An anatomical study of the lumbar external foraminal ligaments: appearance at MR imaging
Purpose The purpose of this study was to examine the MRI appearance of the ligaments within the external space of the lumbar intervertebral foramen by correlating MR images with the corresponding anatomic dissection of the cadaver lumbar spine. Methods This was a two part study. Part I of the anatom...
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description | Purpose
The purpose of this study was to examine the MRI appearance of the ligaments within the external space of the lumbar intervertebral foramen by correlating MR images with the corresponding anatomic dissection of the cadaver lumbar spine.
Methods
This was a two part study. Part I of the anatomic study consisted of the dissection of lumbar specimens from one embalmed adult male cadaver. At each lumbar level the external ligamentous structures were identified and their origin, insertion and position were determined. Part II of the study consisted of the anatomical analysis of the external transforaminal ligaments in the 180 lumbar intervertebral foramina on the MR images (1.5 T) in the sagittal plane. The diagnostic procedure was performed on 18 individuals from 18 to 25 years of age.
Results
The external transforaminal ligaments were observed at all levels and from both sides in the lumbar intervertebral foramen. The presence of the superior corporotransverse ligament was found in 45.56 % intervertebral foramina, while the inferior corporotransverse ligament was found in 61.67 % intervertebral foramina in the MRI.
Conclusion
Our results confirm that external transforaminal ligaments are common structures in the intervertebral foramen. The results of this study show that the external transforaminal ligaments can be clearly visualized in MR images. It is crucial to have previous knowledge of the cadaveric specimens to recognize the transforaminal ligaments in MR images. The presence of these ligaments is clinically important because the ligaments could be the cause of nerve root compression or the low back pain syndrome. |
doi_str_mv | 10.1007/s00276-014-1320-8 |
format | Article |
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The purpose of this study was to examine the MRI appearance of the ligaments within the external space of the lumbar intervertebral foramen by correlating MR images with the corresponding anatomic dissection of the cadaver lumbar spine.
Methods
This was a two part study. Part I of the anatomic study consisted of the dissection of lumbar specimens from one embalmed adult male cadaver. At each lumbar level the external ligamentous structures were identified and their origin, insertion and position were determined. Part II of the study consisted of the anatomical analysis of the external transforaminal ligaments in the 180 lumbar intervertebral foramina on the MR images (1.5 T) in the sagittal plane. The diagnostic procedure was performed on 18 individuals from 18 to 25 years of age.
Results
The external transforaminal ligaments were observed at all levels and from both sides in the lumbar intervertebral foramen. The presence of the superior corporotransverse ligament was found in 45.56 % intervertebral foramina, while the inferior corporotransverse ligament was found in 61.67 % intervertebral foramina in the MRI.
Conclusion
Our results confirm that external transforaminal ligaments are common structures in the intervertebral foramen. The results of this study show that the external transforaminal ligaments can be clearly visualized in MR images. It is crucial to have previous knowledge of the cadaveric specimens to recognize the transforaminal ligaments in MR images. The presence of these ligaments is clinically important because the ligaments could be the cause of nerve root compression or the low back pain syndrome.</description><identifier>ISSN: 0930-1038</identifier><identifier>EISSN: 1279-8517</identifier><identifier>DOI: 10.1007/s00276-014-1320-8</identifier><identifier>PMID: 24923381</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Adolescent ; Adult ; Anatomic Variation ; Anatomy ; Anatomy & physiology ; Female ; Humans ; Imaging ; Ligaments ; Ligaments, Articular - anatomy & histology ; Lumbar Vertebrae - anatomy & histology ; Magnetic Resonance Imaging ; Male ; Medical imaging ; Medicine ; Medicine & Public Health ; Middle Aged ; NMR ; Nuclear magnetic resonance ; Original Article ; Orthopedics ; Radiology ; Surgery ; Young Adult</subject><ispartof>Surgical and radiologic anatomy (English ed.), 2015-01, Vol.37 (1), p.87-91</ispartof><rights>Springer-Verlag France 2014</rights><rights>Springer-Verlag France 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-3492c39461e1b9e94460f6b99b0b525b46cdcadcbac9c8d53a23ee2379a52ebc3</citedby><cites>FETCH-LOGICAL-c442t-3492c39461e1b9e94460f6b99b0b525b46cdcadcbac9c8d53a23ee2379a52ebc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00276-014-1320-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00276-014-1320-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24923381$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Maric, Dusica L</creatorcontrib><creatorcontrib>Krstonosic, Bojana</creatorcontrib><creatorcontrib>Eric, Mirela</creatorcontrib><creatorcontrib>Maric, Dusan M</creatorcontrib><creatorcontrib>Stankovic, Milan</creatorcontrib><creatorcontrib>Milosevic, Nebojsa T</creatorcontrib><title>An anatomical study of the lumbar external foraminal ligaments: appearance at MR imaging</title><title>Surgical and radiologic anatomy (English ed.)</title><addtitle>Surg Radiol Anat</addtitle><addtitle>Surg Radiol Anat</addtitle><description>Purpose
The purpose of this study was to examine the MRI appearance of the ligaments within the external space of the lumbar intervertebral foramen by correlating MR images with the corresponding anatomic dissection of the cadaver lumbar spine.
