Viejo-Fuertes D, Liguoro D, Rivel J, Midy D, Guerin J
Department of Anatomy, University of Bordeaux II, France.
Surg Radiol Anat. 1998;20(3):171-6. doi: 10.1007/BF01628891.
The ligamentum flavum, of which there are only a few studies in the literature, has several features discussed in this work. On the macroscopic level, it has a metameric arrangement: it has two layers, superficial and deep, whose fibers are opposite, and it has close relations with the tendons of attachment of some spinal erector muscles. On the microscopic level, its structure is unique for a ligament, because of a predominance of elastic fibers, because of its intrinsic innervation at each level of the spine, and because this innervation grows poorer with increasing degeneration. The ligamentum flavum constitutes an active ligament, with an essential biomechanical role. Its injury is probably not without consequences, and therefore there are many technical problems about the surgical interlaminar approach.
黄韧带在文献中仅有少量研究，本文讨论了其若干特征。在宏观层面，它具有节段性排列：有浅层和深层两层，其纤维方向相反，且与一些脊柱竖脊肌的附着腱关系密切。在微观层面，其结构对于韧带而言是独特的，这是因为弹性纤维占主导，因为在脊柱的每个节段都有内在神经支配，还因为随着退变加剧这种神经支配会变弱。黄韧带是一条具有重要生物力学作用的活性韧带。其损伤可能并非没有后果，因此关于手术层间入路存在许多技术问题。
