Document Detail


The anatomy of the so-called "articular nerves" and their relationship to facet denervation in the treatment of low-back pain.
MedLine Citation:
PMID:  156249     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Disections of the dorsal rami of L1--5 were performed in human cadavers, and the course of the dorsal rami, their branches, and the innervation of the zygapophyseal joints in the lumbar region were specifically studied. At the L-1 through L-4 levels, the dorsal rami divide into medial and lateral branches within the intertransverse ligaments. Each medial branch runs across the root of the adjacent superior articular process. At the caudal edge of the process, the branch turns medially beneath the mammillo-accessory ligament. Beneath the mammillo-accessory ligament, medial branches occur that innervate the adjacent zygapophyseal joint, and distal zygapophyseal branches arise at the laminar level to innervate the next lower joint. The L-5 dorsal ramus runs along a groove between the ala of the sacrum and its superior articular process. A the caudal edge of the articular process, the ramus divides into medial and lateral branches, and the medial branch supplies the L5--S1 articulation.
Authors:
N Bogduk; D M Long
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  51     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  1979 Aug 
Date Detail:
Created Date:  1979-09-01     Completed Date:  1979-09-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  172-7     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Back Pain / surgery*
Denervation
Humans
Lumbar Vertebrae / anatomy & histology
Spinal Nerves / anatomy & histology*,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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