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Anatomy

  • F. Postacchini
  • W. Rauschning

Abstract

The body of the lumbar vertebrae, like that of the cervical vertebrae, is wider in the transverse than the sagittal diameter. The dimensions of the vertebral body have been measured in skeletal populations of several ethnic groups (8, 30, 64, 96). The mean values obtained in the various studies are comparable, although not equal. This probably depends, to a large extent, on constitutional characteristics related to racial factors. An overall analysis of the results indicates that the transverse and sagittal diameters, as well as the height, as measured on the anterior aspect of the vertebral body, show a regular or only slightly irregular increase from L1 to L5 in all human populations.

Keywords

Vertebral Body Intervertebral Disc Nucleus Pulposus Spinal Nerve Annulus Fibrosus 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Adamkiewicz A.: Die Blutgefässe des menschlichen Rückenmarks. II Theil. Die Gefässe der Rückenmarkesoberfläche. Sitzungsber. Math. Naturwiss. Classe Akd. Wissensch. 85: 101–130, 1882.Google Scholar
  2. 2.
    Ahmed M., Bjurholm A., Kreicbergs A. et al.: Neuropeptide Y, tyrosyne hydroxylase, and vasoactive intestinal polypeptide-immunoreactive fibers in the vertebral bodies, discs, dura mater, and spinal ligaments of the rat lumbar spine. Spine 18: 268–273, 1993.PubMedCrossRefGoogle Scholar
  3. 3.
    Batson O. V.: The function of the vertebral veins and their role in the spread of metastases. Ann. Surg. 112: 138–149, 1940.PubMedCrossRefGoogle Scholar
  4. 4.
    Beaman D. N., Graziano G. P., Glover R. et al.: Substance P innervation of lumbar spine facet joints. Spine 18: 1044–1049, 1993.PubMedCrossRefGoogle Scholar
  5. 5.
    Bergland R. M.: Congenital intraspinal extradural cyst. J. Neurosurg. 28: 495–499, 1968.PubMedCrossRefGoogle Scholar
  6. 6.
    Bernick S., Caillet R.: Vertebral end-plate changes with aging of human vertebrae. Spine 7: 97–102, 1982.PubMedCrossRefGoogle Scholar
  7. 7.
    Bernick S., Walker J. M., Paule W. J.: Age changes to the annulus fibrosus in human intervertebral discs. Spine 16: 520–524, 1991.PubMedCrossRefGoogle Scholar
  8. 8.
    Berry J. L., Moran J. M., Berg W. S. et al.: A morphometric study of human lumbar and selected thoracic vertebrae. Spine 12: 362–367, 1987.PubMedCrossRefGoogle Scholar
  9. 9.
    Bijlsma F., Copius Peereboom J. W.: The ageing pattern of human intervertebral disc. Gerontologia 18: 157–168, 1972.PubMedCrossRefGoogle Scholar
  10. 10.
    Bjerkedal T., Czeifel A., Gaiyad L. et al.: Valproic acid and spina bifida. Lancet 2: 1096, 1982.PubMedCrossRefGoogle Scholar
  11. 11.
    Bogduk N.: The innervation of the lumbar spine. Spine 8: 286–293, 1983.PubMedCrossRefGoogle Scholar
  12. 12.
    Bogduk N., Tynan W., Wilson A. S.: The innervation of the human lumbar intervertebral discs. J. Anat. 132: 39–56, 1981.PubMedGoogle Scholar
  13. 13.
    Bogduk N., Wilson A. S., Tynan W.: The human lumbar dorsal rami. J. Anat 134: 383–397, 1982.PubMedGoogle Scholar
  14. 14.
    Bonola A., Bedeschi P.: Anomalie di origine, di decorso, di lunghezza e di diametro delle radici lombari e loro importanza nella patologia dell’ernia del disco. Reumatismo 8: 226–280, 1956.Google Scholar
  15. 15.
    Brailsford J. F.: Deformities of the lumbosacral region of the spine. Br. J. Surg. 16: 562–568, 1929.CrossRefGoogle Scholar
  16. 16.
