ANATOMY TREE

Nervous system
of female pelvis
Centeral nervous system
Peripheral nervous system
Dr Ahmed Ossoble
 Nervous system

Filum terminale Centeral nervous system Peripheral nervous system

externum
Spinal cord
Filum terminale Somatic nerves Autonomic nerves
internum

Spinal nerves Nerves of pelvis

and lower limb

Sacral spinal Lumbar spinal Thoracic spinal

S1 medial branch of S1 rootlets of right
nerves nerves nerves S1 left spinal nerve
posterior ramus of anterior root
Co1 posterior ramus Co1 posterior root S1 left dorsal left spinal nerve
S1 rootlets of right
Coccygeal plexus of left spinal nerve of Rigt spinal nerve root gangalion posterior root
S1 posterior ramus
S1 lateral branch of of left spinal nerve
Anococcygeal Co1 left Co1 posterior root S1 right spinal nerve
nerve spinal nerve of leftt spinal nerve posterior ramus of
S1 posterior root
left spinal nerve S1 posterior root
of left spinal nerve
Left anococcygeal Co1 left dorsal Co1 right dorsal of right spinal nerve
S1 anterior root
nerve root gangalion root gangalion S1 rootlets of left
of left spinal nerve S1 posterior ramus
anterior root
Right anococcygeal Co1 anterior root Co1 right of right spinal nerve
S1 anterior ramus
nerve of left spinal nerve spinal nerve S1 rootlets of left
of left spinal nerve S1 medial branch of
posterior root
Co1 anterior root Co1 rootlets of posterior ramus of
Left coccygeal
of right spinal nerve left anterior root right spinal nerve
plexus Right middle gluteal
Co1 anterior ramus Co1 rootlets of cutaneous nerves S1 spinal S1 lateral branch of
Right coccygeal of right spinal nerve left posterior root left nerve posterior ramus of
plexus Left middle gluteal right spinal nerve
Co1 anterior ramus Co1 rootlets of cutaneous nerves
of left spinal nerve right anterior root S1 spinal S1 anterior root
Co1 spinal nerve right nerve of right spinal nerve
Co1 posterior ramus Co1 rootlets of Middle gluteal S1 anterior ramus
of Rigt spinal nerve right posterior root cutaneous nerves S1 spinal nerve of right spinal nerve
 Nervous system

Filum terminale Centeral nervous system Peripheral nervous system

externum
Spinal cord
Filum terminale Somatic nerves Autonomic nerves
internum S3 lateral branch of
S3 medial branch of
posterior ramus of posterior ramus of
Spinal nerves Nerves of pelvis left spinal nerve
left spinal nerve
and lower limb
S3 left S3 anterior root of
Sacral spinal Lumbar spinal Thoracic spinal S3 posterior root spinal nerve left spinal nerve
nerves nerves nerves of left spinal nerve
S3 left dorsal S3 anterior ramus
S3 rootlets of left root gangalion of left spinal nerve
S3 posterior ramus
S2 spinal nerve anterior root
of left spinal nerve
S3 rootlets of left S3 right S3 medial branch of
posterior root spinal nerve posterior ramus of
S2 spinal S2 spinal right spinal nerve
left nerve right nerve S3 right dorsal
root gangalion S3 posterior ramus
of right spinal nerve
S2 anterior ramus S2 medial branch of S2 anterior ramus S2 medial branch of S3 lateral branch of
of left spinal nerve posterior ramus of of right spinal nerve posterior ramus of posterior ramus of S3 posterior root
left spinal nerve right spinal nerve right spinal nerve of right spinal nerve
S2 anterior root S2 anterior root of
of left spinal nerve S2 posterior ramus right spinal nerve S2 posterior ramus S3 anterior root of S3 rootlets of right
of left spinal nerve of right spinal nerve right spinal nerve anterior root
S2 lateral branch of S2 lateral branch of
posterior ramus of S2 posterior root posterior ramus of S2 posterior root S3 anterior ramus S3 rootlets of right
left spinal nerve of left spinal nerve right spinal nerve of right spinal nerve of right spinal nerve posterior root
S2 left dorsal S2 rootlets of left S2 right dorsal S2 rootlets of right
root gangalion anterior root root gangalion anterior root
S3 spinal S3 spinal
S2 left spinal nerve S2 rootlets of left S2 right S2 rootlets of right left nerve right nerve
posterior root spinal nerve posterior root
S3 spinal nerve
 Nervous system

