The Anatomy of Lumbosacral Posterior Rami and Meningeal Branches of Spinal Nerves (Sinu-Vertebral Nerves)

The Effect of an Active Lumbar System on the Seating Comfort of Officers in Police Fleet Vehicles

“…Such postures have been shown to increase a person's probability of developing degenerative disk disorders [27] and lumbar disc herniation [28]. Prolonged lumbar flexion is also thought to elevate low back discomfort through increased loading of the passive tissues of the lumbar spine [29], tissues which are highly innervated with nociceptors [30,31,32]. The ability to maintain lumbar lordosis while minimizing peak pressures on the lumbar spine are important for decreasing low back discomfort [12,13].…”

Intraosseous lidocaine provides effective analgesia for percutaneous vertebroplasty of osteoporotic fractures

“…Innervation of the vertebral body is provided by the sinu-vertebral nerve, associated with the sympathetic system. [10][11][12] It is a highly vascularized zone in which the intraosseous vertebral veins form a freely communicating valveless network with paravertebral and extradural plexus veins. 1 3 The rationale of intravertebral injection of lidocaine involves a regional blockade of bone nociceptive inputs.…”

Pain Improvement after Intradiskal Lidocaine Administration in Provocation Lumbar Diskography: Association with Diskographic Contrast Leakage

“…5 Free nerve endings, presumably pain fibers, have been identified in the peripheral annulus and posterior longitudinal ligament (PLL) as well as in the adjacent dura, epidural vessels, and anterior longitudinal ligament. [30][31][32][33][34][35][36][37][38] Probing or stimulation of clinically painful disks clearly provokes a painful response when tested during laminectomy with the patient under local anesthesia. [6][7][8] Familiar pain can be reproduced in contained disks during provocation diskography, likely related to stretch of the annulus or stimulation of the adjacent vertebral endplates.…”