Posterior Cervical Ligament

The lymph node at the level of the neck of the IX thoracic and X lumbar vertebrae is called the cervical sympathetic node, but is more often called the “node of the articulation of the ribs and the neck of the vertebra,” because its clinical significance is determined by the fact that it is closely connected with the joint capsule of the II, VII, IX intercostal nerves and nerve plexuses of this zone. The most common purulent inflammation of these nodes is phlegmon of the scapular region, or rib neck. It is characterized by severe pain, hyperemia, and the presence of pus in the interscalene area. The pain radiates to the back, neck, shoulder. In this case, the cervical sympathetic nodes are most inflammatory at stage I, when the patient lies and does not feel pain. At stage II, the pain becomes unbearable (this is the time the patient rises and turns onto his stomach), and after a few hours it completely disappears (the patient begins to roll over on his back due to acute pain in the neck and back). After this, only the inflammatory infiltrate in the thoracic triangle remains from the infection, and then it resolves. If phlegmons of the cervical sympathetic nodes are rare, then neuritis of the named nodes are more common. They are characterized by dull, shooting pain in the area of ​​the hilum of the scapula (dull pain almost always occurs in patients with colds in the winter). The pain is localized at one point, corresponding to the location of the node. When laughing and turning the body, the pain becomes more intense, but even the slightest movement of the shoulder will cause unbearable pain. The same phenomena occur when the table or other