Ligamentum flavum


Connects the laminae of adjacent vertebrae, all the way from the second vertebra, axis, to the first segment of the sacrum.

Each ligament consists of two lateral portions which commence one on either side of the roots of the articular processes, and extend backward to the point where the laminae meet to form the spinous process.

The posterior margins of the two portions are in contact and to a certain extent united, slight intervals being left for the passage of small vessels.

Consists of yellow elastic tissue, the fibers of which, almost perpendicular in direction, are attached to the anterior surface of the lamina above, some distance from its inferior margin, and to the posterior surface and upper margin of the lamina below.

In the neck region the ligaments are thin, but broad and long; they are thicker in the thoracic region, and thickest in the lumbar region.

Has marked elasticity and serves to preserve the upright posture, and to assist the vertebral column in resuming it after flexion.

The elastin prevents buckling of the ligament into the spinal canal during extension, which would cause canal compression.

Hypertrophy of this ligament may cause spinal stenosis, particularly in patients with diffuse idiopathic skeletal hyperostosis, because it lies in the posterior portion of the vertebral canal.

The process of thickening and hypertrophy of these ligaments can be linked to a fibrosis process with growing increase in collagen type VI, and this increase could represent an adaptive and reparative process associated with the rupture of elastic fibers.

With aging disk shrinkage can cause the ligament flavum to fold inward, crowding the spinal cord and nerve roots.


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