Functional Anatomy and Pathophysiology of Axial Low Back Pain: Disc, Posterior Elements, Sacroiliac Joint, and Associated Pain Generators

Physical Medicine and Rehabilitation Clinics of North America

Volumn 21, Issue 4, 2010, Pages 679-709

  Vora, Ariana J ^a,b,c   Doerr, Katherine D ^a,c   Wolfer, Lee R ^d  

^a HARVARD MEDICAL SCHOOL   (United States)

^b MASSACHUSETTS GENERAL HOSPITAL   (United States)

^c and Red Sox Foundation and Massachusetts General Hospital Home Base Program   (United States)

^d Spinal Diagnostics and Treatment Center   (United States)

Author keywords

Anatomy; Disc; Fascia; Ligament; Low back pain; Tensegrity; Zygapophysial joint

Indexed keywords

BACK MUSCLE; BIOMECHANICS; DIAGNOSTIC VALUE; DISCOGENIC PAIN; FUNCTION TEST; FUNCTIONAL ANATOMY; HISTOPATHOLOGY; HUMAN; INTERVERTEBRAL DISK DEGENERATION; LIGAMENTUM FLAVUM; LOW BACK PAIN; LUMBAR DISK; LUMBAR DISK HERNIA; LUMBOSACRAL SPINE; NOCICEPTION; PATHOPHYSIOLOGY; POSTERIOR LONGITUDINAL LIGAMENT; PRIORITY JOURNAL; REVIEW; SACROILIAC JOINT; ZYGAPOPHYSEAL JOINT;

ANIMALS; BACK PAIN; BIOMECHANICS; HUMANS; HYPERTROPHY; INTERVERTEBRAL DISK; LIGAMENTS, ARTICULAR; LOW BACK PAIN; MAGNETIC RESONANCE IMAGING; SACROILIAC JOINT; SPINE;

EID: 77958450541     PISSN: 10479651     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.pmr.2010.07.005     Document Type: Review

References (171)