Filum terminale Centeral nervous system Peripheral nervous system

externum
Spinal cord
Filum terminale Somatic nerves Autonomic nerves
internum

Spinal nerves Nerves of pelvis S5 anterior ramus S5 posterior ramus

and lower limb of left spinal nerve of left spinal nerve
S5 anterior root S5 posterior root
Sacral spinal Lumbar spinal Thoracic spinal
of left spinal nerve of left spinal nerve
nerves nerves nerves
S5 left dorsal S5 rootlets of left
root gangalion anterior root
S4 spinal nerve
S5 left spinal nerve S5 rootlets of left
posterior root
S4 spinal S4 spinal
left nerve right nerve

S4 anterior ramus S4 posterior ramus S5 posterior ramus

S5 anterior ramus
of left spinal nerve of left spinal nerve of right spinal nerve
S4 anterior ramus S4 posterior ramus of left spinal nerve
S4 anterior root S4 posterior root of left spinal nerve of left spinal nerve S5 posterior root
S5 anterior root
of left spinal nerve of left spinal nerve of right spinal nerve
S4 anterior root S4 posterior root of left spinal nerve
S4 left dorsal of left spinal nerve of left spinal nerve S5 rootlets of right
S4 rootlets of left S5 left dorsal
root gangalion anterior root S4 left dorsal root gangalion anterior root
S4 rootlets of left
S4 left spinal nerve root gangalion anterior root S5 rootlets of right
S4 rootlets of left S5 left spinal nerve
posterior root S4 left spinal nerve posterior root
S4 rootlets of left
posterior root
S5 spinal S5 spinal
left nerve right nerve

S5 spinal nerve
 Nervous system

Filum terminale Centeral nervous system Peripheral nervous system

externum
Spinal cord
Filum terminale Somatic nerves Autonomic nerves
internum

Spinal nerves Nerves of pelvis

L2 anterior ramus
and lower limb L2 left dorsal of left spinal nerve
root gangalion
Sacral spinal Lumbar spinal Thoracic spinal L2 anterior root
nerves nerves nerves L2 posterior ramus L2 left spinal nerve of left spinal nerve
L2 rootlets of left
anterior root of left spinal nerve
L2 medial branch L2 lateral branch
L1 spinal nerve L2 rootlets of left L2 posterior root of posterior ramus of posterior ramus
posterior root of left spinal nerve of left spinal nerve of left spinal nerve

L1left spinal nerve L1 right spinal nerve L2 medial branch of

L2 anterior ramus
posterior ramus of
of right spinal nerve
L1 medial branch L1 medial branch of right spinal nerve
L1 anterior ramus L1 anterior ramus
of posterior ramus posterior ramus of L2 anterior root of
of left spinal nerve of right spinal nerve L2 posterior ramus
of left spinal nerve right spinal nerve right spinal nerve
L1 anterior root of of right spinal nerve
L1 anterior root
L1 posterior ramus L1 posterior ramus L2 lateral branch of
of left spinal nerve right spinal nerve L2 posterior root of
of left spinal nerve of right spinal nerve posterior ramus of
right spinal nerve
L1 lateral branch L1 lateral branch of right spinal nerve
L1 posterior root L1 posterior root of
of posterior ramus posterior ramus of L2 rootlets of right
of left spinal nerve right spinal nerve L2 right dorsal
of left spinal nerve right spinal nerve anterior root
root gangalion
L1 rootlets of left L1 right dorsal L1 rootlets of right
L1 left dorsal L2 rootlets of right
anterior root root gangalion anterior root L2 right spinal nerve
root gangalion posterior root
L1 rootlets of left L1 rootlets of right
L1 left spinal nerve L1 right spinal nerve
posterior root posterior root L2 left spinal nerve L2 right spinal nerve

L2 spinal nerve
 Nervous system

Filum terminale Centeral nervous system Peripheral nervous system

externum
Spinal cord
Filum terminale Somatic nerves Autonomic nerves
internum

Spinal nerves Nerves of pelvis

and lower limb

Sacral spinal Lumbar spinal Thoracic spinal

nerves nerves nerves

L5 spinal nerve Superior gluteal cutaneous nerves

L5 left spinal nerve L5 right spinal nerve

Left superior gluteal cutaneous nerves

L5 anterior ramus L5 posterior ramus L5 anterior ramus L5 posterior ramus

of left spinal nerve of left spinal nerve of right spinal nerve of right spinal nerve Right superior gluteal cutaneous nerves

L5 anterior root L5 posterior root L5 anterior root of L5 posterior root of

of left spinal nerve of left spinal nerve right spinal nerve right spinal nerve

L5 left dorsal L5 rootlets of left L5 right dorsal L5 rootlets of right

root gangalion anterior root root gangalion anterior root

L5 left spinal nerve L5 rootlets of left L5 right spinal nerve L5 rootlets of right
posterior root posterior root
 Nervous system