    Buckwalter J. A., Maynard J. A., Cooper R. R.: Sheathing of collagen fibrils in human intervertebral discs. J. Anat. 125: 615–618, 1978.PubMedGoogle Scholar
  17. 17.
    Burton C. V.: On the diagnosis and surgical treatment of lumbar subarticular and “farout” lateral spinal stenosis. In: Lumbar discectomy and laminectomy. Watkins R. G., Collins J. S. Eds., Aspen Public. Rockille Maryland, 1987.Google Scholar
  18. 18.
    Cannon B. W., Hunter S. E., Picaza J. A.: Nerve-root anomalies in lumbar disc surgery. J. Neurosurg. 19: 208–214, 1962.PubMedCrossRefGoogle Scholar
  19. 19.
    Castellvi A. E., Goldstein L. A., Chan D. P. K.: Lumbosacral transitional vertebrae and their relationship with lumbar extradural defects. Spine 9: 493–495, 1984.PubMedCrossRefGoogle Scholar
  20. 20.
    Cecchini M.: Patologia e clinica dello spazio epidurale spinale. Ed. Scientifiche Clinica Ortopedica Univ. Firenze, 1966.Google Scholar
  21. 21.
    Cloward R. B.: Congenital spinal extradural cysts: case report with review of literature. Ann. Surg. 5: 851–864, 1968.CrossRefGoogle Scholar
  22. 22.
    Cooper E. R. A.: The vertebral venous plexus. Acta Anat. (Basel) 42: 333–344, 1960.CrossRefGoogle Scholar
  23. 23.
    Crellin R. Q., Jones E. R.: Sacral extradural cysts. A rare cause of low backache and sciatica. J. Bone Joint Surg. 55-B: 20–31, 1973.Google Scholar
  24. 24.
    Crock H. V., Goldwasser M.: Anatomic studies of the circulation in the region of the vertebral end-plate in adult greyhound dogs. Spine 9: 702–706, 1984.PubMedCrossRefGoogle Scholar
  25. 25.
    Crock H. V., Yamagishi M., Crock M. C.: The conus medullaris and cauda equina in man. An atlas of the arteries and veins. Springer-Verlag, Wien New York, 1986.Google Scholar
  26. 26.
    Crock H. V., Yoshizawa H.: The blood supply of the vertebral column and spinal cord in man. Springer-Verlag, New York, 1977.Google Scholar
  27. 27.
    Crock H. V., Yoshizawa H., Kame S. K.: Observations on the venous drainage of the human vertebral body. J. Bone Joint Surg. 55-B: 528–533, 1973.Google Scholar
  28. 28.
    De Marchi F.: Le articolazioni intervertebrali. La Clin. Ortop. 15: 26–32, 1963.Google Scholar
  29. 29.
    Edgar M. A., Nundy S.: Innervation of the lumbar spine. Innervation of the spinal dura mater. J. Neurol. Neurosurg. Psychiat. 29: 530–534, 1966.CrossRefGoogle Scholar
  30. 30.
    Eisenstein S.: The morphometry and pathological anatomy of the lumbar spine in South African negroes and caucasoids with specific reference to spinal stenosis. J. Bone Joint Surg. 59-B: 173–180, 1977.Google Scholar
  31. 31.
    Eisenstein S.: Sponylolysis. A skeletal investigation of two population groups. J. Bone Joint Surg. 60-B: 488–494, 1978.Google Scholar
  32. 32.
    Eisenstein S.: The trefoil configuration of the lumbar vertebral canal. A study of South African skeletal material. J. Bone Joint Surg. 62B: 73–77, 1980.Google Scholar
  33. 33.
    Eisberg D. A., Dyke D. G., Brewer E. D.: The symptoms and diagnosis of extradural cysts. Bull. Neurol. Inst. N.Y 3: 395–417, 1934.Google Scholar
  34. 34.