1. Bogduk N. The anatomical basis for spinal pain syndromes. J Manipulative Physiol Ther 1995, 18(9):603-605.
2. Schwarzer A.C., Wang S.C., Bogduk N., et al. Prevalence and clinical features of lumbar zygapophysial joint pain a studying an Australian population with chronic low back pain. Ann Rheum Dis 1995, 54(2):100-106.
3. Schwarzer A.C., Aprill C., Bogduk N. The sacroiliac joint in chronic low back pain. Spine 1995, 20(1):31-37.
4. Lesher J.M., Dreyfuss P., Hager N., et al. Hip joint pain referral patterns: a descriptive study. Pain Med 2008, 9(1):22-25.
5. Jensen M.C., Brant-Zawadzki M.N., Obuchowski N., et al. Magnetic resonance imaging of the lumbar spine in people without back pain. N Engl J Med 1994, 331(2):69-73.
6. Yucesoy C.A., Koopman B.H., Baan G.C., et al. Effects of inter-and extramuscular myofascial force transmission on adjacent synergistic muscles: assessment by experiments and finite-element modeling. J Biomech 2003, 36:1797-1811.
7. Maas H., Baan G.C., Huijing P.A. Intermuscular interaction via myofascial force transmission: effects of tibialis anterior and extensor hallucis longus length on force transmission from rat extensor digitorum muscle. J Biomech 2001, 34:927-940.
8. Yucesoy C.A., Baan G., Huijing P.A. Epimuscular myofascial force transmission occurs in the rat between the deep flexor muscles and their antagonistic muscles. J Electromyogr Kinesiol 2010, 20:118-126.
9. Rijkelijkhuizen J.M., Baan G.C., Ruiter C.J., et al. Extramuscular myofascial force transmission for in situ rat medial gastrocnemius and plantaris muscles in progressive stages of dissection. J Exp Biol 2005, 208:129-140.
10. Zatsiorsky V.M., Gregory R.W., Latash M.L. Force and torque production in statis multifinger prehension: biomechanics and control. II. Control. Biol Cybern 2002, 87(1):40-49.
11. Wang Y., Asaka T., Zatsiorsky V.M., et al. Muscle synergies during voluntary body sway: combining across-trials and within-a-trial analyses. Exp Brain Res 2006, 174(4):679-693.
12. Levin S.M. A suspensory system for the sacrum in pelvic biomechanics: biotensegrity. Movement, stability and lumbosacral pain: integration of research and therapy 2007, 229-231. Churchill Livingstone/Elsevier, Edinburgh; London; NY. 2nd edition. A. Vleeming, V. Mooney, R. Stoeckart (Eds.).
13. Marchand F., Ahmed A.M. Investigation of the laminate structure of lumbar disc annulus fibrosus. Spine 1990, 15:402-410.
14. Melrose J., Smith S.M., Appleyard R.C., et al. Aggrecan, versican and type VI collagen are components of annular translamellar crossbridges in the intervertebral disc. Eur Spine J 2008, 17(2):314-324.
15. Yu J., Tirlapur U., Fairbank J., et al. Microfibrils, elastin fibres and collagen fibres in the human intervertebral disc and bovine tail disc. J Anat 2007, 210(4):460-471.
16. Urban J.P., Maroudas A. Swelling of the intervertebral disc in vitro. Connect Tissue Res 1981, 9:1-10.
17. Shinmei M., Masuda K., Kikuchi T., et al. Interleukin-1, tumour necrosis factor, and interleukin-6 as mediators of cartilage destruction. Semin Arthritis Rheum 1989, 18:27-32.
18. Adams M.A., Green T.P. Tensile properties of the annulus fibrosus. I. The contribution of fibre-matrix interactions to tensile stiffness and strength. Eur Spine J 1993, 2(4):203-206.
19. Weiler C., Nerlich A.G., Bachmeier B.E., et al. Expression and distribution of tumor necrosis factor alpha in human lumbar intervertebral discs: a study in surgical specimen and autopsy controls. Spine 2005, 30(1):44-53.
20. Lee S., Moon C.S., Sul D., et al. Comparison of growth factor and cytokine expression in patients with degenerated disc disease and herniated nucleus pulposus. Clin Biochem 2009, 42(15):1504-1511.
21. Bogduk N., Tynan W., Wilson A.S. The nerve supply to the human lumbar intervertebral discs. J Anat 1981, 132:39-56.
22. Jackson H.C., Winkelmann R.K., Bickel W.H. Nerve endings in the human lumbar spinal column and related structures. J Bone Joint Surg Am 1966, 48:1272-1281.
