Denticulate ligaments

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Denticulate ligaments
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The medulla spinalis and its membranes. (Ligamentum denticulatum labeled vertically at bottom left.)
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Diagrammatic transverse section of the medulla spinalis and its membranes. (Denticulate ligament not labeled, but region is visible.)
Details
Identifiers
Latin ligamentum denticulatum
TA98 A14.1.01.310
TA2 5411
FMA 71245
Anatomical terminology

Denticulate ligaments (also known as dentate ligaments) are lateral projections of the spinal pia mater [1] forming triangular-shaped ligaments that anchor the spinal cord along its length to the dura mater on each side. [2] There are usually 21 denticulate ligaments on each side, with the uppermost pair occurring just below the foramen magnum, and the lowest pair occurring between spinal nerve roots of T12 and L1. [1] The denticulate ligaments are traditionally believed to provide stability for the spinal cord against motion within the vertebral column.[ citation needed ]

Contents

Their tooth-like appearance originates the word which derives from Latin denticulatus, from denticulus (meaning ‘small tooth’). [3]

Anatomy

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. [1]

Structure

Each denticulate ligament is composed of a single narrow fibrous strip that extends from the craniovertebral junction to T12. Each ligament features 18-20 triangular extensions that attach to the dura at their apices[ citation needed ] in between successive nerve roots. [1] The triangular extensions are smaller and more numerous at the cervical levels, and are larger and less numerous at the thoracic levels. The apices of the extensions attach to the dura via fibrous bands at cervical levels (each band 3–5 mm (0.12–0.20 in) long) and lower thoracic levels (21–26 mm (0.83–1.02 in) long), whereas they attach directly to the dura at upper thoracic levels.[ citation needed ]

These ligaments may be affected by altered motion and position of the vertebral segments.[ citation needed ]

Microanatomy/histology

The narrow fibrous strip of the denticulate ligament features longitudinally oriented collagen fibers, whereas the triangular extensions are composed of transverse and obliquely oriented collagen fibers. The collagen fibers are thicker and more abundant at the cervical than at the thoracic levels.[ citation needed ]

Biomechanics

Denticulate ligaments are characterised by high extensibility (on average 50% of their initial length) and relatively low force necessary to rupture them (around 1 N). Their strength, especially in cervical region, decreases in caudal orientation. [4]

Clinical significance

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 ]

Additional images

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A portion of the spinal cord, showing its right lateral surface. The dura is opened and arranged to show the nerve roots.

Sources

See also

Related Research Articles

Articles related to anatomy include:

<span class="mw-page-title-main">Spinal nerve</span> Nerve that carries signals between the spinal cord and the body

A spinal nerve is a mixed nerve, which carries motor, sensory, and autonomic signals between the spinal cord and the body. In the human body there are 31 pairs of spinal nerves, one on each side of the vertebral column. These are grouped into the corresponding cervical, thoracic, lumbar, sacral and coccygeal regions of the spine. There are eight pairs of cervical nerves, twelve pairs of thoracic nerves, five pairs of lumbar nerves, five pairs of sacral nerves, and one pair of coccygeal nerves. The spinal nerves are part of the peripheral nervous system.

<span class="mw-page-title-main">Meninges</span> Three membranes that envelop the brain and spinal cord

In anatomy, the meninges are the three membranes that envelop the brain and spinal cord. In mammals, the meninges are the dura mater, the arachnoid mater, and the pia mater. Cerebrospinal fluid is located in the subarachnoid space between the arachnoid mater and the pia mater. The primary function of the meninges is to protect the central nervous system.

<span class="mw-page-title-main">Pia mater</span> Delicate innermost layer of the meninges, the membranes surrounding the brain and spinal cord

Pia mater, often referred to as simply the pia, is the delicate innermost layer of the meninges, the membranes surrounding the brain and spinal cord. Pia mater is medieval Latin meaning "tender mother". The other two meningeal membranes are the dura mater and the arachnoid mater. Both the pia and arachnoid mater are derivatives of the neural crest while the dura is derived from embryonic mesoderm. The pia mater is a thin fibrous tissue that is permeable to water and small solutes. The pia mater allows blood vessels to pass through and nourish the brain. The perivascular space between blood vessels and pia mater is proposed to be part of a pseudolymphatic system for the brain. When the pia mater becomes irritated and inflamed the result is meningitis.

<span class="mw-page-title-main">Dura mater</span> Outermost layer of the protective tissues around the central nervous system (meninges)

In neuroanatomy, dura mater is a thick membrane made of dense irregular connective tissue that surrounds the brain and spinal cord. It is the outermost of the three layers of membrane called the meninges that protect the central nervous system. The other two meningeal layers are the arachnoid mater and the pia mater. It envelops the arachnoid mater, which is responsible for keeping in the cerebrospinal fluid. It is derived primarily from the neural crest cell population, with postnatal contributions of the paraxial mesoderm.

<span class="mw-page-title-main">Spinal canal</span>

The spinal canal is the canal that contains the spinal cord within the vertebral column. The spinal canal is formed by the vertebrae through which the spinal cord passes. It is a process of the dorsal body cavity. This canal is enclosed within the foramen of the vertebrae. In the intervertebral spaces, the canal is protected by the ligamentum flavum posteriorly and the posterior longitudinal ligament anteriorly.

<span class="mw-page-title-main">Epidural space</span> Space between the dura mater and vertebrae

In anatomy, the epidural space is the potential space between the dura mater and vertebrae (spine).