    Elster A. D.: Bertolotti’s syndrome revisited. Transitional vertebrae of the lumbar spine. Spine 14: 1373–1377, 1989.PubMedCrossRefGoogle Scholar
  35. 35.
    Engel R., Bogduk N.: The menisci of the lumbar zygapophyseal joints. J. Anat. 135: 795–809, 1982.PubMedGoogle Scholar
  36. 36.
    Esses S. I., Botsford D. J., Huler R. H. et al.: Surgical anatomy of the sacrum. A guide for rational screw fixation. Spine 16: S283–288, 1991.PubMedCrossRefGoogle Scholar
  37. 37.
    Ethelberg S., Riishede J.: Malformation of lumbar spinal roots and sheaths in the causation of low backache and sciatica. J. Bone Joint Surg. 34-B: 442–446, 1952.Google Scholar
  38. 38.
    Eurell J. A., Kazarian L. E.: The vertebral cartilaginous endplate of the preadult rhesus monkey (macaca mulatta). A correlative scanning electron and light-microscopic study. Spine 11: 483–486, 1986.PubMedCrossRefGoogle Scholar
  39. 39.
    Farfan H. F.: Mechanical disorders of the lower back. Lea and Febiger, Philadelphia, 1973.Google Scholar
  40. 40.
    Fineschi G.: Anomalie anatomiche delle radici lombari. Arch. Putti 2: 222–236, 1952.Google Scholar
  41. 41.
    Gandolfi M.: Le protrusioni posteriori del disco intervertebrale. Clinica e terapia delle protrusioni del tratto lombare. Rel. 51° Congr. SIOT, Catania, 1966.Google Scholar
  42. 42.
    Giles L. G. F., Taylor J. R.: Human zygoapophyseal joint capsule and synovial fold innervation. Br. J. Rheum. 26: 93–98, 1987.CrossRefGoogle Scholar
  43. 43.
    Gortvai P.: Extradural cysts of the spinal canal. J. Neurol. Neurosurg. Psychiat. 26: 223–230, 1963.PubMedCrossRefGoogle Scholar
  44. 44.
    Gronblad M., Korkala O., Konttinen Y. et al.: Silver inpregnation and immunohistochemical study of nerves in lumbar facet joint plical tissue. Spine 16: 34–38, 1991.PubMedCrossRefGoogle Scholar
  45. 45.
    Hamanishi C., Tanaka S.: Dorsal root ganglia in the lumbosacral region observed from the axial views of MRI. Spine 18: 1753–1756, 1993.PubMedCrossRefGoogle Scholar
  46. 46.
    Herzog W.: Morphologie und Pathologie des Ligamentum Flavum. Frankfurter Zeitschr. Pathol. 61: 250–267, 1950.Google Scholar
  47. 47.
    Heylings D. J. A.: Supraspinous and interspinous ligaments of the human lumbar spine. J. Anat. 125: 127–131, 1978.PubMedGoogle Scholar
  48. 48.
    Hickey D. S., Hukins D. W. L.: X-ray diffraction studies of the arrangement of collagenous fibres in human fetal intervertebral disc. J. Anat. 131: 81–90, 1980.PubMedGoogle Scholar
  49. 49.
    Higuchi M., Kaneda K., Abe K.: Postnatal histogenesis of the cartilage plate of the spinal column. Electron microscopic observations. Spine 7: 89–96, 1982.PubMedCrossRefGoogle Scholar
  50. 50.
    Hirsch C., Ingelmark B. E., Miller M.: The anatomical basis for low back pain. Acta Orthop. Scand. 33: 1–17, 1963.PubMedCrossRefGoogle Scholar
  51. 51.
    Hofmann M.: Die Befestigung der Dura Mater im Wirbelcanal. Arch. Anat. Physiol. (Anat. Abt.) 403–412, 1898.Google Scholar
  52. 52.
    Horton W. G.: Further observations on the elastic mechanism of the intervertebral disc. J. Bone Joint Surg. 40-B: 552–557, 1958.Google Scholar
  53. 53.
