Anatomy of the cervical foraminal ligament and its clinical significance

doi:10.13418/j.issn.1001-165x.2022.1.23

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Chinese Journal of Clinical Anatomy ›› 2022, Vol. 40 ›› Issue (1) : 109-112. DOI: 10.13418/j.issn.1001-165x.2022.1.23

Anatomy of the cervical foraminal ligament and its clinical significance

Yu Sheng¹，Pang Qingjiang²*

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/ Cervical vertebra / 　Foramen intervertebrale / 　Ligament / 　Biomechanics

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Yu Sheng, Pang Qingjiang. Anatomy of the cervical foraminal ligament and its clinical significance[J]. Chinese Journal of Clinical Anatomy. 2022, 40(1): 109-112 https://doi.org/10.13418/j.issn.1001-165x.2022.1.23

References

[1] Lebl DR, Bono CM. Update on the diagnosis and management of cervical spondylotic myelopathy[J]. J Am Acad Orthop Surg, 2015, 23(11): 648-660. DOI: 10.5435/jaaos-d-14-00250.
[2] 张勇, 汪进良, 肖建国, 等. 腰椎间孔韧带的解剖观测及其临床意义[J]. 中国临床解剖学杂志, 2002, 20(2): 112-114. DOI: 10.3969/j.issn.1001-165X.2002.02.011.
[3] 宋鹤九, 孙树功, 赵林昌, 等. 腰部椎间孔韧带的观测[J]. 解剖学杂志, 1996, 19(6): 473-475. DOI:
[4] 刘贞明, 曲永松, 安月勇, 等. 成人胸椎间孔韧带的解剖学观测[J]. 中国临床解剖学杂志, 2011, 29(1): 42-44. CNKI: SUN:ZLJZ.0.2011-01-015.
[5] Sioutas G, Kapetanakis S. Clinical anatomy and clinical significance of the cervical intervertebral foramen: a review[J]. Folia Morphol (Warsz), 2016, 75(2): 143-148. DOI: 10.5603/FM.a2015.0096.
[6] Tanaka N, Fujimoto Y, An HS, et al. The anatomic relation among the nerve roots, intervertebral foramina, and intervertebral discs of the cervical spine[J]. Spine, 2000, 25(3): 286-291. DOI: 10.1097/00007632-200002010-00005.
[7] Sohn HM, You JW, Lee JY. The relationship between disc degeneration and morphologic changes in the intervertebral foramen of the cervical spine: a cadaveric MRI and CT study[J]. J Korean Med Science, 2004, 19(1): 101-106. DOI: 10.3346/jkms.2004.19.1.101.
[8] Lu J, Ebraheim NA, Huntoon M, et al. Cervical intervertebral disc space narrowing and size of intervertebral foramina[J]. Clin Orthop Relat Res, 2000, (370): 259-264. DOI: 10.1097/00003086-200001000-00026.
[9] Shi BC, Zheng XF, Zhang H, et al. The morphology and clinical significance of the extraforaminal ligaments at the cervical level[J]. Spine (Phila Pa 1976), 2015, 40(1): E9-E17. DOI: 10.1097/BRS.0000000000000668.
[10] Kraan GA, Smit TH, Hoogland PVJM. Extraforaminal ligaments of the cervical spinal nerves in humans[J]. Spine J, 2011, 11(12): 1128-1134. DOI: 10.1016/j.spinee.2011.10.025.
[11]Arslan M, Açar Hİ, Cömert A. Cervical extraforaminal ligaments: an anatomical study[J]. Surg Radiol Anat, 2017, 39(12): 1377-1383. DOI: 10.1007/s00276-017-1896-x.
[12]Yang YM, Shi BC, Duan Y, et al. Anatomic morphology and clinical significance of intraforaminal ligaments of the cervical spine[J]. Clin Anat, 2019, 32(5): 654-660. DOI: 10.1002/ca.23364.
[13]Ko HY, Park BK, Park JH, et al. Intrathecal movement and tension of the lumbosacral roots induced by straight-leg raising[J]. Am J Phys Med Rehabiln, 2006, 85(3): 222-227. DOI: 10.1097/01.phm.00002 00386. 28819. 6a.
[14]Kraan GA, Smit TH, Hoogland PVJM, et al. Lumbar extraforaminal ligaments act as a traction relief and prevent spinal nerve compression[J]. Clin Biomech (Bristol, Avon), 2010, 25(1): 10-15. DOI: 10.1016/j.clinbiomech.2009.09.001.
[15]Grimes PF, Massie JB, Garfin SR. Anatomic and biomechanical analysis of the lower lumbar foraminal ligaments[J]. Spine, 2000, 25(16): 2009-2014. DOI: 10.1097/00007632-200008150-00002.
