Clinical anatomy and clinical significance of the cervical intervertebral foramen: a review

• Autorzy: Sioutas G. , Kapetanakis S.
• Języki publikacji: EN

Abstrakty

EN

The aim of this paper is to summarise the knowledge about the anatomy of the cervical intervertebral foramen as a whole. Such reviews are rare in the literature. The intervertebral or neural foramen is the opening between the spinal canal and the extraspinal region. It is located between the vertebral pedicles at all spinal levels. A number of structures pass through the foramen: nerves, vessels and ligaments. We describe the bony borders and dimensions of the foramen, the adjacent ligaments, the arteries and veins passing through or neighbouring it, and the neural components. Many procedures are performed in the area of the cervical intervertebral foramen. Knowledge of the anatomy of the foramen is essential in order to operate to the area and to minimize iatrogenic injuries. (Folia Morphol 2016; 75, 2: 143–148)

• Wydawca: -
• Czasopismo: Folia Morphologica
• Rocznik: 2016
• Tom: 75
• Numer: 2
• Opis fizyczny: p.143-148,fig.,ref.

Twórcy

autor

Sioutas G.

• Department of Anatomy, Medical School of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece

autor

Kapetanakis S.

• Department of Anatomy, Medical School of Alexandroupolis, Democritus University of Thrace, Alexandroupolis 68100, Greece