    Hou S., Hu R., Sahi Y.: Pedicle morphology of the lower thoracic and lumbar spine in a chinese population. Spine 18: 1850–1855, 1993.PubMedCrossRefGoogle Scholar
  54. 54.
    Jackson H. C., Winkelmann R. K., Bickel W. H.: Nerve endings in the human lumbar spinal column and related structures. J. Bone Joint Surg. 48-A: 1272–1281, 1966.Google Scholar
  55. 55.
    Jackson R. P., Mcmanus A. C.: The iliac buttress. A computed tomographic study of sacral anatomy. Spine 18: 1318–1328, 1992.CrossRefGoogle Scholar
  56. 56.
    Jiang H., Russell G., Raso J. et al.: The nature and distribution of the innervation of human supraspinal and interspinal ligaments. Spine 20: 869–876, 1995.PubMedCrossRefGoogle Scholar
  57. 57.
    Jung A., Brunschwig A.: Recherches histologiques des articulations des corps vertebraux. Presse Med. 40: 316–326, 1932.Google Scholar
  58. 58.
    Kikuchi S., Hasue M., Nishiyama K. et al.: Anatomic features of the furcal nerve and its clinical significance. Spine 11: 1002–1007, 1986.PubMedCrossRefGoogle Scholar
  59. 59.
    Kikuchi S., Sato K., Konno S. et al.: Anatomic and radiographic study of dorsal root ganglia. Spine 19: 6–11, 1994.PubMedCrossRefGoogle Scholar
  60. 60.
    Kim N.-H., Lee H.-M., Chung I.-H. et al.: Morphometric study of the pedicles of thoracic and lumbar vertebrae in Koreans. Spine 19: 1390–1394, 1994.PubMedCrossRefGoogle Scholar
  61. 61.
    Kohler A., Zimmer E. A.: Limiti del normale ed inizio del patologico nella diagnostica radiologica dello scheletro. Casa Ed. Ambrosiana, Milano 1970, pp. 383–389.Google Scholar
  62. 62.
    Konttinen Y., Gronblad M., Antti-Poika I. et al.: Neuro-immunohistochemical analysis of peridiscal nociceptive neural elements. Spine 15: 383–386, 1990.PubMedCrossRefGoogle Scholar
  63. 63.
    Korkala O., Gronblad M., Liesi P. et al.: Immunohistochemical demonstration of nociceptors in the legamentous structures of the lumbar spine. Spine 10: 156–157, 1985.PubMedCrossRefGoogle Scholar
  64. 64.
    Krag M. H., Weaver D. L., Beynnon B. D. et al.: Morphometry of the thoracic and lumbar spine related to transpedicular screw placement for surgical spinal fixation. Spine 13: 27–32, 1988.PubMedCrossRefGoogle Scholar
  65. 65.
    Kumar R., Berger R. J., Dunsker S. B. et al.: Innervation of the spinal dura. Myth or reality? Spine 21: 18–26, 1996.PubMedGoogle Scholar
  66. 66.
    Larsen J. L.: The posterior surface of the lumbar vertebral bodies. Part I. Spine 10: 50–58, 1985.PubMedCrossRefGoogle Scholar
  67. 67.
    Larsen J. L.: The posterior surface of the lumbar vertebral bodies. Part II. An anatomic investigation concerning the curvatures in the horizontal plane. Spine 10: 901–906, 1985.PubMedCrossRefGoogle Scholar
  68. 68.
    Lazorthes G., Gonazé A., Bastide G. et al.: La vascularization artérielle du renflement lombaire. Etude des variations et des suppleances. Rev. Neurol. 114: 109–122, 1966.PubMedGoogle Scholar
  69. 69.
    Lazorthes G., Gonazé A., Zadeh O. et al.: Arterial vascularization of the spinal cord. Recent studies of the anastomotic substitution pathways. J. Neurosurg. 35: 253–262, 1971.PubMedCrossRefGoogle Scholar
  70. 70.
    Leck J.: Causation of neural tube defects: clues from epidemiology. Br. Med. Bull. 30: 158–163, 1974.PubMedGoogle Scholar
  71. 71.