23. Edgar M.A. The nerve supply to the lumbar intervertebral disc. J Bone Joint Surg Br 2007, 89:1135-1139.
24. Meakin J.R., Hukins D.W. Effect of removing the nucleus pulposus on the deformation of the annulus fibrosus during compression of the intervertebral disc. J Biomech 2000, 33(5):575-580.
25. White A.A., Panjabi M.M. Clinical biomechanics of the spine 1978, Lippincott, Philadelphia.
26. Farfan H.F., Cossette J.W., Robertson G.H., et al. The effects of torsion on the lumbar intervertebral joints: the role of torsion in the production of disc degeneration. J Bone Joint Surg Am 1970, 52:468-497.
27. Dandy W. Loose cartilage from intervertebral disc simulating tumor of the spinal cord. Arch Surg 1929, 19:660.
28. Mixter W.J., Barr J.S. Rupture of the intervertebral disc with involvement of the spinal canal. N Engl J Med 1934, 211:210-215.
29. Yu S.W., Haughton V.M., Sether L.A., et al. Comparison of MR and discography in detecting radial tears of the annulus: a postmortem study. AJNR Am J Neuroradiol 1989, 10(5):1077-1081.
30. Yu S.W., Sether L.A., Ho P.S., et al. Tears of the annulus fibrosus: correlation between MR and pathologic findings in cadavers. AJNR Am J Neuroradiol 1988, 9(2):367-370.
31. Crock H.V. Internal disc disruption. A challenge to disc prolapse fifty years on. Spine 1986, 11(6):650.
32. Buckwalter J.A., Mow V.C., Boden S.D., et al. Intervertebral disk structure, composition, and mechanical function. Orthopaedic basic science - biology and biomechanics of the musculoskeletal system 2000, American Academy of Orthopaedic Surgeons, Rosemont (IL).
33. Zhang Y., An H.S., Tannoury C., et al. Biological treatment for degenerative disc disease: implications for the field of physical medicine and rehabilitation. Am J Phys Med Rehabil 2008, 87:694-702.
34. Trout J.J., Buckwalter J.A., Moore K.C., et al. Ultrastructure of the human intervertebral disc I: changes in notochordal cells with age. Tissue Cell 1982, 14:359-369.
35. Haefeli M., Kalberer F., Saegesser D., et al. The course of macroscopic degeneration in the human lumbar intervertebral disc. Spine 2006, 31:1522-1531.
36. Vernon-Roberts B., Pirie C.J. Degenerative changes in the intervertebral discs of the lumbar spine and their sequelae. Rheumatol Rehabil 1977, 16:13-21.
37. Coppes M.H., Marani E., Thomeer R.T., et al. Innervation of "painful" lumbar discs. Spine 1997, 22(20):2342-2349.
38. Peng B., Wu W., Hou S., et al. The pathogenesis of discogenic low back pain. J Bone Joint Surg Br 2005, 87(1):62-67.
39. Freemont A.J., Peacock T.E., Goupille P., et al. Nerve ingrowth into diseased intervertebral disc in chronic back pain. Lancet 1997, 350(9072):178-181.
40. Ozawa T., Ohtori S., Inoue G., et al. The degenerated lumbar intervertebral disc is innervated primarily by peptide-containing sensory nerve fibers in humans. Spine 2006, 31(21):2418-2422.
41. Neidlinger-Wilke C., Wurtz K., Urban J.P., et al. Regulation of gene expression in intervertebral disc cells by low and high hydrostatic pressure. Eur Spine J 2006, 15(Suppl 3):372-378.
42. Hansoon T.H., Keller T.S., Spengler D.M. Mechanical behaviour of the human lumbar spine II: fatigue stretch during dynamic compressive loading. J Orthop Res 1987, 5:479-487.
43. Vernon-Roberts B., Fazzalari N.L., Mathey B.A. Pathogenesis of tears of the annulus investigated by multi-level transaxial analysis of the T12-L1 disc. Spine 1997, 22:2641-2646.
44. Hadjipavlou A.G., Tzermiadianos M.N., Bogduk N., et al. The pathophysiology of disc degeneration: a critical review. J Bone Joint Surg Br 2008, 90:1261-1270.
45. Kraft C.N., Pennekamp P.H., Becker U., et al. Magnetic resonance imaging findings of the lumbar spine in elite horseback riders: correlations with back pain, body mass index, trunk/leg-length coefficient, and riding discipline. Am J Sports Med 2009, 37(11):2205-2213.
46. Videman T., Sarna S., Battie M.C., et al. The longterm effects of physical loading and exercise lifestyles on back-related symptoms, disability and spinal pathology among men. Spine 1995, 20(6):699-709.
