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Research ArticleArticle
Open Access

Lumbar Dorsal Root Ganglia Location: An Anatomic and MRI Assessment

Michael P Silverstein, Lynn J Romrell, Edward C Benzel, Nicolas Thompson, Sandra Griffith and Isador H Lieberman
International Journal of Spine Surgery January 2015, 9 3; DOI: https://doi.org/10.14444/2003
Michael P Silverstein
1Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, OH
2Center for Spine Health, Cleveland Clinic Foundation, Cleveland OH
MD
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Lynn J Romrell
3Department of Anatomy, College of Medicine, Florida State University, Tallahassee, FL
PhD
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Edward C Benzel
2Center for Spine Health, Cleveland Clinic Foundation, Cleveland OH
4Department of Neurological Surgery, Cleveland Clinic Foundation, Cleveland, OH
MD
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Nicolas Thompson
5Department of Quantitative Health Sciences, Cleveland Clinic Foundation, Cleveland, OH
PhD
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Sandra Griffith
5Department of Quantitative Health Sciences, Cleveland Clinic Foundation, Cleveland, OH
PhD
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Isador H Lieberman
6Scoliosis and Spine Tumor Center, Texas Back Institute, Plano, TX
MD, MBA
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  • Fig. 1
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    Fig. 1

    DRG region. Zone 1 and 2: intraspinal; Zone 3: medial neuroforamina; Zone 4: lateral neuroforamina; Zone 5: extraforaminal space.

  • Fig. 2
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    Fig. 2

    DRG Size (mm). Width is the width of DRG at the pin (maximal width of DRG). The nerve root angle is determined from sin(O) calculated by the right/diagonal lines relative to the width.

Tables

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    Table 1

    Lumbar Spine Demographic.

    DRG Size (mm)LeftRight
    L1L2L3L4L5L1L2L3L4L5
    Width: mean3.24.34.96.16.53.24.34.96.16.5
    Width: sem0.70.40.30.40.50.70.40.30.40.5
    DRG RegionLeftRight
    L1L2L3L4L5L1L2L3L4L5
    Zone: mean3.03.03.53.94.33.03.13.53.84.2
    Zone: sem0.30.10.10.10.10.30.20.10.10.1
    Intervertebral Foramina Size (mm)LeftRight
    L1L2L3L4L5L1L2L3L4L5
    AP: mean6.67.47.68.48.76.87.27.48.58.6
    AP: sem0.20.20.30.40.40.40.20.30.20.4
    PP: mean7.28.19.410.110.17.38.59.410.410.3
    PP: sem1.80.70.80.80.71.80.70.80.80.7
    Pedicle width (medial to lateral) (mm)LeftRight
    L1L2L3L4L5L1L2L3L4L5
    Width: mean7.07.07.88.79.76.77.17.98.99.7
    Width: sem0.30.30.20.30.40.20.30.20.40.4
    Nerve Root AngleLeftRight
    L1L2L3L4L5L1L2L3L4L5
    Angle (rounded to nearest 10th)50.552.255.257.458.850.552.255.257.256.3
    • Key: DRG Region zone 1 and 2: intraspinal; zone 3: medial neuroforamina; zone 4: lateral neuroforamina; zone 5: extraforaminal space. Intervertebral Foraminal Size. Anteriorposterior (AP): maximal distance from posterior body/disk to facet joint. Pedicle to pedicle (PP) distance: inferior border of upper to superior border of lower pedicle. SEM: standard error of the mean. Angle determined via sin(O) = right/diagonal.

    • View popup
    Table 2
    Raw ValuesModel-Adjusted Values
    LevelProportion Agree% Agree% Agree (95% Confidence Interval)
    18/1266.7----
    222/2975.977.4 (58.0, 89.5)
    325/3278.179.4 (61.2, 90.4)
    428/3287.588.6 (71.9, 95.9)
    530/3293.894.4 (79.0, 98.7)
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International Journal of Spine Surgery
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1 Jan 2015
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Lumbar Dorsal Root Ganglia Location: An Anatomic and MRI Assessment
Michael P Silverstein, Lynn J Romrell, Edward C Benzel, Nicolas Thompson, Sandra Griffith, Isador H Lieberman
International Journal of Spine Surgery Jan 2015, 9 3; DOI: 10.14444/2003

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Lumbar Dorsal Root Ganglia Location: An Anatomic and MRI Assessment
Michael P Silverstein, Lynn J Romrell, Edward C Benzel, Nicolas Thompson, Sandra Griffith, Isador H Lieberman
International Journal of Spine Surgery Jan 2015, 9 3; DOI: 10.14444/2003
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Keywords

  • lumbar spine
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