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There are several options of treatment when iatrogenic (i.e., caused by the surgeon) spinal accessory nerve damage is noted during surgery. For example, during a functional neck dissection that injures the spinal accessory nerve, injury prompts the surgeon to cautiously preserve branches of C2, C3, and C4 spinal nerves that provide supplemental innervation to the trapezius muscle. [3]
Injury to the spinal accessory nerve is most commonly caused by medical procedures that involve the head and neck. [4] Injury can cause wasting of the shoulder muscles, winging of the scapula, and weakness of shoulder abduction and external rotation. [5] The accessory nerve is derived from the basal plate of the embryonic spinal segments C1 ...
Transforaminal ligaments are inconstant ligaments that extend through an intervertebral foramen. They are thought to protect the adjacent spinal nerve and vessels. The ligaments are not widely known and were once considered anomalous; there are no widely accepted criteria for their identification and classification.
In Pakistan, spinal cord injury is more common in males (92.68%) as compared to females in the 20–30 years of age group with a median age of 40 years, although people from 12–70 years of age suffered from spinal cord injury [73] Rates of injury are at their lowest in children, at their highest in the late teens to early twenties, then get ...
The intertransverse ligaments are weak, sheet-like [1] ligaments interconnecting adjacent transverse processes in the thoracic spine, and adjacent accessory processes in the lumbar spine. They act to limit lateral flexion and rotation of the spine.
[7] [6] The most common area affected is the lower thoracic and upper lumbar spine. [6] A CT scan is recommended as part of the diagnostic work-up to detect any potential abdominal injuries. [5] The fracture is often unstable. [1] Treatment may be conservative with the use of a brace or via surgery. [1] The fracture is currently rare. [7]
The transverse ligament divides the vertebral foramen of the axis into an anterior portion (constituting one third of its lumen) which contains the dens, and a posterior portion (constituting two thirds of the foramen's lumen) which contains the spinal cord and its coverings [1] as well as the two accessory nerves (CN XI). [2]
The lumbosacral ligament or lateral lumbosacral ligament is a ligament that helps to stabilise the lumbosacral joint. The ligament's medial attachment is at (the inferior border of) transverse process of lumbar vertebra L5; its lateral attachment is at the ala of sacrum .