47. Adams M.A., McNally D.S., Wagstaff J., et al. Abnormal stress concentrations in lumbar intervertebral discs following damage to the vertebral bodies: a cause of disc failure?. Eur Spine 1993, 1:214-221.
48. Kauppila L.I. Can low back pain be due to lumbar-artery disease?. Lancet 1995, 346:888-889.
49. Kauppila L., Pentitila A., Karhunen P.J., et al. Lumbar disc degeneration and atherosclerosis of the abdominal aorta. Spine 1994, 19:932-939.
50. Benneker L.M., Heini P.F., Alini M., et al. Vertebral endplate marrow contact channel occlusions and intervertebral disc degeneration. Spine 2005, 30:167-173.
51. Lindblom K. Diagnostic puncture of intervertebral discs in sciatica. Acta Orthop Scand 1948, 17:231-239.
52. Carragee E.J., Chen Y., Tanner C.M., et al. Provocative discography in patients after limited lumbar discectomy: a controlled, randomized study of pain response in symptomatic and asymptomatic subjects. Spine 2000, 25:3065-3071.
53. Carragee E.J., Tanner C.M., Khurana S., et al. The rates of false-positive lumbar discography in select patients without low back symptoms. Spine 2000, 25:1373-1380.
54. Wolfer L.R., Derby R., Lee J.E., et al. Systematic review of lumbar provocation discography in asymptomatic subjects with metaanalysis of false-positive rates. Pain Physician 2008, 11(4):513-538.
55. Schwarzer A.C., Aprill C., Derby R., et al. The prevalence and clinical features of internal disc disruption in patients with chronic low back pain. Spine 1995, 20(1):1878-1883.
56. Manchikanti L., Singh V., Rivera J.J. Effectiveness of caudal epidural injections in discogram positive and negative chronic low back pain. Pain Physician 2002, 5(1):18-29.
57. Werneke M., Hart D.L., Cook D. A descriptive study of the centralization phenomenon: a prospective analysis. Spine 1999, 24(7):676-683.
58. Glover J.R. Arthrography of the joints of the lumbar vertebral arches. Orthop Clin North Am 1977, 8:37-42.
59. Bogduk N., Wilson A.S., Tynan W. The human lumbar dorsal rami. J Anat 1982, 134:383-397.
60. Kaplan M., Dreyfuss P., Halbrook B., et al. The ability of the lumbar medial branch blocks to anesthetize the zygapophysial joint: a physiologic challenge. Spine 1998, 23:1847-1852.
61. Bodguk N. The innervation of the lumbar spine. Spine (Phila Pa 1976) 1983, 8(3):286-293.
62. Bogduk N. The zygapophysial joints. Clinical anatomy of the lumbar spine and sacrum 2005, 29-37. Elsevier, New York. 4th edition.
63. Yahia L.H., Garzon S. Structure on the capsular ligaments of the facet joints. Ann Anat 1993, 175:185-188.
64. Murtagh F.R., Paulsen R.D., Rechtine G.R. The role and incidence of facet tropism in lumbar spine degenerative disc disease. J Spinal Disord 1991, 4:86-89.
65. Fujiwara A., Tamai K., An H.S., et al. Orientation and osteoarthritis of the lumbar facet joint. Clin Orthop Relat Res 2001, 385:88-94.
66. Goldthwaite J.E. The lumbrosacral articulation: an explanation of many cases of lumbago, sciatica, and paraplegia. Boston Med Surg J 1911, 164:365-372.
67. Putti V. New concepts in the pathogenesis of sciatica pain. Lancet 1927, 2:53-60.
68. Ghormley R.K. Low back pain with special reference to the articular facets with presentation of an operative procedure. JAMA 1933, 101:1773-1777.
69. Doyle A.J., Merrilees M. Synovial cysts of the lumbar facet joint in a symptomatic population: prevalence on magnetic resonance imaging. Spine 2004, 29(8):874-878.
70. Sandhu F.A., Santiago P., Fessler R., et al. Minimally invasive surgical treatment of lumbar synovial cysts. Neurosurgery 2004, 54(1):107-112.
71. Uhrenholt L., Grunnet-Nilsson N., Hartvigsen J. Cervical spine lesions after road traffic accidents: a systematic review. Spine 2002, 27(17):1934-1941.
72. Eisenstein S.M., Parry C.R. The lumbar facet arthrosis syndrome. Clinical presentation and articular surface changes. J Bone Joint Surg Br 1987, 69(1):3-7.
73. Gray D.P., Bajwa Z.H., Warfield C.A. Facet block and neurolysis. Interventional pain management 2001, 446-483. WB Saunders, Philadelphia. 2nd edition. S.D. Waldman (Ed.).
