Clinical anatomy of the superior cluneal nerve in relation to easily identifiable bony landmarks

dc.contributor.authorLoubser, Leigh
dc.contributor.authorRaath, R.P.
dc.contributor.authorVan Schoor, Albert-Neels
dc.date.accessioned2016-02-15T05:13:00Z
dc.date.available2016-02-15T05:13:00Z
dc.date.issued2015
dc.description.abstractBACKGROUND : Lower back pain (LBP) remains a common ailment among adult populations and a superior cluneal nerve (SCN) entrapment accounts for 10% of reported LBP cases. The diagnostic criteria for SCN entrapment include anaesthesia of the area supplied by the SCN after performing a nerve block. Several surgical reports describe the anatomy of the SCN but purely anatomical studies of the course of the SCN are rare. This study aimed to describe the location of the SCN in relation to easily identifiable bony landmarks. METHODS : The SCN was identified as it pierced the thoracolumbar fascia and crossed over the posterior part of the iliac crest on both sides of 27 adult cadavers. A sliding dial calliper was used to measure the distance from the posterior superior iliac spine (PSIS) to the SCN and from the midline lumbar spinous processes to the nerve. RESULTS : The PSIS to SCN measurement was found to be 69.6 ± 15.0 mm (mean ± SD) while the midline to SCN measurement was 72.1 ± 10.2 mm. DISCUSSION : This study showed clear gender differences in the PSIS to SCN measurement, due to the sexual dimorphism of the bony pelvis. There was also found to be a positive correlation between the height of the sample and the distances of the SCN from both the midline and PSIS. This study provides a clear anatomical description of the course of the SCN as it crosses the iliac crest, which will allow for the successful identification of the SCN.en_ZA
dc.description.librarianam2015en_ZA
dc.description.urihttp://www.sajaa.co.za/index.php/sajaaen_ZA
dc.identifier.citationLoubster, L, Raath, RP & Van Schoor, AN 2015, 'Clinical anatomy of the superior cluneal nerve in relation to easily identifiable bony landmarks', Southern African Journal of Anaesthesia and Analgesia, vol. 21, no. 3, pp. 77–80.en_ZA
dc.identifier.issn2220-1181 (print)
dc.identifier.issn2220-1173 (online)
dc.identifier.other10.1080/22201181.2015.1054612.
dc.identifier.urihttp://hdl.handle.net/2263/51362
dc.language.isoenen_ZA
dc.publisherMedPharm Publicationsen_ZA
dc.rights© 2015 The Author(s). Open Access article distributed under the terms of the Creative Commons License [CC BY-NC-ND 4.0] http://creativecommons.org/licenses/by-nc-nd/4.0.en_ZA
dc.subjectBone harvestingen_ZA
dc.subjectEntrapment syndromeen_ZA
dc.subjectRegional nerve blocken_ZA
dc.subjectLower back pain (LBP)en_ZA
dc.subjectSuperior cluneal nerve (SCN)en_ZA
dc.subject.otherHealth sciences articles SDG-03
dc.subject.otherSDG-03: Good health and well-being
dc.subject.otherHealth sciences articles SDG-17
dc.subject.otherSDG-17: Partnerships for the goals
dc.titleClinical anatomy of the superior cluneal nerve in relation to easily identifiable bony landmarksen_ZA
dc.typeArticleen_ZA

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