ORIGIN OF NERVES SUPPLYING THE POSTERIOR PORTION OF LUMBAR INTERVERTEBRAL DISCS IN RATS

Study Design. The authors studied the origin of nerves supplying the p osterior portion of lumbar intervertebral discs in rats by resection o f the sympathetic trunks. Objective. To understand discogenic low back pain from the innervation of the lumbar intervertebral discs. Summary of Background Data. The afferent pathways of discogenic low back pain have not been studied thoroughly. It has been reported that stimulati on of an inflamed lower spinal nerve root elicits leg pain but not low back pain and that stimulation of the posterior portion of lumbar int ervertebral discs evokes only low back pain. These facts suggest that pain sensation from the posterior portion of lumbar discs is not trans mitted via the lower spinal nerve roots. Methods. Forty-five Wistar ra ts were used. Seven days after the resection of sympathetic trunks wit h ganglia at different levels, the whole lumbar spine was stained by a n acetylcholinesterase histochemical method. The posterior portions of lumbar intervertebral discs were observed. Results. The dense nerve n etwork on the posterior portion of lumbar intervertebral discs had dis appeared almost completely after total resection of bilateral sympathe tic trunks at L2-L6. However, there was a slight decrease in the netwo rk after bilateral single-level-resection or unilateral multisegmental resection. Conclusions. The results showed that the posterior portion of lumbar intervertebral discs was innervated by the sympathetic nerv es multisegmentally and bilaterally.