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Anterior longitudinal ligament
Ligament running down the front of the vertebral column
Ligament running down the front of the vertebral column
| Field | Value |
|---|---|
| Name | Anterior longitudinal ligament |
| Latin | ligamentum longitudinale anterius |
| Image | Gray301.png |
| Caption | Median sagittal section of two lumbar vertebræ and their ligaments. (Anterior longitudinal ligament runs vertically at center left.) |
| Image2 | Gray304.png |
| Caption2 | Anterior atlantooccipital membrane and atlantoaxial ligament. (Anterior longitudinal ligament runs vertically at bottom center.) |
| From | inferior basilar portion of occipital bone |
| To | sacrum |
| System | skeletal |
The anterior longitudinal ligament is a ligament that extends across the anterior/ventral aspect of the vertebral bodies and intervertebral discs the spine.
It may be partially cut to treat certain abnormal curvatures in the vertebral column, such as kyphosis.
Anatomy
The anterior longitudinal ligament extends superoinferiorly between the basiocciput of the skull and the anterior tubercle of the atlas (cervical vertebra C1) superiorly, and the superior part of the sacrum inferiorly;**** inferiorly, it ends at the sacral promontory. It broadens inferiorly.**** Inferiorly, it becomes continuous with the anterior sacrococcygeal ligament. Superiorly, between the skull and atlas, the ligament is continuous laterally with the anterior atlantooccipital membrane.****
The ligament is thick and slightly more narrow over the vertebral bodies and thinner but slightly wider over the intervertebral discs.
It tends to be narrower and thicker around thoracic vertebrae, and wider and thinner around cervical vertebrae and lumbar vertebrae.
Structure
The anterior longitudinal ligament adheres strongly to the periosteum of the vertebral bodies, but is less strongly connected with the intervertebral discs.****
It has three layers: superficial, intermediate and deep. The superficial layer traverses 3 – 4 vertebrae, the intermediate layer covers 2 – 3 and the deep layer is only between individual vertebrae.
Clinical significance
The anterior longitudinal ligament may become calcified, causing back pain.
Surgical release
The anterior longitudinal ligament may be "released", or partially cut, between two adjacent vertebrae. This may be done to treat abnormal curvature in the vertebral column, such as kyphosis. Osteoporosis, some infections, and past back surgery may prevent this surgery.
Additional images
File:Anatomy of the Neck Sagittal Color MRI.png|E:Anterior longitudinal ligament Image:Gray308.png|Median sagittal section through the occipital bone and first three cervical vertebræ. Image:Gray312.png|Costovertebral articulations. Anterior view.
References
References
- (2011). "Last's Anatomy".
- Kadasne, D. K.. (2009). "Kadasne's Textbook of Anatomy". Jaypee Brothers Medical Publishers.
- "anterior sacrococcygeal ligament".
- (2018). "Clinically Oriented Anatomy". Wolters Kluwer.
- Kayalioglu, Gulgun. (2009). "The spinal cord : a Christopher and Dana Reeve Foundation text and atlas". [[Elsevier]] / [[Academic Press]].
- Giles, Lynton G. F.. (2009). "100 challenging spinal pain syndrome cases". [[Elsevier]] / [[Churchill Livingstone]].
- (2018). "Operative Techniques: Spine surgery". [[Elsevier]].
This article was imported from Wikipedia and is available under the Creative Commons Attribution-ShareAlike 4.0 License. Content has been adapted to SurfDoc format. Original contributors can be found on the article history page.
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