颈椎间孔内口锚链韧带的形态和分布特征

doi:10.13418/j.issn.1001-165x.2022.5.02

Abstract

Abstract: Objective To reveal the shape and distribution characteristics of anchor chain ligament in intervertebral foramina and to explore the relationship between anchor chain ligament and nerve entrapment in cervical spondylotic radiculopathy. Methods Twelve adult specimens of cervical spine were dissected with electric saw in midsagittal incision. The root cuff was cut from the root of the nerve root cuff. The anchor-chain ligaments around the nerve root cuff at the internal orifice of the intervertebral foramen C3/4 to C7/T1 were dissected under a surgical microscope. The morphology, distribution, starting and ending points and course of ligaments were recorded. Results A total of 560 anchor chain ligaments were found around the nerve root sleeve of 120 interforaminal foramen. All ligaments were radially connected to the periosteum wall around the nerve root sleeve and the interforaminal foramen. The number of interforaminal orifice ligaments in each vertebra was more than 4. The morphology of anchor chain ligament mainly included two types: band shape and cable shape. There were 258 band ligaments with a width of (4.5±2.6) mm (4.1~5.2 mm), and 302 cord-shaped ligaments with a diameter of (2.5±1.8) mm (1.2~3.8) mm. The ligaments in the interforaminal orifice of C3/4 and C7/T1 were loose and thin, and the number of ligaments was less. C4/5~C6/7 interforaminal ligaments were tough and strong, and the number of ligaments was much more. Conclusions Anchor chain ligaments exist around nerve roots in the interforaminal orifice of cervical vertebra. Anchoring nerve roots to the periosteum wall of the interforaminal orifice greatly limits the free movement range of nerve roots, which may lead to nerve root compression together with disc herniation, which is a potential anatomical factor of radiculopathy.

Key words: Entrance of intervertebral foramen, , , Radiculocervical spondylopathy, , , Anchor chain ligament, , , Clinical anatomy

CLC Number:

R323.1

Shao Yupu, Zheng Xuefeng, Shi Benchao, Ding Zihai , Zhao Qinghao. Morphology and distribution characteristics of the intraforaminal anchor chain ligaments at the cervical level[J]. Chinese Journal of Clinical Anatomy, 2022, 40(5): 511-514.

References 18

[1]	史本超, 丁自海.脊柱硬脊膜外腔膜椎韧带的研究进展[J].中国临床解剖学杂志, 2012, 30(4):479-481. DOI:10.13418/j.issn.1001-165x. 2012. 04.017.
[2]	郑雪峰, 史本超, 杨杰, 等.颈椎硬脊膜后方膜椎韧带的解剖学研究[J].中国临床解剖学杂志, 2015, 33(3):241-245. DOI:10.13418/j.issn. 1001-165x.2015.03.001.
[3]	周速, 史本超, 方国芳, 等.脊柱下颈段椎间盘平面椎管内前部结构的应用解剖学研究[J].中国临床解剖杂志, 2012, 30(5):503-505. DOI:10.13418/j.issn.1001-165x.2012.05.016.
[4]	史本超, 李宏亮, 丁自海, 等. 腰骶部硬膜背后部膜椎韧带的观测及临床意义[J].中国脊柱脊髓杂志, 2011, 21(12):1006-1010. DOI:10.3969/j.issn.1004-406X.2011.12.09.
[5]	赵庆豪, 史本超, 钟恩意, 等. L5/S1椎间孔内韧带的形态和分布规律[J].中国脊柱脊髓杂志, 2016，26(4):335-341. DOI:10.3969/j.issn.1004-406X.2016.04.09.
[6]	Shi B, Li X, Li H, et al. The morphology and clinical significance of the dorsal meningovertebra ligaments in the lumbosacral epidural space [J]. Spine (Phila Pa 1976), 2012,37(18): E1093-1098. DOI: 10.1097/BRS. 0b013e31825c05ea.
[7]	Shi B, Zheng X, Min S, et al. The morphology and clinical significance of the dorsal meningovertebra ligaments in the cervical epidural space [J]. Spine J,2014,14(11), 2733-2739. DOI: 10.1016/j.spinee. 2014. 04.014.
[8]	Shi B, Zheng X, Zhang H, et al. The morphology and clinical Signiﬁcance of the extraforaminal ligaments at the cervical level[J]. Spine (Phila Pa 1976), 2014, 40(1):E9-E17. DOI: 10.1097/BRS. 0000000000 000668.
[9]	Chen R, Shi B, Zheng X, et al. Anatomic study and clinical significance of dorsal meningovertebral ligaments of the thoracic dura mater[J] Spine (Phila Pa 1976), 2015:40(10): 692-698. DOI: 10.1097/BRS.0000000000000860.
[10]	Jiang H, Shi B, Xu S. An anatomical study of lumbar epidural catheterization[J]. BMC Anesthesiol, 2015, 15:94-96. DOI: 10.1186/s12871-015-0069-x.
[11]	Li J, Shi B, Qiu S, 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.
[12]	Zhao Q, Zhong E, Shi B, 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.
[13]	Zhong E, Zhao Q, Shi B, et al. The morphology and possible clinical significance of the radiating extraforaminal ligaments at the L1-L5 levels[J]. Spine (Phila Pa 1976), 2017, 42(18): 1355-1361. DOI: 10.1097/BRS.0000000000002120.
[14]	Zhao Q, Zhang W, Su Z, et al. The morphology and clinical significance of the extraforaminal ligaments at the T1-T12 levels[J]. Spine, 2018,43(21): E1241-E1248. DOI: 10.1097/BRS.00000000000 02675.
[15]	Akdemir G. Thoracic and lumbar intraforaminal ligaments[J]. J Neurosurg Spine, 2010,13(3):351-355. DOI: 10.3171/2010.3. SPINE 09799.
[16]	刘尚礼, 顾洪生. 腰椎间孔韧带的解剖及其临床意义[J]. 脊柱外科杂志, 2003, 1(2):112-114. DOI:10.3969/j.issn.1672-2957.2003.02.015.
[17]	钱宇, 范顺武, 顾传龙, 等. 下腰椎椎间孔内韧带的形态学研究[J].中华骨科杂志, 2003: 23(12):60-62. DOI:10.3760/j.issn:0253-2352. 2003.12.014.
[18]	Amonoo-Kuofi HS, El-Badawi MG, Fatani JA. Ligaments associated with lumbar intervertebral foramina. 1. L1 to L4[J]. J Anat, 1988, 156:177-183.

Morphology and distribution characteristics of the intraforaminal anchor chain ligaments at the cervical level

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