|Prevertebral fascia labeled in red, both according to older literature (e.g. Gray's) and newer literature
. Section of the neck at about the level of the sixth cervical vertebra. Showing the arrangement of the fascia coli.
|Latin||lamina prevertebralis fasciae cervicalis|
|Gray's||subject #111 389|
In some literature, the prevertebral fascia also includes the rest of the fascia extending around the vertebral column and enclosing all muscles laterally and posteriorly to it. However, in this article, it is assumed to be as marked in picture.
The prevertebral fascia extends medially behind the carotid vessels, where it assists in forming their sheath, and passes in front of the prevertebral muscles.
The prevertebral fascia is fixed above to the base of the skull, and below it extends behind the esophagus into the posterior mediastinal cavity of the thorax. It descends in front of the longus colli muscles.
The prevertebral fascia is prolonged downward and laterally behind the carotid vessels and in front of the scaleni, and forms a sheath for the brachial nerves and subclavian vessels in the posterior triangle of the neck; it is continued under the clavicle as the axillary sheath and is attached to the deep surface of the coracoclavicular fascia.
Parallel to the carotid sheath and along its medial aspect the prevertebral fascia gives off a thin lamina, the buccopharyngeal fascia, which closely invests the constrictor muscles of the pharynx, and is continued forward from the constrictor pharyngis superior on to the buccinator. This is attached to the prevertebral layer by loose connective tissue only, and thus an easily distended space, the retropharyngeal space, is found between them.
Immediately above and behind the clavicle an areolar space exists between the investing layer and the sheath of the subclavian vessels, and in this space are found the lower part of the external jugular vein, the descending clavicular nerves, the transverse scapular and transverse cervical vessels, and the inferior belly of the Omohyoideus muscle.
Inferiorly, the prevertebral layer blends with the endothoracic fascia peripherally and fuses with the anterior longitudinal ligament centrally at approximately the level of the T3 vertebra. It extends laterally as the axillary sheath.
- Essential Clinical Anatomy. K.L. Moore & A.M. Agur. Lippincott, 2 ed. 2002.
- Clinically Oriented Anatomy. K.L. Moore, A.F. Dalley, & A.M. Agur. Lippincott, 6 ed. 2010.