74. Yang Y.M., Choi W.S., Pickar J.G. Electrophysiologic evidence for an intersegmental reflex pathway between lumbar paraspinal tissues. Spine 2002, 7:E56-E63.
75. Indahl A., Kaigle A., Reikeras O., et al. Electromyographic response of the porcine multifidus musculature after nerve stimulation. Spine 1995, 20:2652-2658.
76. Bogduk N. Age changes in the lumbar spine. Clinical anatomy of the lumbar spine and sacrum 2005, 168-169. Elsevier, London. 4th edition.
77. Kalichman L., Suri P., Guermazi A., et al. Facet orientation and tropism: associations with facet joint osteoarthritis and degeneratives. Spine 2009, 34(16):579-585.
78. Giles L.G., Taylor J.R. Human zygapophyseal joint capsule and synovial fold innervation. Br J Rheumatol 1987, 26(2):93-98.
79. Ahmed M., Bjurholm A., Creicbergs A., et al. Sensory and autonomic innervation of the facet joint in the rat lumbar spine. Spine 1993, 18(14):2121-2126.
80. Lee H.M., Weinstein J.N., Meller S.T., et al. The role of steroids and their effects on phospholipase A2. An animal model of radiculopathy. Spine 2000, 25(15):2004-2005.
81. Sehgal N., Shah R.V., McKenzie-Brown A.M., et al. Diagnostic utility of facet (zygapophysial) joint injections in chronic spinal pain: a systematic review of evidence. Pain Physician 2005, 8(2):211-224.
82. Revel M.E., Listrat V.M., Chevalier X.J., et al. Facet joint block for low back pain: identifying predictors of a good response. Arch Phys Med Rehabil 1992, 73(9):824-828.
83. Revel M., Poiraudeau S., Auleley G.R., et al. Capacity of the clinical picture to characterize low back pain relieved by facet joint anesthesia. Proposed criteria to identify patients with painful facet joints. Spine 1998, 23(18):1972-1976.
84. Laslett M., Oberg B., Aprill C.N., et al. Zygapophysial joint blocks in chronic low back pain: a test of Revel's model as a screening test. BMC Musculoskelet Disord 2004, 5:43.
85. Cohen S.P., Hurley R.W., Christo P.J., et al. Clinical predictors of success and failure for lumbar facet radiofrequency denervation. Clin J Pain 2007, 23(1):45-52.
86. Jackson R.P., Jacobs R.R., Montesano P.X. Facet joint injection in low-back pain: a prospective statistical study. Spine 1988, 13:966-971.
87. Freidrich K.M., Nemec S., Peloschek P., et al. The prevalence of lumbar facet joint edema in patients with low back pain. Skeletal Radiol 2007, 26(8):755-760.
88. Bogduk N. The sacroiliac joint. Clinical anatomy of the lumbar spine and sacrum 2005, 173-181. Churchill Livingstone, New York. 4th edition. N. Bogduk (Ed.).
89. Puhakka K.B., Melsen F., Jurik A.G., et al. MR imaging of the normal sacroiliac joint with correlation to histology. Skeletal Radiol 2004, 33:15-28.
90. Schunke M., Schulte E., Schumacher U. Bones, ligaments, and joints. Thieme atlas of anatomy: general anatomy and musculoskeletal system 2007, 114. Thieme, New York. E. Lamperti, L. Ross (Eds.).
91. Loukas M., Louis R.G., Hallner B., et al. Anatomical and surgical considerations of the sacrotuberous ligament and its relevance in pudendal nerve entrapment syndrome. Surg Radiol Anat 2006, 28(2):163-169.
92. Vleeming A., Stoeckart R., Snijders C.J. The sacrotuberous ligament: a conceptual approach to its dynamic role in stabilizing the sacroiliac joint. Clin Biomech 1989, 4:201-203.
93. Willard F.H. The muscular, ligamentous, and neural structure of the lumbosacrum. Movement, stability and lumbopelvic pain: integration of research and therapy 2007, 7-21. Churchill Livingstone/Elsevier. A. Vleeming, V. Mooney, R. Stoeckart (Eds.).
94. Gray's anatomy 1995, Churchill Livingstone, Edinburgh (UK), p. 308. 38th edition. P.L. Williams (Ed.).
95. Rosatelli A.L., Agur A.M., Chhaya S. Anatomy of the interosseous region of the sacroiliac joint. J Orthop Sports Phys Ther 2006, 36(4):200-208.
96. Forst S.J., Wheeler M.T., Fortin J.D., et al. Sacroiliac joint: anatomy, physiology & clinical significance. Pain Physician 2006, 9(1):61-67.
97. Fortin J.D., Kissling R.O., O'Connor B.L., et al. Sacroiliac joint innervation and pain. Am J Orthop 1999, 28:687-690.
