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Because these ligaments lie in the posterior part of the vertebral canal, their hypertrophy can cause spinal stenosis, particularly in patients with diffuse idiopathic skeletal hyperostosis. [4] The ligamenta flava may also become fatty or calcify during ageing. [2] These cause degeneration of elastin. [2]
The posterior longitudinal ligament is situated within the vertebral canal.It extends across the posterior surfaces of the bodies of the vertebrae. [1] It extends superoinferiorly between the body of the axis superiorly, [1] and (sources differ) the sacrum and possibly the coccyx [1] or upper sacral canal [2] inferiorly.
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]
Ossification of the posterior longitudinal ligament (OPLL) is a process of fibrosis, calcification, and ossification of the posterior longitudinal ligament of the spine, that may involve the spinal dura. [1]
Excessive laxity of the posterior transverse ligament can lead to atlantoaxial instability, a common complication in patients with Down Syndrome and Ehlers–Danlos syndrome. Laxity has also been hypothesized as the cause of degenerative hypertrophy and mechanical atlantoaxial stress. [ 3 ]
The supraspinous ligament becomes taut when the spine is fully flexed. [4] The supraspinous ligament, along with the posterior longitudinal ligament, interspinous ligaments and ligamentum flavum, help to limit hyperflexion of the vertebral column.
The tectorial membrane of atlanto-axial joint (occipitoaxial ligaments) is a tough membrane/ [1] broad, strong band [2] representing the superior-ward prolongation of the posterior longitudinal ligament (the two being continuous). [3] [1] [2] It attaches inferiorly onto (the posterior aspect of [2]) the body of axis. [3] It broadens superiorly.
The anterior ligament is not much of a ligament at all and in most cases is just a slight thickening of the anterior joint capsule. The anterior ligament is thin and not as well defined as the posterior sacroiliac ligaments. The posterior sacroiliac (SI) ligaments can be further divided into short (intrinsic) and long (extrinsic). [9]