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Journal of Korean Neurosurgical Society > Volume 21(5); 1992 > Article
Journal of Korean Neurosurgical Society 1992;21(5): 538-545.
Microsurgical Structure of Conus Medullaris.
Hack Gun Bae, Soon Kwan Choi, Kyeong Seok Lee, Il Gyu Yun, Won Han Shin, Bark Jang Byun, In Soo Lee
Department of Neurosurgery, College of Medicine, Soonchunhyang University, Chonan, Korea.
ABSTRACT
To identify the corresponding cord segment for each root at the level of conus medullaris, a dissecting microscopic study was carried out on the spinal cord of 14 adult cadavers. We measured following contents:1) the longitudinal extent of the medullary segment of origin of each root:2) the distance from the lowest rootlet of the conus to the highest portion of the medullary segment of each root:3) the distance from the conus tip to the lowest portion of the medullary segment of each root:4) the morphological features of root-spinal cord juncton, intrathecal anastomoses, and others. We measured on the basis of the last rootlet ecause of no clear distinction between the conus and filum terminale. Our values showed considerable variation from one case to another. The average length of the whole lumbar and sacral segment was 50 mm and 30 mm, respectively. The S-1 root was the largest. Intrathecal intersegmental anastomoses were found in all cases examined, and usually consisted of small caliber rootlets connecting the spinal roots of adjacent segments. We emphasize the importance of microsurgical structure of conus medullaris when performing an operation of dorsal root entry zone or myelotomy for the relief or spasticity or intractable pain of lower extremities.
Key Words: Conus medullaris; Spinal root; Microsurgical structure; Dorsal root entry zone
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