Bibliografia

• 1. Bakkum B, Berthiaume R (1994) Transforaminal ligaments of the human cervical spine. In: Proceedings of the Eleventh Annual Meeting of the American Association of Clinical Anatomists. American Association of Clinical Anatomists, Galveston, p. 22.
• 2. Bakkum BW, Mestan M (1994) The effects of transforaminal ligaments on the sizes of T11 to L5 human intervertebral foramina. J Manipulative Physiol Ther, 17: 517–522.
• 3. Barakat M, Hussein Y (2012) Anatomical study of the cervical nerve roots for posterior foraminotomy: cadaveric study. Eur Spine J, 21: 1383–1388.
• 4. Beckworth WJ, Sood R, Katzer AF, Wu B (2013) Anomalous location of the vertebral artery in relation to the neural foramen. Implications for cervical transforaminal epidural steroid injections. Pain Med, 14: 1119–1125.
• 5. Bilge O (2004) An anatomic and morphometric study of C2 nerve root ganglion and its corresponding foramen. Spine (Phila Pa 1976), 29: 495–499.
• 6. Chaynes P, Verdié JC, Moscovici J, Zadeh J, Vaysse P, Becue J (1998) Microsurgical anatomy of the internal vertebral venous plexuses. Surg Radiol Anat, 20: 47–51.
• 7. Cramer GD, Skogsbergh DR, Bakkum BW, Winterstein JF, Yu S, Tuck NR Jr (2002) Evaluation of transforaminal ligaments by magnetic resonance imaging. J Manipulative Physiol Ther, 25: 199–208.
• 8. Czervionke LF, Daniels DL, Ho PS, Yu SW, Pech P, Strandt J, Williams AL, Haughton VM (1988) Cervical neural foramina: correlative anatomic and MR imaging study. Radiology, 169: 753–759.
• 9. Daniels DL, Hyde JS, Kneeland JB, Jesmanowicz A, Froncisz W, Grist TM, Pech P, Williams AL, Haughton VM (1986) The cervical nerves and foramina: local-coil MR imaging. Am J Neuroradiol, 7: 129–133.
• 10. Demondion X, Lefebvre G, Fisch O, Vandenbussche L, Cepparo J, Balbi V (2012) Radiographic anatomy of the intervertebral cervical and lumbar foramina (vessels and variants). Diagn Interv Imaging, 93: 690–697.
• 11. Ebraheim NA, An HS, Xu R, Ahmad M, Yeasting RA (1996) The quantitative anatomy of the cervical nerve root groove and the intervertebral foramen. Spine (Phila Pa 1976), 21: 1619–1623.
• 12. Flannigan BD, Lufkin RB, McGlade C, Winter J, Batzdorf U, Wilson G, Rauschning W, Bradley WG Jr (1987) MR imaging of the cervical spine: neurovascular anatomy. Am J Roentgenol, 148: 785–790.
• 13. Frykholm R (1951) Lower cervical nerve roots and their investments. Acta Chir Scand, 101: 457–471.
• 14. Frykholm R (1951) The mechanism of cervical radicular lesions resulting from friction or forceful traction. Acta Chir Scand, 102: 93–98.
• 15. Gilad I, Nissan M (1986) A study of vertebra and disc geometric relations of the human cervical and lumbar spine. Spine (Phila Pa 1976), 11: 154–157.
• 16. Gilchrist RV, Slipman CW, Bhagia SM (2002) Anatomy of the intervertebral foramen. Pain Physician, 5: 372–378.
• 17. Goodman BS, Geffen JF, Mallempati S, Noble BR (2006) MRI images at a 45-degree angle through the cervical neural foramina: a technique for improved visualization. Pain Physician, 9: 327–332.
• 18. Hage ZA, Amin-Hanjani S, Wen D, Charbel FT (2012) Surgical management of cervical radiculopathy caused by redundant vertebral artery loop. J Neurosurg Spine, 17: 337–341.
• 19. Hartman J (2014) Anatomy and clinical significance of the uncinate process and uncovertebral joint: A comprehensive review. Clin Anat, 27: 431–440.
• 20. Hayashi K, Yabuki T, Kurokawa T, Seki H, Hogaki M, Minoura S (1977) The anterior and the posterior longitudinal ligaments of the lower cervical spine. J Anat, 124: 633–636.
• 21. Hernández-García JM, Reina MA, Prats-Galino A, De Andrés JA (2011) Morphologic study of nerve root and types of needle used in transforaminal injections. Reg Anesth Pain Med, 36: 278–281.
• 22. Hoeft MA, Rathmell JP, Monsey RD, Fonda BJ (2006) Cervical transforaminal injection and the radicular artery: variation in anatomical location within the cervical intervertebral foramina. Reg Anesth Pain Med, 31: 270–274.
• 23. Humphreys SC, Hodges SD, Patwardhan A, Eck JC, Covington LA, Sartori M (1998) The natural history of the cervical foramen in symptomatic and asymptomatic individuals aged 20–60 years as measured by magnetic resonance imaging. A descriptive approach. Spine (Phila Pa 1976), 23: 2180–2184.
• 24. Huntoon MA (2005) Anatomy of the cervical intervertebral foramina: vulnerable arteries and ischemic neurologic injuries after transforaminal epidural injections. Pain, 117: 104–11.
• 25. Jindal G, Pukenas B (2011) Normal spinal anatomy on magnetic resonance imaging. Magn Reson Imaging Clin N Am, 19: 475–488.
• 26. Kameyama T, Hashizume Y, Ando T, Takahashi A, (1994) Morphometry of the normal cadaveric cervical spinal cord. Spine (Phila Pa 1976), 19: 2077–2081.