98. Hom S., Indahl A., Solomonow M. Sensorimotor control of the spine. J Electromyogr Kinesiol 2002, 12:219.
99. Dietrichs E. Anatomy of the pelvic joints- a review. Scand J Rheumatol 1991, 88(Suppl):4-6.
100. Scholten P.J.M., Schultz A.B., Luchico C.W., et al. Motions and loads within the human pelvis: a biomedical model study. J Orthop Res 1988, 6:840-850.
101. Foley B.S., Buschbacher R.M. Sacroiliac joint pain: anatomy, biomechanics, diagnosis, and treatment. Am J Phys Med Rehabil 2006, 85(12):997-1006.
102. Bogduk N. The sacroiliac joint. Clinical anatomy of the lumbar spine and sacrum 2005, 176. Elsevier, New York. 4th edition.
103. Vleeming A., Pool-Goudzwaard A.L., Hammudoghlu D., et al. The function of the long dorsal sacroiliac ligament: its implication for understanding low back pain. Spine 1996, 21:556-562.
104. Sturesson B., Uden A., Vleeming A. A radiostereometric analysis of the movement of the sacroiliac joints during the standing hip flexion test. Spine 2000, 25:214-217.
105. Lavignolle B., Vitam J.M., Senegas J., et al. An approach to the functional anatomy of the sacroiliac joints in vivo. Anat Clin 1983, 5:169-176.
106. Chou L.H., Slipman C.W., Bhagia S.M., et al. Inciting events initiating injection-proven sacroiliac joint syndrome. Pain Med 2004, 5:26-32.
107. Cohen S.P. Sacroiliac joint pain: a comprehensive review of anatomy, diagnosis, and treatment. Anesth Analog 2005, 101(5):1440-1453.
108. Murakami E., Tanaka Y., Aizawa T., et al. Effect of periarticular and intraarticular lidocaine injections for sacroiliac joint pain: prospective comparative study. J Orthop Sci 2007, 12(3):274-280.
109. Fortin J.D., Falco F. Enigmatic causes of spine pain in athletes. Phys Med Rehabil State Art Rev 1977, 11:445-464.
110. Young S., Aprill C., Laslett M. Correlation of clinical examination characteristics with three sources of chronic low back pain. Spine J 2003, 3:460-465.
111. Dreyfuss P., Dreyer S.J., Cole A., et al. Sacroiliac joint pain. J Am Acad Orthop Surg 2004, 12:255-265.
112. Szadek K.M., van der Wurff P., van Tulder M.W., et al. Diagnostic validity of criteria for sacroiliac joint pain: a systemic review. J Pain 2009, 10(4):354-368.
113. Murakami E., Aizawa T., Noguchi K., et al. Diagram specific to sacroiliac joint pain site indicated by one-finger test. J Orthop Sci 2008, 13(6):492-497.
114. O'Sullivan P.B., Beales D.J., Beetham J.A., et al. Altered motor control strategies in subjects with sacroiliac joint pain during the active straight-let raise test. Spine 2002, 27(1):E1-E8.
115. Elgafy H., Semaan H.B., Ebraheim N.A., et al. Computed tomography findings in patients with sacroiliac pain. Clin Orthop Relat Res 2001, 382:112-118.
116. Bogduk N., Twomey L.T. Clinical anatomy of the lumbar spine 1991, Churchill Livingstone, Melbourne.
117. Yahia L.H., Garzon S., Strykowski H., et al. Ultrastructure of the human interspinous ligament and ligamentum flavum: a preliminary study. Spine 1990, 15:262-268.
118. Okuda T., Fujimoto Y., Tanaka N., et al. Morphological changes of the ligamentum flavum as a cause of nerve root compression. Eur Spine J 2005, 14:277-286.
119. Yoshida M., Shima K., Taniguchi Y., et al. Hypertrophied ligamentum flavum in lumbar spinal canal stenosis. Pathogenesis and morphologic and immunohistochemical observation. Spine 1992, 17:1353-1360.
120. Shrader P.K., Grob D., Rahn B.A., et al. Histology of the ligamentum flavum in patients with degenerative lumbar spinal stenosis. Eur Spine J 1999, 8:323-338.
121. Sakamaki T., Sairyo K., Sakai T., et al. Measurements of ligamentum flavum thickening at lumbar spine using MRI. Arch Orthop Trauma Surg 2009, 129(10):1415-1419.
122. Aspden R.M., Bornsetin N.H., Hukins D.W., et al. Collagen organization in the interspinous ligament and its relationship to tissue function. J Anat 1987, 155:141-151.
123. Hindle R.J., Pearce M.J., Cross A. Mechanical function of the human lumbar interspinous and supraspinous ligaments. J Biomed Eng 1990, 12(4):340-344.