[16] de Peretti F, Micalef JP, Bourgeon A, et al. Biomechanics of the lumbar spinal nerve roots and the first sacral root within the intervertebral foramina[J]. Surg Radiol Anat, 1989, 11(3): 221-225. DOI: 10.1007/bf02337826.
[17] Zhao QH, Yang YM, Wu PH, et al. Biomechanical study of the C5-C8 cervical extraforaminal ligaments[J]. J Orthop Surg Res, 2020, 15(1): 477. DOI: 10.1186/s13018-020-02006-9.
[18]Lundbord G, Rydevik B. Effects of stretching the tibial nerve of the rabbit. A preliminary study of the intraneural circulation and the barrier function of the perineurium[J]. J Bone Joint Surg Br, 1973, 55(2): 390-401. PMID: 4707307.
[19]Lohman CM, Gilbert KK, Sobczak S, et al. 2015 Young investigator award winner: cervical nerve root displacement and strain during upper limb neural tension testing: part 2: role of foraminal ligaments in the cervical spine[J]. Spine (Phila Pa 1976), 2015, 40(11): 801-808. DOI: 10.1097/BRS.0000000000000687.
[20]Lohman CM, Gilbert KK, Sobczak S, et al. 2015 Young investigator award winner: cervical nerve root displacement and strain during upper limb neural tension testing: part 1: a minimally invasive assessment in unembalmed cadavers[J]. Spine (Phila Pa 1976), 2015, 40(11): 793-800. DOI: 10.1097/BRS.0000000000000686.
[21]Lee JL, Shi BC, Qiu SJ, et al. A controlled study on the anatomy of cervical extraforaminal ligaments and three-dimensional fast-imaging employing a steady-state acquisition sequence[J]. Eur Spine J, 2017, 26(4): 1039-1046. DOI: 10.1007/s00586-016-4823-7.
[22]Cramer GD, Skogsbergh DR, Bakkum BW, et al. Evaluation of transforaminal ligaments by magnetic resonance imaging[J]. J Manipulative Physiol Ther, 2002, 25(4): 199-208. DOI: 10.1067/mmt.2002.123174.
[23]Min JH, Kang SH, Lee JB, et al. Anatomic analysis of the transforaminal ligament in the lumbar intervertebral foramen[J]. Neurosurgery, 2005, 57(1 Suppl): 37-41. DOI: 10.1227/01.neu.0000163481.58673.1a.
[24]Zhong EY, Zhao QH, Shi BC, et al. The morphology and possible clinical significance of the intraforaminal ligaments in the entrance zones of the L1-L5 Levels[J]. Pain Physician, 2018, 21(2): E157-E165. PMID: 29565958.
[25]Zhao QH, Zhong EY, Shi BC, et al. The morphology and clinical significance of the intraforaminal ligaments at the L5-S1 levels[J]. Spine J, 2016, 16(8): 1001-1006. DOI: 10.1016/j.spinee.2016.03.048.
[26]Kraan GA, Hoogland PVJM, Wuisman PIJM. Wuisman, Extraforaminal ligament attachments of the thoracic spinal nerves in humans[J]. Eur Spine J, 2009, 18(4): 490-498. DOI: 10.1007/s00586-009-0881-4.
[27] Kraan GA, Delwel EJ, Hoogland PV, et al. Extraforaminal ligament attachments of human lumbar nerves[J]. Spine, 2005, 30(6): 601-605. DOI: 10.1097/01.brs.0000155403.85582.39.
[28]Wiltse LL, Fonseca AS, Amster J, et al. Relationship of the dura, Hofmann's ligaments, Batson's plexus, and a fibrovascular membrane lying on the posterior surface of the vertebral bodies and attaching to the deep layer of the posterior longitudinal ligament. An anatomical, radiologic, and clinical study[J]. Spine, 1993, 18(8): 1030-1043. DOI: 10.1097/00007632-199306150-00013.
[29]Spencer DL, Irwin GS, Miller JA. Anatomy and significance of fixation of the lumbosacral nerve roots in sciatica[J]. Spine, 1983, 8(6): 672-679. DOI: 10.1097/00007632-198309000-00014.
[30]Akdemir G. Thoracic and lumbar intraforaminal ligaments[J]. J Neurosurg Spine, 2010, 13(3): 351-355. DOI: 10.3171/2010.3.Spine 09799.