Department of Anatomy, Smt. B. K. Shah Medical Institute and Research Centre, Sumandeep Vidyapeeth, Piparia, Vadodara, 391760, Gujarat, India.
Surg Radiol Anat. 2021 Sep;43(9):1519-1526. doi: 10.1007/s00276-021-02761-2. Epub 2021 May 7.
The dorsal roots of adjacent spinal nerves are known to communicate with each other through rami communicantes. These intercommunications can cause deviations in the normal dermatomal organization which leads to errors during clinical decision-making. The objective of the study was to augment the existing knowledge of these communications which shall help minimize the diagnostic and therapeutic errors.
The present study examined thirty cadaveric spinal cord specimens to document the data of intra-dural, intercommunications between dorsal roots of adjacent spinal nerves.
All the regions of the spinal cord exhibited the presence of intercommunications with variable frequency. The intercommunications were categorized into a total of nine groups based on their patterns. The levels of spinal cord exhibiting higher and lower frequencies of intercommunications were identified.
This information will be useful during the clinical evaluation of patients with spinal cord pathologies or radiculopathies. The outcomes of rhizotomy can also be improved with knowledge of intercommunications.
相邻脊神经的背根通过交通支相互沟通。这些相互沟通会导致正常皮节组织发生偏差,从而导致临床决策中的错误。本研究的目的是增加对这些沟通的现有认识,以帮助尽量减少诊断和治疗错误。
本研究检查了 30 个尸体脊髓标本,以记录硬脊膜内相邻脊神经根之间的通讯数据。
脊髓的所有区域均表现出存在具有不同频率的通讯。根据其模式将通讯分为总共 9 组。确定了表现出更高和更低通讯频率的脊髓水平。
在对脊髓病变或神经根病变患者进行临床评估时,这些信息将非常有用。了解交通支也可以改善神经根切断术的结果。