Effect of axial loading on neural foramina and nerve roots in the lumbar spine

Radiology. 1990 Aug;176(2):433-7. doi: 10.1148/radiology.176.2.2367657.

Abstract

The hypothesis that the neural foramina in some patients are critically narrowed by axial compression of the spine has not been studied with direct imaging techniques. Frozen cadaveric motion segments of the lumbar spine (intervertebral disk and contiguous vertebrae) were imaged with computed tomography (CT). The segments were thawed and compressed in a hydrostatic press to simulate axial loading, and then the segments were frozen and imaged again. The motion segments were subsequently sectioned with a cryomicrotome, and the chronic degenerative changes present in the disks were classified. Pre- and post-compression CT images were compared, and anatomic relationships were studied. In 41 randomly selected segments (some with preexisting radial, transverse, and concentric annular tears), compression diminished the diameters and cross-sectional areas of the spinal canal and neural foramina. In no cases were nerve roots displaced, distorted, or compressed by axial loading. This study suggests that axial loading, such as that produced by ordinary weight bearing, does not critically compromise the neural foramina even in the presence of chronic degenerative disk changes.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Biomechanical Phenomena
  • Female
  • Humans
  • In Vitro Techniques
  • Intervertebral Disc / diagnostic imaging
  • Intervertebral Disc / physiopathology
  • Ligaments / diagnostic imaging
  • Ligaments / physiopathology
  • Lumbar Vertebrae / diagnostic imaging
  • Lumbar Vertebrae / physiopathology*
  • Male
  • Middle Aged
  • Spinal Canal / diagnostic imaging
  • Spinal Canal / physiopathology
  • Spinal Nerve Roots / diagnostic imaging
  • Spinal Nerve Roots / physiopathology*
  • Stress, Mechanical
  • Tomography, X-Ray Computed