Abstract
Intrinsic innervation of the spine includes the following:
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innervation of intervertebral discs and vertebral bodies for which nerve pathways depends on the sinu-vertebral nerve, and preferentially join some specific roots (like L2 at lumbar spine). This innervation is essentially vegetative.
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innervation of zygapophyseal joints, possessing a metameric and somatic innervation depending on the dorsal ramus of the spinal roots.
These specific nervous organizations may explain some of the semiological characteristics of pains bound to the suffering of the intervertebral disc or the facet joints.
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References
Groen GJ, Baljet B, Drukker J. The nerves and nerve plexuses of the human vertebral column. Am J Anat. 1990;188(3):282–96.
Rabishong P, Louis R, Vignaud J, Massare C. Le disque intervertébral. Anat Clin. 1978;1(5):55–64.
Malinsky J. The ontogenetic development of nerve terminations in the intervertebral discs of man. Acta Anat. 1959;38:96–113.
Bogduk N, Tynan W, Wilson AS. The nerve supply to the human lumbar intervertebral discs. J Anat. 1981;132(1):39–56.
Roberts S, Johnson E. Innervation du disque intervertébral et lombalgie discale. Rev Rhum. 2000;67(Suppl 4):225–31.
Sekine M, Yamashita T, Takebayashi T, Sakamoto N, Minaki Y, Ishii S. Mechanosensitive afferent units in the lumbar posterior longitudinal ligament. Spine. 2001;26(14):1516–21.
Antonacci MD, Mody DR, Heggeness MH. Innervation of the human vertebral body: a histologic study. J Spinal Disord. 1998;11(6):526–31.
Waber-Wenger B, Forterre F, Kuehni-Boghenbor K, Danuser R, Stein JV, Stoffel MH. Sensory innervation of the dorsal longitudinal ligament and the meninges in the lumbar spine of the dog. Histochem Cell Biol. 2014;142(4):433–47.
de Ribet RM. Le système nerveux de la vie végétative. Paris: Doin; 1955. 487p.
Robert R, Raoul S, Hamel O, Doe K, Lanoiselée JM, Berthelot JM, Caillon F, Bord E. Lombalgies chroniques. Une autre approche thérapeutique. Neurochirurgie. 2004;50(2-3):117–22.
Kuslich SD, Ulstrom CI, Michael CJ. The tissue origin of low back pain and sciatica: a report of pain response to tissue stimulation during operation of the lumbar spine using local anesthesia. Orthop Clin North Am. 1991;22(2):181–7.
Hovelacque A. Le nerf sinu-vertébral. Ann Anat Pathol. 1925;2(5):435–43.
Edgar MA. The nerve supply of the lumbar intervertebral disc. J Bone Joint Surg Br. 2007;89:1135–9.
Suseki K, Takahashi Y, Takahashi K, Chiba T, Yamagata M, Moriya H. Sensory nerve fibers from lumbar intervertebral discs pass through rami communicantes. J Bone Joint Surg Br. 1998;80(4):737–42.
Higuchi K, Sato T. Anatomical study of lumbar spine innervation. Folia Morphol (Warsz). 2002;61(2):71–9.
Lazorthes G, Zadeh J, Galy E, Roux P. Le territoire cutané des branches postérieures des nerfs rachidiens. Neurochirurgie. 1987;33:386–90.
Bogduk N. The anatomy and pathophysiology of neck pain. Phys Med Rehabil Clin N Am. 2011;22(3):367–82.
Freemont AJ, Peacock TE, Goupille P, Hoyland JA, O’Brien J, Jayson MIV. Nerve ingrowth into diseased intervertebral disc in chronic back pain. Lancet. 1997;350(9072):178–81.
Pai RR, D’sa B, Raghuveer CV, Kamath A. Neovascularization of the nucleus pulposus. A diagnostic feature of intervertebral disc prolapse. Spine. 1999;24(8):739–41.
Brown MF, Hukkanen MV, McCarthy ID, Redfern DR, Batten JJ, Crock HV, Hughes SP, Polak JM. Sensory and sympathetic innervation of the vertebral endplate in patients with degenerative disc disease. J Bone Joint Surg Br. 1997;79(1):147–53.
Oikawa Y, Ohtori S, Koshi T, Takaso M, Inoue G, Orita S, Eguchi Y, Ochiai N, Kishida S, Kuniyoshi K, Nakamura J, Aoki Y, Ishikawa T, Miyagi M, Arai G, Kamoda H, Suzuki M, Sainoh T, Toyone T, Takahashi K. Lumbar disc degeneration induces persistent groin pain. Spine. 2012;37(2):114–8.
Nakamura S, Takahashi K, Takahashi Y, Yamagata M, Moriya H. The afferent pathway of discogenic low back pain. Evaluation of L2 spinal nerve infiltration. J Bone Joint Surg Br. 1996;78(4):606–12.
Ohtori S, Nakamura S, Koshi T, Yamashita M, Yamauchi K, Inoue G, Orita S, Eguchi Y, Suzuki M, Ochiai N, Kishida S, Takaso M, Aoki Y, Kuniyoshi K, Nakamura J, Ishikawa T, Arai G, Miyagi M, Kamoda H, Suzuki M, Takahashi Y, Toyone T, Yamagata M, Takahashi K. Effectiveness of L2 spinal nerve infiltration for selective discogenic low back pain patients. J Orthop Sci. 2010;15(6):731–6.
Sluitjer ME. The role of radiofrequency in failed back surgery patients. Curr Rev Pain. 2000;4(1):49–53.
Rigaud J, Riant T, Labat JJ, Guerineau M, Robert R. Is section of sympathetic rami communicantes by laparoscopy in patients with refractory low back pain efficient? Eur Spine J. 2013;22(4):775–81.
Bogduk N, Wilson AS, Tynan W. The human lumbar dorsal rami. J Anat. 1982;134(2):383–97.
Yahia LH, Newman N, Rivard CH. Neurohistology of lumbar spine ligaments. Acta Orthop Scand. 1988;59(5):508–12.
Louis R. Chirurgie du rachis: anatomie chirurgicale et voies d’abord. Berlin: Springer; 1982. 325p.
Mooney V, Robertson J. The facet syndrome. Clin Orthop Relat Res. 1976;115:149–56.
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Robert, R., Hamel, O. (2020). Intrinsic Innervation of the Spine. In: Vital, J., Cawley, D. (eds) Spinal Anatomy . Springer, Cham. https://doi.org/10.1007/978-3-030-20925-4_27
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