    Lee C. K., Rauschning W., Glenn W.: Lateral lumbar spinal canal stenosis: classification, pathologic anatomy and surgical decompression. Spine 13: 313–320, 1988.PubMedCrossRefGoogle Scholar
  72. 72.
    Leonardi A.: Le protrusioni posteriori del disco intervertebrale. Generalità sulle protrusioni posteriori del disco intervertebrale. Rel. 51° Congr. SIOT, Catania, 1966.Google Scholar
  73. 73.
    Louis R.: Surgery of the spine. Springer-Verlag, Berlin, Heidelberg, New York, 1983.CrossRefGoogle Scholar
  74. 74.
    Luk K. D. K., Ho H. C., Leong J. C. Y.: The iliolumbar ligament. A study of its anatomy, development and clinical significance. J. Bone Joint Surg. 68-B: 197–200, 1986.Google Scholar
  75. 75.
    Magnusson P.B.: Differential diagnosis of causes of pain in the lower back accompanied by sciatic pain. Ann. Surg. 119: 878–901, 1944.CrossRefGoogle Scholar
  76. 76.
    Malinski J.: The ontogenetic development of nerve terminations in the intervertebral discs of man. Acta Anat. 38: 96–113, 1959.CrossRefGoogle Scholar
  77. 77.
    Marchant F., Ahmed A. M.: Investigation of the laminate structure of lumbar disc annulus fibrosus. Spine 15: 402–410, 1990.CrossRefGoogle Scholar
  78. 78.
    McLain R. F., Weinstein J. N.: Morphometric model of normal rabbit dorsal root ganglia. Spine 18: 1746–1752, 1993.PubMedCrossRefGoogle Scholar
  79. 79.
    Meachim G., Cornah M. S.: Fine structure of juvenile human nucleus pulposus. J. Anat. 107: 337–350, 1970.PubMedGoogle Scholar
  80. 80.
    Mineiro J. D.: Coluna vertebral humana. M. D. Thesis, Lisbon, 1965.Google Scholar
  81. 81.
    Mitchell N., Shepard N.: Changes in proteoglycan and collagen in cartilage of rheumutoid arthritis. J. Bone Joint Surg. 60-A: 349–354, 1978.Google Scholar
  82. 82.
    Nugent G. R., Odom G. L., Woodhall B.: Spinal extradural cysts. Neurology (Minneap.) 9: 397–406, 1959.CrossRefGoogle Scholar
  83. 83.
    Ohshima H., Hirano N., Osada R. et al.: Morphologic variation of lumbar posterior longitudinal ligament and the modality of disc herniation. Spine 18: 2408–2411, 1993.PubMedCrossRefGoogle Scholar
  84. 84.
    Oki S., Matsuda Y., Shibata T. et al.: Morphologic differences of the vascular buds in the vertebral endplate. Spine 21: 174–177, 1996.PubMedCrossRefGoogle Scholar
  85. 85.
    Olsewski J. M., Simmons E. H., Kallen F. C. et al.: Morphometry of the lumbar spine: anatomical perspectives related to transpedicular fixation. J. Bone Joint Surg. 72-A: 541–549, 1990.Google Scholar
  86. 86.
    Papp T., Porter R. W., Aspden R. M.: The growth of the lumbar vertebral canal. Spine 19: 2770–2773, 1994.PubMedCrossRefGoogle Scholar
  87. 87.
    Parke W. W., Gammel K., Rothman R. H.: Arterial vascularization of the cauda equina. J. Bone Joint Surg. 63-A: 53–62, 1981.Google Scholar
  88. 88.
    Parke W. W., Watanabe R. The intrinsic vasculature of the lumbosacral spinal nerve roots. Spine 6: 508–515, 1985.CrossRefGoogle Scholar
  89. 89.
    Peacock A.: Observations on the postnatal structure of the intervertebral disc in man. J. Anat. 86: 162–179, 1952.PubMedGoogle Scholar
  90. 90.