Neuromeres are morphologically or molecularly defined transient segments of the early developing brain. Rhombomeres are such segments that make up the rhombencephalon or hindbrain. More controversially, some argue that there exist early developmental segments that give rise to structures of the midbrain (mesomeres) and forebrain (prosomeres).

<span class="mw-page-title-main">Cervical vertebrae</span> Vertebrae of the neck

In tetrapods, cervical vertebrae are the vertebrae of the neck, immediately below the skull. Truncal vertebrae lie caudal of cervical vertebrae. In sauropsid species, the cervical vertebrae bear cervical ribs. In lizards and saurischian dinosaurs, the cervical ribs are large; in birds, they are small and completely fused to the vertebrae. The vertebral transverse processes of mammals are homologous to the cervical ribs of other amniotes. Most mammals have seven cervical vertebrae, with the only three known exceptions being the manatee with six, the two-toed sloth with five or six, and the three-toed sloth with nine.

<span class="mw-page-title-main">Thoracic vertebrae</span> Vertebrae between the cervical vertebrae and the lumbar vertebrae

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<span class="mw-page-title-main">Filum terminale</span> Fibrous tissue supporting the spinal cord

The filum terminale is a delicate strand of fibrous tissue, about 20 cm in length, proceeding downward from the apex of the conus medullaris. It is one of the modifications of pia mater. It gives longitudinal support to the spinal cord and consists of two parts:

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<span class="mw-page-title-main">Arachnoid mater</span> Web-like middle layer of the three meninges

The arachnoid mater is one of the three meninges, the protective membranes that cover the brain and spinal cord. It is so named because of its resemblance to a spider web. The arachnoid mater is a derivative of the neural crest mesoectoderm in the embryo.

<span class="mw-page-title-main">Dorsal root of spinal nerve</span>

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<span class="mw-page-title-main">Lateral grey column</span>

The lateral grey column is one of the three grey columns of the spinal cord ; the others being the anterior and posterior grey columns. The lateral grey column is primarily involved with activity in the sympathetic division of the autonomic motor system. It projects to the side as a triangular field in the thoracic and upper lumbar regions of the postero-lateral part of the anterior grey column.

<span class="mw-page-title-main">Ligamenta flava</span> Ligaments connecting the laminae of adjacent vertebrae

The ligamenta flava 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.

Diastematomyelia is a congenital disorder in which a part of the spinal cord is split, usually at the level of the upper lumbar vertebra in the longitudinal (sagittal) direction. Females are affected much more commonly than males. This condition occurs in the presence of an osseous, cartilaginous or fibrous septum in the central portion of the spinal canal which then produces a complete or incomplete sagittal division of the spinal cord into two hemicords. When the split does not reunite distally to the spur, the condition is referred to as diplomyelia, which is true duplication of the spinal cord.

<span class="mw-page-title-main">Spinal cord</span> Long, tubular central nervous system structure in the vertebral column

The spinal cord is a long, thin, tubular structure made up of nervous tissue, which extends from the medulla oblongata in the brainstem to the lumbar region of the vertebral column (backbone). The backbone encloses the central canal of the spinal cord, which contains cerebrospinal fluid. The brain and spinal cord together make up the central nervous system (CNS). In humans, the spinal cord begins at the occipital bone, passing through the foramen magnum and then enters the spinal canal at the beginning of the cervical vertebrae. The spinal cord extends down to between the first and second lumbar vertebrae, where it ends. The enclosing bony vertebral column protects the relatively shorter spinal cord. It is around 45 cm (18 in) long in adult men and around 43 cm (17 in) long in adult women. The diameter of the spinal cord ranges from 13 mm in the cervical and lumbar regions to 6.4 mm in the thoracic area.

<span class="mw-page-title-main">Vertebral column</span> Bony structure found in vertebrates

The vertebral column, also known as the backbone or spine, is part of the axial skeleton. The vertebral column is the defining characteristic of a vertebrate in which the notochord found in all chordates has been replaced by a segmented series of bone: vertebrae separated by intervertebral discs. Individual vertebrae are named according to their region and position, and can be used as anatomical landmarks in order to guide procedures such as lumbar punctures. The vertebral column houses the spinal canal, a cavity that encloses and protects the spinal cord.

<span class="mw-page-title-main">Vertebra</span> Bone in the vertebral column

The spinal column, a defining synapomorphy shared by nearly all vertebrates, is a moderately flexible series of vertebrae, each constituting a characteristic irregular bone whose complex structure is composed primarily of bone, and secondarily of hyaline cartilage. They show variation in the proportion contributed by these two tissue types; such variations correlate on one hand with the cerebral/caudal rank, and on the other with phylogenetic differences among the vertebrate taxa.

References

  1. 1 2 3 4 Sinnatamby, Chummy (2011). Last's Anatomy (12th ed.). p. 453. ISBN   978-0-7295-3752-0.
  2. 1 2 Carpenter, Malcolm (1984). Core text of neuroanatomy (3rd ed.). Williams & Wilkins. p. 2. ISBN   978-0683014556.
  3. Denticulate. (n.d.) The American Heritage® Medical Dictionary. (2007). Retrieved March 8, 2021 from
  4. Polak (2014). "Biomechanical characteristics of the porcine denticulate ligament in different vertebral levels of the cervical spine—Preliminary results of an experimental study". J Mech Behav Biomed Mater. 34: 165–70. doi:10.1016/j.jmbbm.2014.02.010. PMID   24583921.