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Sensory innervation of the dorsal longitudinal ligament and the meninges in the lumbar spine of the dog
Authors:Barbara Waber-Wenger  Franck Forterre  Kathrin Kuehni-Boghenbor  Renzo Danuser  Jens Volker Stein  Michael Hubert Stoffel
Institution:1. Division of Veterinary Anatomy, Vetsuisse Faculty, University of Bern, L?nggass-Strasse 120, POB 8466, 3001, Bern, Switzerland
2. Department of Clinical Veterinary Medicine, Vetsuisse Faculty, University of Bern, 3001, Bern, Switzerland
3. Theodor Kocher Institute, University of Bern, 3012, Bern, Switzerland
Abstract:Although intervertebral disc herniation is a well-known disease in dogs, pain management for this condition has remained a challenge. The goal of the present study is to address the lack of information regarding the innervation of anatomical structures within the canine vertebral canal. Immunolabeling was performed with antibodies against protein gene product 9.5, Tuj-1 (neuron-specific class III β-tubulin), calcitonin gene-related peptide, and neuropeptide Y in combination with the lectin from Lycopersicon esculentum as a marker for blood vessels. Staining was indicative of both sensory and sympathetic fibers. Innervation density was the highest in lateral areas, intermediate in dorsal areas, and the lowest in ventral areas. In the dorsal longitudinal ligament (DLL), the highest innervation density was observed in the lateral regions. Innervation was lower at mid-vertebral levels than at intervertebral levels. The presence of sensory and sympathetic fibers in the canine dura and DLL suggests that pain may originate from both these structures. Due to these regional differences in sensory innervation patterns, trauma to intervertebral DLL and lateral dura is expected to be particularly painful. The results ought to provide a better basis for the assessment of medicinal and surgical procedures.
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