 4: The Spinal Cord and the Ascending and Descending Tracts, in Clinical Neuroanatomy. (7th ed.) Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, pp. 137-139.