This Article
Right arrow Full Text (PDF)
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowReprints and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Pedersen, H. E.
Right arrow Articles by Gardner, E.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Pedersen, H. E.
Right arrow Articles by Gardner, E.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Technorati  
What's this?
Journal of Bone and Joint Surgery, 1956;38:377-391.
© 1956 by The Journal of Bone and Joint Surgery, Inc

The Anatomy of Lumbosacral Posterior Rami and Meningeal Branches of Spinal Nerves (Sinu-Vertebral Nerves)

With an Experimental Study of their Functions

Herbert E. Pedersen M.D.1, Conrad F. J. Blunck M.D.1, and Ernest Gardner M.D.1

1 Department of Orthopaedic Surgery and the Department of Anatomy, Wayne University College of Medicine, Detroit

The distribution of the lumbosacral posterior rami and the sinu-vertebral branches (ramus meningeus) of spinal nerves was determined by dissection of newborn and adult cadavera and by a detailed study of serial sections of human foetuses. In addition, blood pressure and respiration were recorded and electromyograms were made in decerebrate cats during electrical and mechanical stimulation of low-back structures.

The posterior rami, in addition to their cutaneous and muscular distribution, give sensory fibers to fascia, ligaments, periosteum, and intervertebral joints. Adjacent divisions overlap in their area of supply. Interspinous ligaments are supplied mainly by branches from the next cranial level. Sinu-vertebral nerves supply posterior longitudinal ligament, dura mater, periosteum, and blood vessels, show intersegmental anastomoses, and contain sensory fibers.

Painful stimulation of joints and ligaments of the lumbosacral region in cats produces reflex spasm of dorsal and hamstring muscles, as well as non-specific changes in respiration and blood pressure.

It is suggested that clinically a painful stimulus to any deep structure in this region is poorly localized and can give rise to a common symptom complex which includes both low-back and leg pain.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 Am. J. Neuroradiol.Home page
W.S. Bartynski and W.E. Rothfus
Pain Improvement after Intradiskal Lidocaine Administration in Provocation Lumbar Diskography: Association with Diskographic Contrast Leakage
AJNR Am. J. Neuroradiol., August 1, 2007; 28(7): 1259 - 1265.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
A. A. van den Berg, M. Sadek, S. Swanson, and S. Ghatge
Epidural Injection of Lidocaine Reduces the Response to Dural Puncture Accompanying Spinal Needle Insertion When Performing Combined Spinal-Epidural Anesthesia
Anesth. Analg., September 1, 2005; 101(3): 882 - 885.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
P. Sbriccoli, M. Solomonow, B.-H. Zhou, Y. Lu, and R. Sellards
Neuromuscular Response to Cyclic Loading of the Anterior Cruciate Ligament
Am. J. Sports Med., April 1, 2005; 33(4): 543 - 551.
[Abstract] [Full Text] [PDF]

Home page
 Canadian J. AnesthesiaHome page
M. Sesay, V. Dousset, D. Liguoro, F. Pehourcq, J.-M. Caille, and P. Maurette
Intraosseous lidocaine provides effective analgesia for percutaneous vertebroplasty of osteoporotic fractures: [L'administration intra-osseuse de lidocaine procure une analgesie efficace pendant la vertebroplastie percutanee de fractures osteoporotiques]
Can J Anesth, February 1, 2002; 49(2): 137 - 143.
[Abstract] [Full Text] [PDF]