124. Hukins D.W., Kirby M.C., Sikoryn T.A., et al. Comparison of structure, mechanical properties and functions of lumbar spinal ligaments. Spine 1990, 15:787-795.
125. Willard F.H. The muscular, ligamentous and neural structure of the lumbosacrum and its relationship to low back pain. Movement, stability and lumbopelvic pain. Integration of research and therapy 2007, 7-11. Elsevier, Edinburgh (UK). A. Vleeming, V. Mooney, R. Stoeckart (Eds.).
126. Rucco V., Basadonna P., Gasparini D. Anatomy of the iliolumbar ligament: a review of its anatomy and a magnetic resonance study. Am J Phys Med Rehabil 1996, 75(6):451-455.
127. Fujiwara A., Tmal K., Yoshida H., et al. Anatomy of the iliolumbar ligament. Clin Orthop Relat Res 2000, 380:167-172.
128. Pool-Goudzwaard A.J., Kleinrensink G.J., Snijders C.J., et al. The sacroiliac part of the iliolumbar ligament. J Anat 2001, 199:457-463.
129. Hartford J.M., McCullen G.M., Harris R., et al. The iliolumbar ligament: three dimensional volume imaging and computer reformatting by magnetic resonance: a technical note. Spine 2000, 25(9):1098-1103.
130. Leong J.C., Luk K.D., Chow D.H., et al. The biomechanical functions of the iliolumbar ligament in maintaining stability of the lumbosacral junction. Spine 1987, 12:669-674.
131. Yamamoto I., Panjabi M.M., Oxlan T.R., et al. The role of the iliolumbar ligament in the lumbosacral junction. Spine 1990, 15:1138.
132. Aihara T., Takahashi K., Yamagata M., et al. Biomechanical functions of the iliolumbar ligament in L5 spondylolysis. J Orthop Sci 2000, 5:238-242.
133. Pool-Goudzwaard A., Van Dijke G.H., Mulder P., et al. The iliolumbar ligament: its influence on stability of the sacroiliac joint. Clin Biomech 2003, 18(2):99-105.
134. Sims J.A., Moorman S.J. The role of the iliolumbar ligament in low back pain. Med Hypotheses 1996, 46:511-515.
135. Kiter E., Karaboyun T., Tufan A.C., et al. Immunochemical demonstration of nerve endings in the iliolumbar ligament. Spine 2010, 35(4):101-104.
136. Kellgren J.H. On the distribution of pain arising from deep somatic structures with charts of segmental pain areas. Clin Sci 1939, 4:35-46.
137. Whitty C.W. Some aspects of referred pain. Proc R Soc Med 1958, 51:159-160. section of neurology.
138. Inman V.T., Saunders J.B. Referred pain from skeletal structures. J Nerv Ment Dis 1944, 99:660-667.
139. Bogduk N. The physiology of deep, somatic pain. Australasian Musculoskeletal Medicine 2002, 7(1):6-15.
140. Gatehouse P.D., He T., Hughes S.P., et al. MR imaging of degenerative disc disease in the lumbar spine with ultrashort TE pulse sequences. MAGMA 2004, 16(4):160-166.
141. Benjamin M., McGonagle D. The enthesis organ concept and its relevance to the spondyloarthropathies. Adv Exp Med Biol 2009, 649:57-70.
142. Biedermann H.J., DeFoa J.L., Forrest W.J. Muscle fibre directions of iliocostalis and multifidus: male-female differences. J Anat 1991, 179:163-167.
143. Moseley F.L., Hodges P.W., Gandevia S.C. External perturbation of the trunk in standing humans differentially activates components of the medial back muscles. J Physiol 2003, 547:581-587.
144. Danneels L.A., Vanderstraeten G.G., Cambier D.C., et al. A functional subdivision of hip, abdominal and back muscles during asymmetric lifting. Spine 2001, 26:E114-E121.
145. Freeman M.D., Woodham M.A., Woodham A.W. The role of the lumbar multifidus in chronic low back pain: a review. PM R 2010, 2(2):142-146.
146. Kalichman L., Kim D., Li L., et al. Computed tomography-evaluated features of spinal degeneration: prevalence, intercorrelation, and association with self-reported low back pain. Spine J 2010, 10:200-208.
147. Mengiardi B., Schmid M., Boos N., et al. Fat content of lumbar paraspinal muscles in patients with chronic low back pain and asymptomatic volunteers; quantification with MR spectroscopy. Radiology 2006, 240:786-792.
148. MacDonald D., Moseley G.L., Hodges P.W. Why do some patients keep hurting their back? Evidence of ongoing back muscle dysfunction during remission from recurrent back pain. Pain 2008, 142:183-188.
