Bogduk N, Windsor M, Inglis A
Department of Anatomy, University of Queensland, St Lucia, Australia.
Spine (Phila Pa 1976). 1988 Jan;13(1):2-8. doi: 10.1097/00007632-198801000-00002.
Microdissection and histologic studies were undertaken to determine the innervation of the cervical intervertebral discs. The cervical sinuvertebral nerves were found to have an upward course in the vertebral canal, supplying the disc at their level of entry and the disc above. Branches of the vertebral nerve supplied the lateral aspects of the cervical discs. Histologic studies of discs obtained at operation showed the presence of nerve fibers as deeply as the outer third of the anulus fibrosus. These anatomic findings provide the hitherto missing substrate for primary disc pain and the pain of provocation discography.
进行了显微解剖和组织学研究,以确定颈椎间盘的神经支配情况。发现颈窦椎神经在椎管内向上走行,在其进入水平及上方的椎间盘处发出分支。椎动脉分支供应颈椎间盘的外侧部分。手术中获取的椎间盘组织学研究显示,在纤维环外层三分之一处也存在神经纤维。这些解剖学发现为原发性椎间盘疼痛和激发性椎间盘造影术疼痛提供了迄今缺失的病理基础。