髂嵴上臀中神经及其相关沟的解剖研究。
Anatomic Study of the Superior Cluneal Nerve and Its Related Groove on the Iliac Crest.
机构信息
Seattle Science Foundation, Seattle, Washington, USA; Division of Gross and Clinical Anatomy, Department of Anatomy, Kurume University School of Medicine, Kurume, Japan.
Seattle Science Foundation, Seattle, Washington, USA.
出版信息
World Neurosurg. 2019 May;125:e925-e928. doi: 10.1016/j.wneu.2019.01.210. Epub 2019 Feb 11.
OBJECTIVE
Superior cluneal nerve entrapment neuropathy is one cause of low back pain often referred to as "pseudo sciatica." Studies have found that the superior cluneal nerve can arise variably from T11 to L5. The osteofibrous tunnels formed by a groove on the iliac crest might compress the superior cluneal nerve. Therefore, the purpose of this study was to investigate the origin of the superior cluneal nerve and its course through such bony grooves.
METHODS
Twenty sides from 10 fresh frozen Caucasian cadavers were used in this study. Once both the superior cluneal nerve and its groove were identified, the distance from the groove to the posterior superior iliac spine and midline was measured.
RESULTS
A total of 12 grooves were identified in 11 of 20 sides (55%). On 10 sides, the nerve running on the groove was the medial branch of the superior cluneal nerve. The mean distance from the bony groove to the posterior superior iliac spine and midline was 45.2 ± 11.2 mm and 65.3 ± 8.2 mm, respectively.
CONCLUSIONS
These results could help identify such bony grooves and better understand low back pain and its related anatomy.
目的
臀上神经卡压性神经病是一种常被称为“假性坐骨神经痛”的腰痛原因。研究发现，臀上神经可从 T11 到 L5 处多变地出现。髂嵴上的沟形成的骨纤维隧道可能会压迫臀上神经。因此，本研究旨在探讨臀上神经的起源及其在这些骨性沟中的走行。
方法
本研究使用了 10 具新鲜冷冻的高加索人尸体的 20 侧。一旦确定了臀上神经及其神经沟，就测量了神经沟到后上髂棘和中线的距离。
结果
在 20 侧中的 11 侧（55%）共发现了 12 个神经沟。在 10 侧中，在神经沟上运行的神经是臀上神经的内侧支。骨性神经沟到后上髂棘和中线的平均距离分别为 45.2±11.2mm 和 65.3±8.2mm。
结论
这些结果可以帮助识别这些骨性沟，并更好地了解腰痛及其相关解剖结构。
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