149. Mazis N., Papachristou D.J., Zouboulis P., et al. The effect of different physical activity levels on muscle fiber size and type distribution of lumbar multifidus. A biopsy study on low back pain patient groups and healthy control subjects. Eur J Phys Rehabil Med 2009, 45(4):459-467.
150. Dickx N., Cagnie B., Parlevliet, et al. The effect of unilateral muscle pain on recruitment of the lumbar multifidus during automatic contraction. An experimental pain study. Man Ther 2010, 15(4):364-369.
151. Bogduk N. The lumbar mamillo-accessory ligament. Its anatomical and neurosurgical significance. Spine 1981, 6:162-167.
152. Nitz A.J., Peck J. Comparison of muscle spindle concentrations in large and small muscles acting in parallel combinations. Am Surg 1986, 52:273-277.
153. Middleditch A., Oliver J. Muscles of the vertebral column. Functional anatomy of the spine 2005, 87-152. Elsevier, London. 2nd edition.
154. Akuthota V., Nadler S.F. Core strengthening. Arch Phys Med Rehabil 2004, 85(3 Suppl 1):S86-S92.
155. Urquhart D.M., Hodges P.W. Clinical anatomy of the anterolateral abdominal muscles. Movement, stability and lumbopelvic pain. Integration of research and therapy 2007, 76-77. Elsevier, Edinburgh (UK). A. Vleeming, V. Mooney, R. Stoeckart (Eds.).
156. Marshall P., Murphy B. The validity and reliability of surface EMG to assess the neuromuscular response of the abdominal muscles to rapid limb movement. J Electromyogr Kinesiol 2003, 13(5):477-489.
157. Hodges P.W., Richardson C.A. Contraction of the abdominal muscles associated with movement of the lower limb. Phys Therapy 1997, 77:132-142.
158. Skyrme A.D., Cehill D.J., Marsh H.P., et al. Psoas major and its controversial rotational action. Clin Anat 1999, 12:264-265.
159. Bogduk N., Pearcy M., Hadfield G. Anatomy and biomechanics of psoas major. Clin Biomech 1992, 7:109-119.
160. Phillips S.D., Mercer S., Bogduk N. Anatomy and biomechanics of quadratus lumborum. Proc Inst Mech Eng H 2008, 222(2):151-159.
161. Van Wingerden J.P., Vleeming A., Buyruk H.M., et al. Stabilization of the sacroiliac joint in vivo: verification of muscular contribution to force closure of the pelvis. Eur Spine J 2004, 13:199-205.
162. Snijders C.J., Vleeming A., Stoeckart R. Transfer of lumbosacral load to iliac bones and legs. Part I: biomechanics of self-bracing of the sacroiliac joints and its significance for treatment and exercise. Clin Biomech 1993, 8:285-294.
163. Takasaki H., Iizawa T., Hall T. The influence of increasing sacroiliac joint force closure on the hip and lumbar spine extensor muscle firing pattern. Man Ther 2009, 14:484-489.
164. Smoll N.R. Variations of the piriformis and sciatic nerve with clinical consequence: a review. Clinical Anatomy 2010, 23:8-17.
165. Benjamin M. The fascia of the limbs and back-a review. J Anat 2009, 214(1):1-18.
166. Bogduk N. The lumbar muscles and their fascia. Clinical anatomy of the lumbar spine and sacrum 2005, 110. Elsevier, London.
167. Loukas M., Shoka M.M., Thurston T., et al. Anatomy and biomechanics of the vertebral aponeurosis part of the posterior layer of the thoracolumbar fascia. Surg Radiol Anat 2008, 30:125-129.
168. Vleeming A., Pool-Goudzwaard A.L., Stoeckart R., et al. The posterior layer of the thoracolumbar fascia. Its function in load transfer from spine to legs. Spine 1995, 20(7):753-758.
169. Barker P.J., Guggenheimer K.T., Grkovic I.P., et al. Effects of tensioning the lumbar fasciae on segmental flexion and extension: young investigator award winner. Spine 2006, 31(4):397-405.
170. Bednar D.A., Orr F.W., Simon G.T. Observations on the pathomorphology of the thoracolumbar fascia in chronic mechanical back pain. A microscopic study. Spine 1995, 20(10):1161-1164.
171. DeRosa C., Porterfield J. Anatomical linkages and muscle slings of the lumbopelvic region. Movement, stability and lumbopelvic pain. Integration of research and therapy 2007, 47-62. Elsevier, Edinburgh (UK). A. Vleeming, V. Mooney, R. Stoeckart (Eds.).