Summary
A thorough knowledge of the anatomy of the intervertebral ligaments is necessary to provide the basis for good clinical management of back injuries. This paper reviews the literature concerning the lumbar ligaments, including the zygoapophyseal joints. While general principles regarding the anatomy of the ligaments is relatively clear, areas of ommission or discrepancy exist There is very little substantiated information on: the dimensional characteristics of the ligaments; the fibre lengths of the facet capsule; the attachments of the anterior longitudinal ligament; the orientation of the interspinous ligament, and the extent of the supraspinous ligament.
Résumé
Une connaissance approfondie de l'anatomie des ligaments intervertébraux est la base nécessaire à toute prise en charge clinique des lésions lombaires. Cet article est une revue de la littérature concernant les ligaments du rachis lombaire y compris ceux des articulations zygapophysaires. Alors que les principes généraux concernant l'anatomie de ces ligaments sont à peu près clairement établis, plusieurs points cependant font l'objet d'omissions ou de polémiques. Il y a très peu de données bien fondées sur les dimensions ligamentaires, la longueur des fibres capsulaires, les insertions du ligament longitudinal ventral, l'orientation des ligaments interépineux et l'étendue du ligament supra-épineux.
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References
Adams M, Hutton W (1983) The mechanical function of the lumbar apophyseal joints. Spine 8 (3): 327–330
Allbrook D (1957) Movements of the lumbar spinal column. J Bone Joint Surg [Br] 39: 339–345
Anderson C, Chaffin D, Herrin G, Matthews S (1985) A biomechanical model of the lumbosacral joints during lifting activities. J Biomech 8: 571–584
Berkson M, Nachemson A, Schultz A (1979) Mechanical properties of human lumbar spine motion segments. Part II: Responses in compression and shear; influence of gross morphology. J Biomech Eng 101 (1): 53–57
Bogduk N, Twomey L (1987) Clinical anatomy of the lumbar spine. Churchill Livingstone, Melbourne
Cassidy J, Kirkaldy-Willis W, McGregor M (1985) Spinal manipulation for the treatment of chronic low back and leg pain: an observational study. In: Bueger A, Greenman P (eds): Empirical approaches to the validation of spinal manipulation. Springfield, Charles C Thomas, pp 119–148, as cited by Haldeman S (1986) Spinal manipulative therapy in sports medicine. Clin Sci Sports Med 5 (2): 277–293
Chazal J, Tanguy A, Bourges M, Gaurel G, Escande G, Guillot M, Vanneuville G (1985) Biomechanical properties of spinal ligaments and a histological study of the supraspinal ligament in traction. J Biomech 18 (3): 167–176
Crowinshield R, Brand R (1981) The prediction of forces in joint structures: distribution of intersegmenlal resultants. Ex Sport Sci Rev 9: 159–181
Cyron B, Hutton W (1981) The tensile strength of the capsular ligaments of the apophyseal joints. J Anat 132 (1): 145–150
Elden H (1968) Physical properties of collagen fibres. Int Rev Connect Tiss Res 4: 283–290
Engel R, Bogduk N (1982) The menisci of the zygoapophyseal joints. J Anat 135 (4): 795–807
Farfan H (1973) Mechanical disorders of the low back. Lea and Febiger, Philadelphia
Giles L, Taylor J (1984) Intra-articular inclusions of lumbosacral apophyseal joints. Anatomical Soc Aust and NZ 22nd Annual Conference, Perth
Goel V, Fromknecht S, Nishiyama K, Weinstein J, Liu Y (1985) The role of lumbar spinal elements in flexion. Spine 10 (6): 516–523
Haut R (1986) The influence of specimen length on the tensile failure properties of tendon collagen. J Biomech 19 (11): 951–955
Heylings D (1978) Supraspinous and interspinous ligaments of the human lumbar spine. J Anat 125: 127–131
Hirsch C, Nachemson A (1954) An observation on the mechanical behaviour of the lumbar discs. Acta Orthop Scand 23: 254
Kapandji I (1984)) The physiology of the joints. Vol 3. Churchill Livingstone, Edinburgh
Kazarian L (1981) Injuries to the human spinal column: biomechanics and injury classification. Ex Sports Sci Rev 9: 297–352
Kingsbury H, Nowinski J, Chou T (1978) Solid mechanics in biomedicine. In: Reub, Ghista, Rau (eds) Perspectives in biomechanics, Vol 1, Part A, Harwood Academic Publishers, Chur
Kos J, Wolf J (1972) Intervertebral menisci and their possible role in vertebral blockage. CSP Newsletter 4 (5): 28
Lewin T, Moffett B, Viidik A (1962) Morphology of lumbar synovial intervertebral joints. Acta Morph Nerrl Scand 4: 299–319
Louis R (1983) Surgery of the spine, surgical anatomy and operative approaches. Springer-Verlag, Berlin