• 27. Kitagawa T, Fujiwara A, Kobayashi N, Saiki K, Tamai K, Saotome K (2004) Morphologic changes in the cervical neural foramen due to flexion and extension: in vivo imaging study. Spine (Phila Pa 1976), 29: 2821–2825.
• 28. Kraan GA, Smit TH, Hoogland PV (2011) Extraforaminal ligaments of the cervical spinal nerves in humans. Spine J, 11: 1128–1134.
• 29. Lentell G, Kruse M, Chock B, Wilson K, Iwamoto M, Martin R (2002) Dimensions of the cervical neural foramina in resting and retracted positions using magnetic resonance imaging. J Orthop Sports Phys Ther, 32: 380–390.
• 30. Liu J, Ebraheim NA, Sanford CG Jr, Patil V, Elsamaloty H, Treuhaft K, Farrell S, (2008) Quantitative changes in the cervical neural foramen resulting from axial traction: in vivo imaging study. Spine J, 8: 619–623.
• 31. Lu J, Ebraheim NA (1998) Anatomic considerations of C2 nerve root ganglion. Spine (Phila Pa 1976), 23: 649–652.
• 32. Nathan H, Feuerstein M (1970) Angulated course of spinal nerve roots. J Neurosurg, 32: 349–352.
• 33. Nuckley DJ, Konodi MA, Raynak GC, Ching RP, Mirza SK (2002) Neural space integrity of the lower cervical spine: effect of normal range of motion. Spine (Phila Pa 1976), 27: 587–595.
• 34. Oh SH, Perin NI, Cooper PR (1996) Quantitative three-dimensional anatomy of the subaxial cervical spine: implication for anterior spinal surgery. Neurosurgery, 38: 1139–1144.
• 35. Panjabi MM, Duranceau J, Goel V, Oxland T, Takata K (1991) Cervical human vertebrae. Quantitative three-dimensional anatomy of the middle and lower regions. Spine (Phila Pa 1976), 16: 861–869.
• 36. Park H-J, Kim SS, Lee S-Y, Park N-H, Chung E-C, Rho M-H, Kwon H-J, Kook S-H (2013) A practical MRI grading system for cervical foraminal stenosis based on oblique sagittal images. Br J Radiol, 86: 201–215.
• 37. Park MS, Moon SH, Lee HM, Kim TH, Oh JK, Lee SY, Oh JB, Riew KD (2014) Diagnostic value of oblique magnetic resonance images for evaluating cervical foraminal stenosis. Spine J, 15: 607–611.
• 38. Pech P, Daniels DL, Williams AL, Haughton VM (1985) The cervical neural foramina: correlation of microtomy and CT anatomy. Radiology, 155: 143–146.
• 39. Rosner MJ, Whaley R (1984) Anomalous exit of the C-6 nerve root via the C-6. C-7 foramen, Neurosurgery, 14: 740–743.
• 40. Russell SM, Benjamin V (2004) Posterior surgical approach to the cervical neural foramen for intervertebral disc disease. Neurosurgery, 54: 662–665.
• 41. Sato T, Masui K (2013) Morphologic differences in intervertebral foramina: a radiographic study of cervical spine positions in asymptomatic men. J Manipulative Physiol Ther, 36: 327–332.
• 42. Savva C, Giakas G (2013) The effect of cervical traction combined with neural mobilization on pain and disability in cervical radiculopathy. A case report. Man Ther, 18: 443–446.
• 43. Shi B, Zheng X, Zhang H, Sun C, Cao Y, Jin A, Ding Z (2015) The morphology and clinical significance of the extraforaminal ligaments at the cervical level. Spine (Phila Pa 1976), 40: E9–E17.
• 44. Shim JH, Park CK, Lee JH, Choi JW, Lee DC, Kim DH, Kim JK, Hwang JH (2009) A comparison of angled sagittal MRI and conventional MRI in the diagnosis of herniated disc and stenosis in the cervical foramen. Eur Spine J, 18: 1109–1116.
• 45. Sohn HM, You JW, Lee JY (2004) The relationship between disc degeneration and morphologic changes in the intervertebral foramen of the cervical spine: a cadaveric MRI and CT study. J Korean Med Sci, 19: 101–106.
• 46. Sunderland S (1974) Meningeal-neural relations in the intervertebral foramen. J Neurosurg, 40: 756–763.
• 47. Takahashi M (1974) Anatomy of the vertebrobasilar vascular system. In: Atlas of Vertebral Angiography. University Park Press, Baltimore, pp. 17–58.
• 48. Tanaka N, Fujimoto Y, An HS, Ikuta Y, Yasuda M (2000) The anatomic relation among the nerve roots, intervertebral foramina, and intervertebral discs of the cervical spine. Spine, 25: 286–291.
• 49. Terzis JK, Novikov ML (2005) Radiological and electrophysiological detection of nerve roots avulsion in patients with birth-related brachial plexus paralysis. Seminars in Plastic Surgery, 19: 24–41.
• 50. Tubbs RS, Rompala OJ, Verma K, Mortazavi MM, Benninger B, Loukas M, Chambers MR (2012) Analysis of the uncinate processes of the cervical spine: an anatomical study. J Neurosurg Spine, 16: 402–407.
• 51. Yilmazlar S, Ikiz I, Kocaeli H, Tekdemir I, Adim SB (2003) Details of fibroligamentous structures in the cervical unco-vertebral region: an obscure corner. Surg Radiol Anat, 25: 50–53.
• 52. Yilmazlar S, Kocaeli H, Uz A, Tekdemir I (2003) Clinical importance of ligamentous and osseous structures in the cervical uncovertebral foraminal region. Clin Anat, 16: 404–410.
• 53. Yoo JU, Zou D, Edwards WT, Bayley J, Yuan HA (1992) Effect of cervical spine motion on the neuroforaminal dimensions of human cervical spine. Spine (Phila Pa 1976), 17: 1131–1136.

Identyfikatory

DOI

10.5603/FM.a2015.0096