The scalene muscles (from Greek σκαληνός, or skalenos, meaning uneven as the pairs are all of differing length) are a group of three pairs of muscles in the lateral neck, namely the anterior scalene, middle scalene, and posterior scalene. They are innervated by the fourth, fifth, and sixth cervical spinal nerves (C4-C6).A fourth muscle, the scalenus minimus (Sibson's muscle), is sometimes present behind the lower portion of the anterior scalene.