Methods
This was a two part study. Part I of the anatomic study consisted of the dissection of lumbar specimens from one embalmed adult male cadaver. At each lumbar level the external ligamentous structures were identified and their origin, insertion and position were determined. Part II of the study consisted of the anatomical analysis of the external transforaminal ligaments in the 180 lumbar intervertebral foramina on the MR images (1.5 T) in the sagittal plane. The diagnostic procedure was performed on 18 individuals from 18 to 25 years of age.
Results
The external transforaminal ligaments were observed at all levels and from both sides in the lumbar intervertebral foramen. The presence of the superior corporotransverse ligament was found in 45.56 % intervertebral foramina, while the inferior corporotransverse ligament was found in 61.67 % intervertebral foramina in the MRI.
Conclusion
Our results confirm that external transforaminal ligaments are common structures in the intervertebral foramen. The results of this study show that the external transforaminal ligaments can be clearly visualized in MR images. It is crucial to have previous knowledge of the cadaveric specimens to recognize the transforaminal ligaments in MR images. The presence of these ligaments is clinically important because the ligaments could be the cause of nerve root compression or the low back pain syndrome.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anatomic Variation</subject><subject>Anatomy</subject><subject>Anatomy & physiology</subject><subject>Female</subject><subject>Humans</subject><subject>Imaging</subject><subject>Ligaments</subject><subject>Ligaments, Articular - anatomy & histology</subject><subject>Lumbar Vertebrae - anatomy & histology</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Original Article</subject><subject>Orthopedics</subject><subject>Radiology</subject><subject>Surgery</subject><subject>Young Adult</subject><issn>0930-1038</issn><issn>1279-8517</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kF1LHTEQhkNR6tH2B_SmBLzpzerka3fjnUhbBYsgLfQuTLKzpyv7cZrsgv57sxxbitCrCcwz72Qexj4IOBMA1XkCkFVZgNCFUBKK-g3bCFnZojaiOmAbsAoKAao-YscpPQCAEaJ-y46ktlKpWmzYz8uR44jzNHQBe57mpXniU8vnX8T7ZfAYOT3OFMfcbKeIQ7e--m6LA41zuuC42xFGHANxnPm3e94NuO3G7Tt22GKf6P1LPWE_vnz-fnVd3N59vbm6vC2C1nIuVP5JUFaXgoS3ZLUuoS29tR68kcbrMjQBm-Ax2FA3RqFURFJVFo0kH9QJ-7TP3cXp90JpdkOXAvU9jjQtyYnSZLqurMro6Sv0YVrWy1ZKG6NECSZTYk-FOKUUqXW7mG-KT06AW7W7vXaXtbtVu6vzzMeX5MUP1Pyd-OM5A3IPpNwatxT_Wf3f1GehdIyg</recordid><startdate>20150101</startdate><enddate>20150101</enddate><creator>Maric, Dusica L</creator><creator>Krstonosic, Bojana</creator><creator>Eric, Mirela</creator><creator>Maric, Dusan M</creator><creator>Stankovic, Milan</creator><creator>Milosevic, Nebojsa T</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20150101</creationdate><title>An anatomical study of the lumbar external foraminal ligaments: appearance at MR imaging</title><author>Maric, Dusica L ; Krstonosic, Bojana ; Eric, Mirela ; Maric, Dusan M ; Stankovic, Milan ; Milosevic, Nebojsa T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-3492c39461e1b9e94460f6b99b0b525b46cdcadcbac9c8d53a23ee2379a52ebc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anatomic Variation</topic><topic>Anatomy</topic><topic>Anatomy & physiology</topic><topic>Female</topic><topic>Humans</topic><topic>Imaging</topic><topic>Ligaments</topic><topic>Ligaments, Articular - anatomy & histology</topic><topic>Lumbar Vertebrae - anatomy & histology</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>NMR</topic><topic>Nuclear