Röhrmann Nicole, Mülling Christoph K W
Institute of Veterinary Anatomy, Histology and Embryology, Faculty of Veterinary Medicine, Leipzig University, Leipzig, Germany.
Anat Histol Embryol. 2025 Sep;54(5):e70063. doi: 10.1111/ahe.70063.
Detailed anatomical information on the innervation of the skin by spinal nerve branches is fundamental for numerous integrative therapies, such as acupuncture or manual treatments. In recent years, interest in these therapies has grown, and they have gained increasing importance. Many musculoskeletal disorders in dogs are located in the region of the trunk, but knowledge about the course and branching of the cutaneous branches remains limited. This study presents a morphological analysis of the innervation pattern of the first cutaneous branch of the spinal dorsal nerve branches in 14 dogs. The dissection was performed in four layers to trace the cutaneous branches from the intervertebral foramen to their target area. The distances covered in each layer were measured and described using the Caudal Shift Index (CSI). For this purpose, the 'back region' was defined as a dimensional unit, representing the distance between the spinous processes of two consecutive vertebrae within the examination area from the ninth thoracic (Th9) to the seventh lumbar (L7) vertebra. The results showed that the cutaneous branches innervating the lumbar region originated, on average, between Th11 and L4. The mean CSI-S was three back regions, indicating a distance equivalent to the length of three vertebral bodies between the nerve's origin at the foramen and the skin entry. In conclusion, these findings demonstrate consistency in the caudal shift of the cutaneous branches between Th9 and L4, with a high degree of symmetry between both sides of the body. These findings should be considered in therapeutic treatments.
脊髓神经分支对皮肤的详细解剖信息对于众多综合疗法(如针灸或手法治疗)至关重要。近年来,对这些疗法的兴趣不断增长,其重要性也日益凸显。犬类的许多肌肉骨骼疾病位于躯干区域,但关于皮支的走行和分支的知识仍然有限。本研究对14只犬的脊髓背侧神经分支的第一皮支的神经支配模式进行了形态学分析。解剖分四层进行,以追踪皮支从椎间孔到其目标区域的走行。每层所覆盖的距离使用尾侧移位指数(CSI)进行测量和描述。为此,将“背部区域”定义为一个维度单位,代表检查区域内从第九胸椎(Th9)到第七腰椎(L7)两个连续椎体棘突之间的距离。结果表明,支配腰部区域的皮支平均起源于Th11和L4之间。平均CSI-S为三个背部区域,表明神经在椎间孔处的起源与皮肤入口之间的距离相当于三个椎体的长度。总之,这些发现表明Th9和L4之间皮支的尾侧移位具有一致性,身体两侧具有高度对称性。在治疗中应考虑这些发现。