Lumbar vertebrae
Vertebrae lumbales
Also known as: L1–L5, lumbar spine
The five largest vertebrae (L1–L5), in the lower back, built to bear the weight of the upper body. They have massive kidney-shaped bodies and lack transverse foramina and costal facets.
Overview
Lumbar vertebrae have large, kidney-shaped bodies, short thick pedicles and laminae, a triangular vertebral foramen (smaller than cervical, larger than thoracic), long slender transverse processes, and short, thick, hatchet-shaped (quadrangular) spinous processes projecting horizontally backward — leaving gaps between laminae that are used for lumbar puncture. The superior articular processes bear a mammillary process, and an accessory process lies at the base of each transverse process (attachments of multifidus and intertransversarii).
The articular facets lie in a roughly sagittal plane (superior facets concave and facing medially, inferior facets facing laterally), so they permit flexion–extension and lateral flexion but strongly resist rotation. L5 has the largest body, wedge-shaped (taller anteriorly), contributing to the lumbosacral angle, and massive transverse processes attached to the ilium by the iliolumbar ligaments. The spinal cord ends at L1–L2; below this the vertebral canal contains the cauda equina within the dural sac (to S2).
- Location
Lower back, between T12 and the sacrum.
Parts & subdivisions
- Kidney-shaped bodyLargest of the column; L5 wedge-shaped.
- Hatchet-shaped spinous processesShort, thick, horizontal — wide interlaminar gaps.
- Sagittally oriented facetsResist rotation; allow flexion–extension.
- Mammillary and accessory processesAttachments of deep back muscles.
- Pars interarticularisSite of spondylolysis, most often L5.
Anatomy
- Articulations
T12 above, sacrum (lumbosacral joint) below; discs and facet joints.
- Ligaments
Iliolumbar ligaments (L5 transverse processes to iliac crest), anterior and posterior longitudinal ligaments, ligamenta flava, interspinous and supraspinous ligaments.
Function
- Bear the weight of the head, upper limbs and trunk
- Allow flexion and extension of the lower back
- Protect the cauda equina
Clinical significance
Lumbar disc herniation
Posterolateral prolapse compresses the traversing root: L4–L5 → L5 (big-toe extension weakness, dorsum of foot), L5–S1 → S1 (ankle jerk lost, lateral foot, plantarflexion). Straight-leg raise reproduces sciatica.
Lumbar spinal stenosis
Degenerative narrowing (facet hypertrophy, ligamentum flavum buckling, disc bulging) causes neurogenic claudication — leg pain on walking relieved by flexion (sitting, leaning on a shopping trolley).
Lumbar puncture
Needle inserted in the midline at L3–L4 or L4–L5 with the spine flexed to open the interlaminar spaces.
Compiled from standard anatomy and physiology references — see the Skeletal System sources. For education only; not medical advice.