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The anterior longitudinal ligament is a ligament that extends across the anterior/ventral aspect of the vertebral bodies and intervertebral discs the spine. It may be partially cut to treat certain abnormal curvatures in the vertebral column , such as kyphosis .
In the spine, there is bone formation along the anterior longitudinal ligament and sometimes the posterior longitudinal ligament, which may lead to partial or complete fusion of adjacent vertebrae. The facet and sacroiliac joints tend to be uninvolved. The thoracic spine is the most common level involved. [2]
The anterior longitudinal ligament and posterior longitudinal ligament are both illustrated in this image; the anterior longitudinal ligament is to the far left, while the posterior longitudinal ligament is left of the center. The longitudinal ligaments are two sets of ligaments that run along the spine. These are:
They are tendinous and blend with the anterior longitudinal ligament of the vertebral column. The right crus, larger and longer than the left, arises from the front of the bodies and intervertebral fibrocartilages of the upper three lumbar vertebrae. The left crus arises from the corresponding parts of the upper two lumbar vertebrae only.
The ligamenta flava (sg.: ligamentum flavum, Latin for yellow ligament) are a series of ligaments that connect the ventral parts of the laminae of adjacent vertebrae. They help to preserve upright posture, preventing hyperflexion, and ensuring that the vertebral column straightens after flexion. Hypertrophy can cause spinal stenosis.
Tears are almost always posterolateral (on the back sides) owing to relative narrowness of the posterior longitudinal ligament relative to the anterior longitudinal ligament. [3] A tear in the disc ring may result in the release of chemicals causing inflammation, which can result in severe pain even in the absence of nerve root compression.
The bases of denticulate ligaments arise in the pia mater and are firmly attached to the arachnoid mater and dura mater at the apex. [2] The denticulate ligaments extend across the subarachnoid space between anterior nerve roots and posterior nerve roots, piercing the intervening spinal arachnoid mater to reach the dura.
This ligament is composed of smooth, shining, longitudinal fibers - denser and more compact than those of the anterior longitudinal ligament - and consists of superficial layers occupying the interval between three or four vertebræ, and deeper layers which extend between adjacent vertebrae. [4] Deep fibres run between each vertebral body. [1]