Lundberg B (1969) The frozen shoulder. Acta Orthop Scand [Suppl] 119: 1–59
Mac Millan K, Lockyer B (1982) Joint inclusions in the cervical spine. Post Grad Dip Manip Anatomy Project, WAIT (unpublished)
Moore K (1985) Clinically oriented anatomy, 2nd ed. Williams & Wilkins, Baltimore
Nachemson A, Evans J (1968) Some mechanical properties of the third human lumbar interlaminar ligament. J Biomech 1: 211–220
Noyes F, Keller C, Grood E, Butler D (1984) Advances in the understanding of knee ligament injury, repair and rehabilitation. Med Sci Sports Exerc 16 (5): 427–443
Panjabi M, Krag M, Chung T (1984) Effect of disc injury on mechanical behaviour of the human spine. Spine 9 (7): 7707–713
Park W (1975) Applied anatomy of the spine, Vol 1. In: Rothman H, Simeones F (eds). Saunders, Philadelphia
Parkin I, Harrison G (1985) The topographical anatomy of the lumbar epidural space. J Anat 141: 211–217
Pearcy M, Tibrewal S (1984) Lumbar intervertebral disc and ligament deformation measured in vivo. Clin Orthop 191: 281–286
Poirier D, Charpy A (1926) Traité d'anatomie humaine, Tom 1 (2). Masson, Paris
Potter G (1977) A study of 744 cases of neck and back pain treated with spinal manipulation]. Can Chiropractic Assoc 21 (4) 154–156, as cited in Haldeman S (1986) Spinal manipulative therapy in sports medicine. Clin Sci Sports Med 5 (2): 277–2293
Putz R (1985) The functional morphology of the superior articular Processes of the lumbar vertebrae. J Anat 143: 181–187
Ramsey R (1966) The anatomy of the ligamentum flavum. Clin Orthop 44: 129–140
Rissanen P (1960) The surgical anatomy and pathology of the supraspinous and interspinous ligaments of the lumbar spine with special reference to ligament ruptures. Acta Orthop Scand [Suppl] 46: 1–100
Romanes S (1981) Cunninghams textbook of anatomy, 12th ed. Oxford University Press, London
Rouvière H (1939) Anatomie générale, origines des formes et des structures anatomiques. Masson, Paris
Rouvière H (1962) Anatomie descriptive et topograhique. In: Cordier G, Delmas A (eds), Tome II. Masson, Paris
Schultz A, Warwick D, Berkson M, Nachemson A (1979) Mechanical properties of human lumbar spine motion segments: responses in flexion, extension, lateral bending and torsion. J Biomech Eng 101 (1): 46–52
Shah J, Jayson M, Hampson (1977) Low tension studies of collagen fibres from ligaments of the human spine. Ann Rheum Dis 36: 139–145
Sims-Williams H, Jayson M, Young S (1978) Controlled trial of mobilization and manipulation of patients with low back pain in general practice. Br J Med 2: 1338–1340
Sims-Williams H, Jayson M, Young S (1979) Controlled trial of mobilization and manipulation for patients with low back painhospital patients. Br J Med 2: 1318–1340
Soni A, Sullivan J, Patwardhan A, Gudavalli M, Chitwood J (1982) Kinematic analysis and simulation of vertebral motion under static load, Part 1; Kinematic analysis. J Biomech Eng 104 (2): 105–111
Stokes I, Greenapple D (1985) Measurement of surface deformations of soft tissue. J Biomech 18 (1): 1–7
Tencer A, Mayer T (1983) Soft tissue strain and facet face interaction in the lumbar intervertebral joint. Part 1: Input data and computational technique. J Biomech Eng 105 (3): 201–209
Tkaczuk H (1968) Tensile propertise of human lumbar longitudinal ligaments. Acta Orthop Scand [Suppl] 115: 3–69
Tondury G (1971) Functional anatomy of the small joints of the spine. Ann Med Phys 15 (2)
Twomey L, Taylor J (1982) Flexion creep deformation and hysteresis in the lumbar vertebral column. Spine 7 (2): 116–122
Viidik A (1968) A rheological model for collagenous tissue. J Biomech 1: 3
Viidik A (1973) Functional properties of collagenous tissues. Int Rev Connect Tiss Res, Vol 6. Hall and Jackson (eds). Academic Press, New York, pp 127–217
Virgin A (1951) Experimental investigation into physical properties of intervertebral discs. J Bone Joint Surg [Br] 33: 607–611
Warwick R, Williams P (1980) Grays Anatomy, 36th ed. Longmans, Edinburgh
White A, Panjabi M (1978) Clinical biomechanics of the spine. Lippincott, Philadelphia
Wu H, Yao R (1976) Mechanical behaviour of the human annulus fibrosus. J Biomech 9:1–7
Yong-Hing K, Reilly J, Kirkaldy-Willis W (1976) The ligamentum flavum. Spine 1 (4): 226–234
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Behrsin, J.F., Briggs, C.A. Ligaments of the lumbar spine: a review. Surg Radiol Anat 10, 211–219 (1988). https://doi.org/10.1007/BF02115239
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DOI: https://doi.org/10.1007/BF02115239