Intra-dural intercommunications between dorsal roots of adjacent spinal nerves and their clinical significance

Sharma, Priyanka N; Kulkarni, Manoj; Gandotra, Achleshwar

doi:10.1007/s00276-021-02761-2

Cited by 2 publications

(2 citation statements)

References 21 publications

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“… Bogduk (1980) proposed the concept of the lumbar dorsal ramus syndrome in 1980. The dorsal rami of the spinal nerve contain sensory fibers from the skin, subcutaneous and deep tissues, and viscera ( Sharma et al, 2021 ). The MB innervates the area from the midline to the facet joint line, the IB supplies the longissimus muscle, and the LB supplies tissue outside the facet joints ( Shao, 1992 ; Saito et al, 2006 ; Kozera and Ciszek, 2016 ).…”

Section: Discussionmentioning

confidence: 99%

Anatomical study and clinical significance of the posterior ramus of the spinal nerve of the lumbar spine

Zhang

Liu

et al. 2022

Front. Cell Dev. Biol.

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Background and objectives: Chronic nonspecific back pain is a common clinical disease typically treated by ultrasound-guided spinal injection. This minimally invasive treatment targets the posterior ramus of the spinal nerve (PRSN). The target of the medial branch is clear, but there is unclear target for the intermediate and lateral branches. This study attempted to observe the distribution of PRSN in the dorsal region of transverse process to provide a more detailed anatomical basis for treating spinal pain.Methods: The present study was conducted on 16 transverse processes of six adult male embalmed corpses. The dorsal area of the transverse process was divided into three equal zones, which are zone I, zone II and zone III from inside to outside. The origin, distribution, quantity, transverse diameter, and relationship with the bone structure of the PRSN on the transverse process were observed.Results: Sixty PRSNs were found in the lumbar of six cadavers, of which 48 were divided into three branches, and 12 PRSNs were divided into two branches. The intermediate branch is mainly distributed in zone I, and the lateral branch is mainly distributed in zone II. Twenty-nine communicating branches were found in 48 adjacent segments of six specimens, all of which originated from the intermediate branch of the previous segment and connected with the lateral branch of the next segment.Conclusion: This anatomical study describing the PRSN may have important clinical significance for spinal surgeons. Understanding the bony localization targets of the PRSN and the links between the PRSNs may benefit patients with low back pain who receive spinal injections.

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Section: Discussionmentioning

confidence: 99%

Anatomical study and clinical significance of the posterior ramus of the spinal nerve of the lumbar spine

Zhang

Liu

et al. 2022

Front. Cell Dev. Biol.

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“…Furthermore, in the neurophysiological reality of the living, the information coming from the visceral area is indistinguishable from the somatic one at the medullary level (due to the synaptic convergence of the viscera-soma), making it difficult to schematize a symptom that necessarily derives from the viscera or from the somatic structure [ 10 ]. Not only that, but there is a macroscopic intercommunication of the rami communicantes involving the dorsal roots of adjacent spinal nerves; this organization concerns the entire path of the medullary axis, making a clinical decision on the origin of the symptom non-immediate [ 26 , 27 ]. Pain deriving from peritoneal adhesion (stimulated by mechanical and other events) does not necessarily take place in the area of origin; it does not necessarily express itself in a somatic area; and it can manifest itself in a psychological (anxiety, depression) and cognitive (altered concentration) sphere.…”

Section: Reviewmentioning

confidence: 99%

Practice of Peritoneal Adhesions in Osteopathic Medicine: Part 2

Bordoni,

Girgenti,

Escher

2023

Cureus

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Peritoneal adhesions are an unwanted and frequent event following abdominal surgery, with a response rate that can reach 100%. The adhesions can be symptomatic, becoming a source of pain and discomfort for the patient, or asymptomatic, with possible chronic or acute visceral dysfunction. The article reviews what the diagnostic strategies are and discusses what could be the causes that lead to chronic pain in the presence of adhesions. The text reports the knowledge of the literature on the manual treatment of adhesions and illustrates possible symptoms that are not easily recognized by the clinician. To conclude, the article proposes osteopathic manual approaches derived from clinical experience and from what has been explained about the formation of peritoneal adhesions. Research must make further efforts to identify not only the causes triggering the formation of peritoneal neogenesis but also seek the most appropriate non-invasive treatments to help the patient.

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Intra-dural intercommunications between dorsal roots of adjacent spinal nerves and their clinical significance

Cited by 2 publications

References 21 publications

Anatomical study and clinical significance of the posterior ramus of the spinal nerve of the lumbar spine

Anatomical study and clinical significance of the posterior ramus of the spinal nerve of the lumbar spine

Practice of Peritoneal Adhesions in Osteopathic Medicine: Part 2

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