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Acting bilaterally, contraction of both spinalis thoracis muscles causes erection and hyperextension of the thoracic spine, according to the book Oriented Anatomy. They work in conjunction with the semispinalis thoracis, longissimus thoracis and iliocostalis thoracis muscles. Thoracic hyperkyphosis, colloquially known as a is associated with mid back pain, respiratory issues and an increased risk of spinal osteoarthritis, according to the book Physiology: An Integrated Approach.
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