    Pedersen H. E., Blunck C. F. J., Garden E.: The anatomy of lumbosacral posterior rami and meningeal branches of spinal nerves (sinu-vertebral nerves). J. Bone Joint Surg. 38-A: 377–391, 1956.PubMedGoogle Scholar
  91. 91.
    Peters A., Palay S. L., Webster H de F.: The fine structure of the nervous system. The cells and their processes. Harper and Row, New York, 1970.Google Scholar
  92. 92.
    Pickett J. C.: The lumbar ligamentum flavum in low back and sciatic pain. Southern Med. J. 56: 1036–1042, 1963.PubMedCrossRefGoogle Scholar
  93. 93.
    Postacchini F.: Lumbar spinal stenosis. Springer-Verlag, Wien New York, 1989.CrossRefGoogle Scholar
  94. 94.
    Postacchini F., Bellocci M., Massobrio M.: Morphologic changes in annulus fibrosus during aging. An ultra-structural study in rats. Spine 9: 597–603, 1984.CrossRefGoogle Scholar
  95. 95.
    Postacchini F., Gumina S., Cinotti G. et al.: Light and electron microscopic morphology of ligamenta flava in lumbar disc herniation and spinal stenosis. Spine 19: 917–922, 1994.PubMedCrossRefGoogle Scholar
  96. 96.
    Postacchini F., Ripani M., Carpano S.: Morphometry of the lumbar vertebrae. An anatomic study in two caucasoid ethnic groups. Clin. Orthop. 172: 296–303, 1983.PubMedGoogle Scholar
  97. 97.
    Postacchini F., Urso S., Ferro L.: Lumbosacral nerve-root anomalies. J. Bone Joint Surg. 64-A: 721–729, 1982.Google Scholar
  98. 98.
    Rambourg A., Clermont Y., Beaudet A.: Ultrastructural features of six types of neurons in rat dorsal root ganglia. J. Neurocytol. 12: 47–66, 1983.PubMedCrossRefGoogle Scholar
  99. 99.
    Ramsey R. H.: The anatomy of the ligamenta flava. Clin. Orthop. 44: 129–140, 1966.PubMedGoogle Scholar
  100. 100.
    Ratcliffe J. F.: The arterial anatomy of the adult human lumbar vertebral body: a microarteriographic study. J. Anat. 131: 57–59, 1980.PubMedGoogle Scholar
  101. 101.
    Rauschning W.: Normal and pathologic anatomy of the lumbar root canals. Spine 12: 1008–1009, 1987.PubMedCrossRefGoogle Scholar
  102. 102.
    Rauschning W.: Imaging anatomy of the lumbar spine. In: The lumbar spine. Weinstein J. N., Wiesel S. W. Eds., W.B. Saunders Co., Philadelphia, 1990.Google Scholar
  103. 103.
    Rexed B. A.: Arachnoid proliferation with cyst formation in human spinal nerve roots. J. Neurosurg. 4: 414–421, 1947.PubMedCrossRefGoogle Scholar
  104. 104.
    Rhalmi S., Yahia L., Newman N. et al.: Immunohistochemical study of nerves in lumbar spine ligaments. Spine 18: 264–267, 1993.PubMedCrossRefGoogle Scholar
  105. 105.
    Rissanen P. M.: The surgical anatomy and pathology of the supraspinous and interspinous ligaments of the lumbar spine with special reference to ligament rupture. Acta Orthop. Scand. Suppl. 46, 1960.Google Scholar
  106. 106.
    Ritchie J. H., Fahrni W. H.: Age changes in lumbar intervertebral discs. Can. J. Surg. 13: 65–71, 1970.PubMedGoogle Scholar
  107. 107.
    Scapinelli R.: Anatomical and radiologic studies on the lumbosacral meningovertebral ligaments of humans. J. Spinal Disord. 3: 6–15, 1990.PubMedCrossRefGoogle Scholar
  108. 108.
