STUDY ON DERMATOMES BY MEANS OF SELECTIVE LUMBAR SPINAL NERVE BLOCK

被引：31

作者：

NITTA, H

TAJIMA, T

SUGIYAMA, H

MORIYAMA, A

机构：

[1] Department of Orthopedic Surgery, Kakegawa City General Hospital, Kakegawa

[2] Department of Orthopedic Surgery, Shizuoka Saiseikai General Hospital, Shizuoka

[3] Department of Orthopedic Surgery, Shizuoka Medical Welfare Center, Shizuoka

来源：

SPINE | 1993年 / 18卷 / 13期

关键词：

SELECTIVE LUMBAR SPINAL NERVE BLOCK; DERMATOME;

D O I：

10.1097/00007632-199310000-00011

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Regions of sensory impairment of 71 patients in 86 lumbar spinal nerve blocks (L4 19 cases, L5 41 cases, S1 26 cases) were determined by the writing brush method. Distinctive regions included the medial side of the lower leg, the side of the first dorsal digit, and the side of the fifth digit respectively of the L4 (88%), L5 (82%) and Sl (83%) spinal nerves without 100% matching because of displacement of one spinal segment by the furcal nerve. A band-like impaired zone from the proximal to the periphery appeared in 42%, 44%, and 92%, respectively, of the L4, L5, and Sl blocks. The marked difference between L4, L5, and Sl may be caused by the diversity of the dorsal rami of the spinal nerves and double control by the lateral cutaneous nerve of the thigh.

引用

页码：1782 / 1786

页数：5

共 10 条

[1]

Bolk L., Die Segmentaldifferenzigrung des menschlichen Rumpfes und seiner Extremitaten, Morphol Jahrb, 28, pp. 105-146

[2]

Foerster O., The dermatomes in man, Brain, 56, pp. 1-39, (1933)

[3]

Head H., Et al., The pathology of herpes zoster and its bearing on sensory localization, Brain, 23, pp. 353-523, (1900)

[4]

Keegan J.J., Garrett F.D., The segmental distribution of the cutaneous nerves in the limbs, Anat Rec, 102, pp. 409-437, (1948)

[5]

Kudo O., An anatomical study on the lumbo-sacral nerve root syndrome, Orthopedic Surgery, 35, pp. 775-784, (1984)

[6]

Moriishi J., Sauter R.W., Buckley T.F., The Intersegmental Anastomoses Between Spinal Nerve Roots, Anat Rec, 224, (1989)

[7]

Nozaki K., Clinical study on human dermatomes by rhizotomy, J Jpn Orthop Assoc, 13, (1939)

[8]

Pearson A.A., Sauter R.W., Buckley T.F., Further observations on the cutaneous branches of the dorsal primary rami of the spinal nerves, Am J Anat, 118, pp. 891-904, (1965)

[9]

Williams P.L., Warwick R., Dyson M., Bannister L.H., Gray's Anatomy, pp. 1125-1127, (1989)

[10]

Wakasugi B., Dermatomes of the body and the extremities, Surgical Treatment, 132, 47, (1982)

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