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Anatomische Grundlagen neurodestruktiver Verfahren im Bereich der Wirbelsäule

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Neurodestruktive Verfahren in der Schmerztherapie

Zusammenfassung

Für eine genaue Durchführung der Blockaden und Läsionen sind Kenntnisse über die systematische und topographische Innervation der Wirbelsäule erforderlich. Weil bis jetzt bei Menschen lediglich im Lig. flavum und Plexus venosus vertebralis internus keine Nervenfasern nachgewiesen wurden, können alle übrigen Wirbelsäulenstrukturen als potentielle Quellen primärer Schmerzen angesehen werden. Freie Nervenendigungen sind in den Gelenkkapseln der Facetten [25,26,32,35], im anterioren und posterioren longitudinalen Ligament, im Anulus fibrosus und in der Dura [22,25,26,45] nachgewiesen worden. Außerdem sind Substanz-P-immunreaktive Fasern in der Dura [13], in den Gelenkkapseln der Facetten [1,14,17,24], im posterioren longitudinalen Ligament [30] und in der Bandscheibe [9] gefunden worden.

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Authors
  1. G. J. Groen
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  2. R. J. Stolker
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  3. A. C. M. Vervest
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Editor information

Editors and Affiliations

  1. Klinik für Anästhesiologie, Intensiv- und Schmerztherapie, Ev. St.-Johannes-Krankenhaus, Schildescher Straße 99, D-33611, Bielefeld, Deutschland

    Ulrich B. Hankemeier

  2. Zentrum Anaesthesiologie, Rettungs- und Intensivmedizin Schwerpunkt Algesiologie, Universität Göttingen, Robert-Koch-Straße 40, D-37075, Göttingen, Deutschland

    Jan Hildebrandt

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© 1998 Springer-Verlag Berlin Heidelberg

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Groen, G.J., Stolker, R.J., Vervest, A.C.M. (1998). Anatomische Grundlagen neurodestruktiver Verfahren im Bereich der Wirbelsäule. In: Hankemeier, U.B., Hildebrandt, J. (eds) Neurodestruktive Verfahren in der Schmerztherapie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-97722-0_11

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  • DOI: https://doi.org/10.1007/978-3-642-97722-0_11

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-63625-0

  • Online ISBN: 978-3-642-97722-0

  • eBook Packages: Springer Book Archive

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