    Schurr P. H.: Sacral extradural cyst: an uncommon cause of low back pain. J. Bone Joint Surg. 37-B: 601–605, 1955.Google Scholar
  109. 109.
    Schweitzer M. E., Balsam D., Weiss R.: Spina bifida occulta. Incidence in parents with spina bifida cystica. Spine 18: 785–786, 1993.PubMedCrossRefGoogle Scholar
  110. 110.
    Scoles P. V., Linton A. E., Latimer B. et al.: Vertebral body and posterior element morphology: the normal spine in middle life. Spine 13: 1082–1086, 1988.PubMedCrossRefGoogle Scholar
  111. 111.
    Serafmi-Fracassini A., Field J. M., Smith J. W. et al.: The ultrastructure and mechanism of elastic ligaments. J. Ultrastr. Res. 58: 244–251, 1977.CrossRefGoogle Scholar
  112. 112.
    Smith G. A., Aspeden R. M., Porter R. W.: Measurement of vertebral foraminal dimensions using three-dimensional computerized tomography. Spine 18: 629–636, 1993.PubMedCrossRefGoogle Scholar
  113. 113.
    Southwarth J. D., Bersak S. R.: Anomalies of the lumbosacral vertebrae in five hundred and fifty individuals without symptoms referable to the low back. AJR 64: 624–634, 1950.Google Scholar
  114. 114.
    Stephens M. M., Evans J. H., O’Brien J. P.: Lumbar intervertebral foramens. An in vitro study of their shape in relation to intervertebral disc pathology. Spine 18: 525–529, 1991.CrossRefGoogle Scholar
  115. 115.
    Sunderland S.: Meningeal neural relations in the intervertebral foramen. J. Neurosurg. 40: 756–763, 1974.PubMedCrossRefGoogle Scholar
  116. 116.
    Tajima N., Kawano K.: Cryomicrotomy of the lumbar spine. Spine 11: 376–379, 1986.PubMedCrossRefGoogle Scholar
  117. 117.
    Tarlov I. M.: Perineurial cysts of the spinal nerve roots. Arch. Neurol. Psychiat. 40: 1067–1074, 1938.CrossRefGoogle Scholar
  118. 118.
    Tarlov I. M.: Sacral nerve-root cysts: another cause of the sciatic and cauda equina syndrome. C.C. Thomas, Springfield III, 1953.Google Scholar
  119. 119.
    Tarlov I. M.: Spinal perineural and meningeal cysts. J. Neurol. Neurosurg. Psychiat. 33: 833–843, 1970.PubMedCrossRefGoogle Scholar
  120. 120.
    Testut L., Latarjet A.: Traité d’anatomie humaine. Doin G. et Cie, 1948.Google Scholar
  121. 121.
    Tibbies L., Wiley M. J. et al.: A comparative study of the effects of retinoic acid given during the critical period for inducing spina bifida in mice and hamsters. Teratology 37: 113–125, 1988.CrossRefGoogle Scholar
  122. 122.
    Tini P. G., Wieser C., Zinn W. M.: The transitional vertebra of the lumbosacral spine: its radiological classification, incidence, prevalence and clinical significance. Rheum. Rehabil. 16: 180–185, 1977.CrossRefGoogle Scholar
  123. 123.
    Tondury G.: Anatomie fonctionelle des petites articulations du rachis. Ann. de Méd. Phys. 15: 173–191, 1972.Google Scholar
  124. 124.
    Transfeldt E. E., Robertson D., Bradford D. S.: Ligaments of the lumbosacral spine and their role in possible extraforaminal spinal nerve entrapment and tethering. J. Spinal Disord. 6: 507–512, 1993.PubMedCrossRefGoogle Scholar
  125. 125.
    Tripathy P., Roy I., Bhattacharya M. C. et al.: Observation on spinal disraphics. J. Indian Med. Assoc. 87: 62–64, 1989.PubMedGoogle Scholar
  126. 126.
    Trolard: Recherches sur l’anatomie des meninges spinales, des nerfs sacrés et du filum terminale dans le canal sacré. Arch. Physiol. 2: 191–199, 1888.Google Scholar
  127. 127.
