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Each ligamentum flavum connects the laminae of two adjacent vertebrae. [2] [3] They attach to the anterior portion of the upper lamina above, and the posterior portion of the lower lamina below. [1] They begin with the junction of the axis and third cervical vertebra, continuing down to the junction of the 5th lumbar vertebra and the sacrum. [2 ...
From a clinical standpoint, denticulate ligaments do not play a significant role in lumbar spinal stenosis when compared to issues such as disc herniations, facet hypertrophy, shape of spinal canal, size of spinal canal, ligamentum flavum hypertrophy, or degenerative joint disease resulting in bony osteophyte formation. [citation needed]
MRI of a lumbar spinal stenosis L4-L5. L4-L5 antherolisthesis of grade I. Hypertrophy of interspinous ligaments in relation to Baastrup's disease. 67 years old man. MRI is the preferred method of diagnosing and evaluating spinal stenosis of all areas of the spine, including cervical, thoracic, and lumbar.
In this procedure, the ligamentum flavum is first removed, followed by the removal of the superior facet osteophyte in the spinal canal, and then the decompression of the spinal nerve root. [ 5 ] [ 11 ] Another surgical method of decompression is the Fenestration method, which involves creating a small window in the spinal canal and then ...
In older patients, CCS most often occurs after acute hyperextension injury in an individual with long-standing cervical spondylosis.A slow, chronic cause in this age group is when the cord gets caught and squeezed between a posterior intervertebral disc herniation against the anterior cord and/or with posterior pressure on the cord from hypertrophy of the ligamentum flavum (Lhermitte's sign ...
The ligamentum flavum and dura mater are not as thick in infants and children as they are in adults. Therefore, it is difficult to assess when the needle passes through them into the subarachnoid space because the characteristic "pop" or "give" may be subtle or nonexistent in the pediatric lumbar puncture.
The anterior longitudinal ligament extends superoinferiorly between the basiocciput of the skull and the anterior tubercle of the atlas (cervical certebra C1) superiorly, and the superior part of the sacrum inferiorly; [1] inferiorly, it ends at the sacral promontory. [2]
MRI has become the most frequently used study to diagnose spinal stenosis. The MRI uses electromagnetic signals to produce images of the spine. MRIs are helpful because they show more structures, including nerves, muscles, and ligaments than seen on X-rays or CT scans. MRIs are helpful in showing exactly what is causing spinal nerve compression.