magnetic resonance</topic><topic>Original Article</topic><topic>Orthopedics</topic><topic>Radiology</topic><topic>Surgery</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maric, Dusica L</creatorcontrib><creatorcontrib>Krstonosic, Bojana</creatorcontrib><creatorcontrib>Eric, Mirela</creatorcontrib><creatorcontrib>Maric, Dusan M</creatorcontrib><creatorcontrib>Stankovic, Milan</creatorcontrib><creatorcontrib>Milosevic, Nebojsa T</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical and radiologic anatomy (English ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maric, Dusica L</au><au>Krstonosic, Bojana</au><au>Eric, Mirela</au><au>Maric, Dusan M</au><au>Stankovic, Milan</au><au>Milosevic, Nebojsa T</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An anatomical study of the lumbar external foraminal ligaments: appearance at MR imaging</atitle><jtitle>Surgical and radiologic anatomy (English ed.)</jtitle><stitle>Surg Radiol Anat</stitle><addtitle>Surg Radiol Anat</addtitle><date>2015-01-01</date><risdate>2015</risdate><volume>37</volume><issue>1</issue><spage>87</spage><epage>91</epage><pages>87-91</pages><issn>0930-1038</issn><eissn>1279-8517</eissn><abstract>Purpose
The purpose of this study was to examine the MRI appearance of the ligaments within the external space of the lumbar intervertebral foramen by correlating MR images with the corresponding anatomic dissection of the cadaver lumbar spine.
Methods
This was a two part study. Part I of the anatomic study consisted of the dissection of lumbar specimens from one embalmed adult male cadaver. At each lumbar level the external ligamentous structures were identified and their origin, insertion and position were determined. Part II of the study consisted of the anatomical analysis of the external transforaminal ligaments in the 180 lumbar intervertebral foramina on the MR images (1.5 T) in the sagittal plane. The diagnostic procedure was performed on 18 individuals from 18 to 25 years of age.
Results
The external transforaminal ligaments were observed at all levels and from both sides in the lumbar intervertebral foramen. The presence of the superior corporotransverse ligament was found in 45.56 % intervertebral foramina, while the inferior corporotransverse ligament was found in 61.67 % intervertebral foramina in the MRI.
Conclusion
Our results confirm that external transforaminal ligaments are common structures in the intervertebral foramen. The results of this study show that the external transforaminal ligaments can be clearly visualized in MR images. It is crucial to have previous knowledge of the cadaveric specimens to recognize the transforaminal ligaments in MR images. The presence of these ligaments is clinically important because the ligaments could be the cause of nerve root compression or the low back pain syndrome.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>24923381</pmid><doi>10.1007/s00276-014-1320-8</doi><tpages>5</tpages></addata></record> |
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subjects | Adolescent Adult Anatomic Variation Anatomy Anatomy & physiology Female Humans Imaging Ligaments Ligaments, Articular - anatomy & histology Lumbar Vertebrae - anatomy & histology Magnetic Resonance Imaging Male Medical imaging Medicine Medicine & Public Health Middle Aged NMR Nuclear magnetic resonance Original Article Orthopedics Radiology Surgery Young Adult |
title | An anatomical study of the lumbar external foraminal ligaments: appearance at MR imaging |
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