    Tsuji H., Hirano N., Ohshima H. et al.: Structural variation of the anterior and posterior annulus fibrosus in the development of human lumbar intervertebral disc. Spine 18: 204–210, 1993.PubMedCrossRefGoogle Scholar
  128. 128.
    Van Akkerveeken P. F.: Lateral stenosis of the lumbar spine. Liberias Drukwerkservice, Utrecht, 1989.Google Scholar
  129. 129.
    Van Schaik J. P. J., Verbiest H., Van Schaik F. D. J.: The orientation of laminae and facet joints in the lower lumbar spine. Spine 10: 59–63, 1985.PubMedCrossRefGoogle Scholar
  130. 130.
    Wall E. J., Cohen M. S., Abitbol J.-J. et al.: Organization of intrathecal nerve roots at the level of the conus medullaris. J. Bone Joint Surg. 72-A: 1495–1499, 1990.Google Scholar
  131. 131.
    Wall E. J., Cohen M. S., Massie J. B. et al.: Cauda equina anatomy. I: intrathecal nerve root organization. Spine 12: 1244–1247, 1990.CrossRefGoogle Scholar
  132. 132.
    Wiberg C.: Back pain in relation to the nerve supply of the intervertebral disc. Acta Orthop. Scand. 19: 211–221, 1947.Google Scholar
  133. 133.
    Wiley A. M., Trueta J.: The vascular anatomy of the spine and its relationship to pyogenic vertebral osteomyelitis. J. Bone Joint Surg. 41-B: 796–809, 1959.Google Scholar
  134. 134.
    Willis T. A.: Nutrient arteries of the vertebral bodies. J. Bone Joint Surg. 31-A: 538–547, 1949.Google Scholar
  135. 135.
    Wynne-Davis R.: Congenital vertebral anomalies. Aetiology and relationship to spina bifida cystica. J. Med. Genet. 12: 280–288, 1975.CrossRefGoogle Scholar
  136. 136.
    Yahia L. H., Garzon S., Stykowski H. et al.: Ultrastructure of the human interspinous ligament and ligamentum flavum. A preliminary study. Spine 15: 262–268, 1990.PubMedCrossRefGoogle Scholar
  137. 137.
    Yahia L. H., Newman N., Rivard C. H.: Neurohistology of lumbar spine ligaments. Acta Orthop. Scand. 59: 508–512, 1988.PubMedCrossRefGoogle Scholar
  138. 138.
    Yamashita T., Cavanangh J. M., El-Bohy A. A. et al.: Mechanosensitive afferent units in the lumbar facet joint. J. Bone Joint Surg. 72-A: 865–870, 1990.Google Scholar
  139. 139.
    Yamashita T., Minaki Y., Oota I. et al.: Mechanosensitive afferent units in the lumbar intervertebral disc and adjacent muscle. Spine 18: 2252–2256, 1993.PubMedCrossRefGoogle Scholar
  140. 140.
    Yamashita T., Minaki Y., Ozaktay C. et al.: A morphological study of the fibrous capsule of the human lumbar facet joint. Spine 21: 538–543, 1996.PubMedCrossRefGoogle Scholar
  141. 141.
    Zaccheo D., Reale E.: Contributo alla conoscenza delie articolazioni tra i processi articolari delie vertebre dell’uomo. Arch. Ital. Anat. Embriol. 61: 1–16, 1956.PubMedGoogle Scholar
  142. 142.
    Zarzur E.: Anatomic studies of the human lumbar ligamentum flavum. Anesth. Analg. 63: 499–502, 1984.PubMedCrossRefGoogle Scholar
  143. 143.
    Zindrick M. R., Wiltse L. L., Doornik A. et al.: Analysis of the morphometric characteristics of the thoracic and lumbar pedicles. Spine 12:160–166, 198.Google Scholar

Copyright information

© Springer-Verlag Wien 1999

Authors and Affiliations

  • F. Postacchini
  • W. Rauschning

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