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Quadratus Lumborum Anatomy: Origin, Insertion, Action, Innervation

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Origin: Transverse processes of L1 to L4, the iliolumbar ligament, and the posterior third of the iliac crest

Insertion: Inferior border of the 12th rib

Actions: Lateral flexion of the lumbar spine

Innervation: Ventral primary rami of T12 to L3

Blood Supply:
Branches from the lumbar artery

Looking for pain and symptom information? Visit the Quadratus Lumborum Pain Page.

Primary Actions of the Quadratus Lumborum

1. Lateral flexion of the lumbar spine when acting unilaterally

Agonists: 

    • Iliocostalis lumborum
    • Longissimus thoracis
    • Psoas major
    • External oblique
    • Internal oblique

  Antagonists:

    • Iliocostalis lumborum
    • Longissimus thoracis
    • Psoas major
    • External oblique
    • Internal oblique

Note: The intertransversarii assist with lateral flexion of the lumbar spine

 

Secondary Actions of the Quadratus Lumborum

1. Elevation of the pelvis when acting unilaterally

Agonists:

    • Rectus abdominis
    • Internal oblique
    • External oblique

Antagonists: None