Filum terminale Centeral nervous system Peripheral nervous system

externum
Spinal cord
Filum terminale Somatic nerves Autonomic nerves
internum

Spinal nerves Nerves of pelvis

and lower limb

Sacral spinal Lumbar spinal Thoracic spinal

nerves nerves nerves

T12 spinal nerve

T12 left spinal nerve T12 right spinal nerve

T12 medial branch

T12 anterior ramus T12 posterior ramus T12 anterior ramus
of posterior ramus
of left spinal nerve of left spinal nerve of right spinal nerve
of right spinal nerve
T12 anterior root L5 posterior root T12 anterior root of
T12 posterior ramus
of left spinal nerve of left spinal nerve right spinal nerve
of right spinal nerve
T12 lateral branch T12 medial branch T12 lateral branch
T12 posterior root
of posterior ramus of posterior ramus of posterior ramus
of right spinal nerve
of left spinal nerve of left spinal nerve of right spinal nerve
T12 right dorsal T12 rootlets of right
T12 left dorsal L5 rootlets of left anterior root
root gangalion anterior root root gangalion
T12 rootlets of right
T12 left spinal nerve L5 rootlets of left T12 right spinal nerve
posterior root
posterior root
 Nervous system

Centeral nervous system Peripheral nervous system

Filum terminale
externum
Spinal cord Somatic nerves Autonomic nerves
Filum terminale
internum
Spinal nerves Nerves of pelvis
and lower limb

Nerves of left Nerves of left pelvis Nerves of right Nerves of right pelvis
lumbosacral plexus and lower limb lumbosacral plexus and lower limb

Left genitofemoral Left femoral Left nerve to Right genitofemoral Right femoral Right nerve to
nerve and branches nerve and branches levator ani S3 S4 nerve and branches nerve and branches levator ani S3 S4
Terminal branches of Left femoral nerve Left nerve to obturator Terminal branches of Right femoral nerve Right nerve to obturator
left genitofemoral nerve muscular branch internus L5 S1 right genitofemoral nerve muscular branch internus L5 S1
to pectineus to pectineus
Femoral branch of left Left nerve to Femoral branch of right Right nerve to
genitofemoral nerve Left furcal nerve L4 piriformis muscle S1 S2 genitofemoral nerve Right furcal nerve L4 piriformis muscle S1 S2

Genital branch of left
genitofemoral nerve
Left genitofemoral
nerve L1 L2
Left accessory
obturator nerve L3 L4
Left dorsal nerve
of clitoris
Left iliohypogastric
nerve T12 L1
Perineal branches of
left posterior femoral
cutaneous nerve
Left ilioinguinal Left nerve to quadratus Genital branch of right Right ilioinguinal Right nerve to quadratus
nerve T12 L1 femoris muscle L5 S1 genitofemoral nerve nerve T12 L1 femoris muscle L5 S1
Left inferior anal nerve Left obturator Right inferior anal nerve Right obturator
Right genitofemoral
nerve L2 L3 L4 nerve L2 L3 L4
nerve L1 L2
Left inferior gluteal Right inferior gluteal
cutaneous nerve Left perineal nerve Right perineal nerve
Right accessory cutaneous nerve
Left inferior gluteal Left posterior femoral obturator nerve L3 L4 Right posterior femoral
Right inferior gluteal
nerve L5 S1 S2 cutaneous nerve S1 S2 S3 nerve L5 S1 S2 cutaneous nerve S1 S2 S3
Right dorsal nerve
Left lateral femoral Left posterior of clitoris Right posterior
Right lateral femoral
cutaneous nerve L2 L3 labial nerves cutaneous nerve L2 L3 labial nerves
Right iliohypogastric
Left lumbosacral Left pudendal nerve T12 L1 Right lumbosacral Right pudendal
trunck L4 L5 nerve S2 S3 S4 trunck L4 L5 nerve S2 S3 S4
Perineal branches of
right posterior femoral
Left superior gluteal Left sciatic nerve Right superior gluteal Right sciatic nerve
cutaneous nerve
nerve L4 L5 S1 L4 L5 S1 S2 S3 nerve L4 L5 S1 L4 L5 S1 S2 S3

