Maigne J Y, Lazareth J P, Guérin Surville H, Maigne R
Laboratoire d'Anatomie, UER Pitié-Salpétriène, Paris, France.
Surg Radiol Anat. 1989;11(4):289-93. doi: 10.1007/BF02098698.
Thirty-seven dissections have shown that the skin of the low back is innervated by the lateral branches of the dorsal rami of T12 and LI in 22 cases (60%) or T12 L1 and L2, in 10 cases (27%) or T12 L1 and L2 receiving an anastomosis from L3 in 5 cases (13%). The most medial nerve crossed the iliac crest through a rigid osseo-aponeurotic orifice located 7-8 cm from the midline which was seen compressing the nerve in 2 instances. This pattern of distribution may sometimes explain unilateral low back pain.
37例解剖显示,22例(60%)下背部皮肤由T12和L1背侧支的外侧分支支配,10例(27%)由T12、L1和L2支配,5例(13%)由T12、L1和L2支配且L3有吻合支。最内侧的神经通过一个距中线7 - 8厘米的坚硬骨 - 腱膜孔穿过髂嵴,在2例中可见该孔压迫神经。这种分布模式有时可能解释单侧下背痛。