Olszewski A D, Yaszemski M J, White A A
Department of Orthopaedic Surgery, Wilford Hall Medical Center, Lackland AFB, Texas, USA.
Spine (Phila Pa 1976). 1996 Oct 15;21(20):2307-12. doi: 10.1097/00007632-199610150-00001.
An anatomic study was performed to investigate the ligamentum flavum of the human lumbar spine.
To describe accurately the interlaminar portion of ligamentum flavum, and to determine if there is an insertion onto the anterosuperior surface of the caudal lamina.
The insertions of the ligamentum flavum onto its adjacent laminas were classically described by Naffzinger. His description has been recounted by others. It has been the authors' observation that there is a slip of inferior ligamentum flavum that inserts onto the anterosuperior surface of the caudal lamina. Review of the literature revealed only anecdotal observations that support the authors' finding. A clear anatomic description of this structure is important to the surgeon who frequently enters the spinal canal at this anatomic site.
Thirty human lumbar ligamenta flava from six fresh frozen lumbar spines were studied macroscopically, with particular attention paid to the insertions onto the adjacent laminas.
The ligamentum flavum consists of a superficial and a deep component. It is continuous in the midline. The superficial ligamentum flavum inserts onto the superior edge and posterosuperior surface of the caudal lamina. The deep ligamentum flavum inserts for a variable distance onto the anterosuperior surface of the caudal lamina.
There is an inferoventral slip of the ligamentum flavum that attaches to the anterosuperior surface of the caudal lamina. This slip is the inferior portion of the deep ligamentum flavum. When the ligamentum flavum's superficial layer is selectively released, the inferoventral slip of the ligamentum flavum's deep layer remains attached to the anterosuperior surface of the caudal lamina and remains between the surgeon and the dura.
进行一项解剖学研究以调查人类腰椎的黄韧带。
准确描述黄韧带的层间部分，并确定其是否附着于尾侧椎板的前上表面。
纳夫津格经典地描述了黄韧带在其相邻椎板上的附着情况。其他人也复述过他的描述。作者观察到黄韧带的下部有一条纤维束附着于尾侧椎板的前上表面。文献回顾仅发现一些轶事性观察结果支持作者的发现。对于经常在此解剖部位进入椎管的外科医生来说，对该结构进行清晰的解剖学描述很重要。
对取自六个新鲜冷冻腰椎的30条人类黄韧带进行宏观研究，特别关注其在相邻椎板上的附着情况。
黄韧带由浅层和深层组成。它在中线处连续。浅层黄韧带附着于尾侧椎板的上缘和后上表面。深层黄韧带在尾侧椎板的前上表面附着一段可变距离。
黄韧带存在一条附着于尾侧椎板前上表面的下腹侧纤维束。这条纤维束是深层黄韧带的下部。当选择性地松解黄韧带的浅层时，深层黄韧带的下腹侧纤维束仍附着于尾侧椎板的前上表面，并保留在外科医生与硬脊膜之间。