Filum terminale
externum
Spinal cord
Filum terminale
internum
Sympathetic chain
Left sympathetic chain
Left sympathetic
ganglia lumbar region
L1 left sympathetic
ganglia lumbar region
L2 left sympathetic
ganglia lumbar region
L3 left sympathetic
ganglia lumbar region
L4 left sympathetic
ganglia lumbar region
Left grey rami communicantes
lumbar region
Left grey rami communicantes
sacral region
Left grey rami communicantes
thoracic region
Nervous system
Centeral nervous system
Somatic nerves
Left sympathetic
ganglia sacral region
L1 left sympathetic
ganglia sacral region
L2 left sympathetic
ganglia sacral region
L3 left sympathetic
ganglia sacral region
L4 left sympathetic
ganglia sacral region
Left sympathetic
ganglia thoracic region
T10 left sympathetic
ganglia thoracic region
T11 left sympathetic
ganglia thoracic region
T12 left sympathetic
ganglia thoracic region
Peripheral nervous system
Autonomic nerves
Sympathetic trunk Nerves of pelvic viscera
Right sympathetic chain
T12 left sympathetic
Left sympathetic
T2 left sympathetic ganglion thoracic region
trunk cervical region
ganglia thoracic region T2 left sympathetic
Left sympathetic ganglion thoracic region
T3 left sympathetic
trunk lumbar region
ganglia thoracic region T3 left sympathetic
Left sympathetic ganglion thoracic region
T4 left sympathetic
trunk sacral region
ganglia thoracic region T4 left sympathetic
Left sympathetic ganglion thoracic region
T5 left sympathetic
trunk thoracic region
ganglia thoracic region T5 left sympathetic
Left white rami communicantes ganglion thoracic region
T6 left sympathetic
thoracic region
ganglia thoracic region T6 left sympathetic
Left white rami communicantes ganglion thoracic region
T7 left sympathetic
lumbar region
ganglia thoracic region T7 left sympathetic
T10 left sympathetic ganglion thoracic region
T8 left sympathetic
ganglion thoracic region
ganglia thoracic region T8 left sympathetic
T11 left sympathetic ganglion thoracic region
T9 left sympathetic
ganglion thoracic region
ganglia thoracic region T9 left sympathetic
ganglion thoracic region
 Nervous system

Filum terminale Centeral nervous system Peripheral nervous system

externum
Spinal cord
Filum terminale Somatic nerves Autonomic nerves
internum

Sympathetic chain Sympathetic trunk Nerves of pelvic viscera

Left sympathetic chain Right sympathetic chain

Right sympathetic Right sympathetic

ganglia lumbar region
T2 right sympathetic
ganglia thoracic region
L1 right sympathetic
ganglia lumbar region T3 right sympathetic
ganglia thoracic region
L2 right sympathetic
ganglia lumbar region T4 right sympathetic
ganglia thoracic region
L3 right sympathetic
ganglia lumbar region T5 right sympathetic
ganglia thoracic region
L4 right sympathetic
ganglia lumbar region T6 right sympathetic
ganglia thoracic region
Right grey rami communicantes
T7 right sympathetic
lumbar region
ganglia thoracic region
Right grey rami communicantes
T8 right sympathetic
sacral region
ganglia thoracic region
Right grey rami communicantes
T9 right sympathetic
thoracic region
ganglia thoracic region
ganglia sacral region T12 right sympathetic
Right sympathetic
ganglion thoracic region
trunk cervical region
L1 right sympathetic T2 right sympathetic
ganglia sacral region Right sympathetic ganglion thoracic region
trunk lumbar region
L2 right sympathetic T3 right sympathetic
ganglia sacral region Right sympathetic ganglion thoracic region
trunk sacral region
L3 right sympathetic T4 right sympathetic
ganglia sacral region Right sympathetic ganglion thoracic region
trunk thoracic region
L4 right sympathetic T5 right sympathetic
ganglia sacral region Right white rami communicantes ganglion thoracic region
thoracic region
Right sympathetic T6 right sympathetic
ganglia thoracic region Right white rami communicantes ganglion thoracic region
lumbar region
T10 right sympathetic T7 right sympathetic
T10 right sympathetic ganglion thoracic region
ganglia thoracic region
ganglion thoracic region
T11 right sympathetic T8 right sympathetic
T11 right sympathetic ganglion thoracic region
ganglia thoracic region
ganglion thoracic region
T12 rightt sympathetic T9 right sympathetic
ganglia thoracic region ganglion thoracic region
 Nervous system

Filum terminale Centeral nervous system Peripheral nervous system

externum
Spinal cord
Filum terminale Somatic nerves Autonomic nerves
internum

Sympathetic chain Sympathetic trunk Nerves of pelvic viscera

Left sympathetic chain Right sympathetic chain

Superior hypogastric Middle anorectal Inferior hypogastric Vesical plexus Hypogastric nerves Uteroviginal plexus
plexus plexus plexus
Right vesical plexus Left hypogastric nerves Cavernous nerves
of clitoris
Left vesical plexus Right hypogastric nerves
Left cavernous
nerves of clitoris
Right cavernous
nerves of clitoris

Left uteroviginal
plexus
Right uteroviginal
plexus
Viginal nerves

Left viginal nerves

Right viginal nerves