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The structure of the interspinous ligament suggests that its main function is to attach the thoracolumbar fascia to the posterior spine.
The thoracolumbar pathway seems to have evolved along with the vascular supply to the gastrointestinal tract, for its tracts of nerve fibers follow the blood supply.
They are probably sensory fibers of the thoracolumbar system, possibly modulating the pain of esophageal mucosal inflammation.
Anteriorly, posteriorly, and laterally, it is bounded by the thoracolumbar fascia, and medially, by the spinous processes, interspinous ligaments, and attachments of the thoracolumbar fascia.
The thoracic and thoracolumbar regions are, respectively, involved in 48 and 30% of patients with idiopathic scoliosis.
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