The thoracolumbar transversospinal muscles are vital in normal function and are implicated in the pathogenesis of different forms of spinal pathology and pain. They are the target for specific forms of clinical intervention such as exercise regimens and the release of �trigger points�, and are often analysed through imaging studies and electromyographic recordings.
Despite the importance of these muscles, there is a paucity of knowledge in regard to aspects of their functional morphology. The aim of this thesis was to examine the thoracolumbar transversospinal muscles between the mid-thoracic spine and sacrum, examining their gross morphology, fibre arrangement, fibre types, and an animal model in order to provide a better understanding of their functional morphology.
The gross morphology of these muscles was studied by micro-dissection of cadaveric material. Their form was found to differ from that published in either text book or peer reviewed articles, clearly indicating the existence of a �semispinalis� muscle in the lumbar spine. In addition, the arrangement of these muscles was found to be homologous between the thoracic and lumbar regions, which is contrary to published descriptions.
Arrangement of the muscle fibres was examined by identifying motor endplates with acetylcholinesterase histochemistry in all muscles throughout the area of interest. Only one endplate per fibre was observed, and no in-series fibres were found. All muscles showed a complex multipinnate form with large areas of muscle tendon intruding into each muscle.
Fibre type proportions in each muscle were investigated by immunohistochemistry. Results indicate the percentage of total muscle area occupied by type I fibres decreased the more caudad the vertebral level of origin, for all muscles. There were significant differences in the area percentage of type I fibres between many different vertebral levels. These differences were mostly found between the most cranial and most caudal levels examined. The percentage of type I fibres recorded suggest all muscles are likely postural in function, and the gradual decrease in type I fibres and the lack of a distinct thoracic / lumbar boundary in the data suggests the thoracic and lumbar transversospinal muscles are homologous.
The thoracolumbar transversospinal muscles of the MLC3F nlacZ transgenic mouse were micro-dissected to determine their morphology, and their fibre arrangement subsequently determined using acetylcholinesterase histochemistry. These muscles showed a homogeneous form throughout the thoracolumbar spine, and no in-series muscle fibres were observed with all muscles having one motor endplate per fibre. Results indicated similarities between the morphology of mouse and human transversospinal muscles, perhaps indicative of an adaptation to an upright posture.
This thesis provides information that facilitates a more complete understanding of the morphology and function of the thoracolumbar transversospinal muscles. In addition, results indicate that these muscles are homologous through the thoracic and lumbar spine, and therefore the classification and nomenclature used to describe these muscles should be re-examined. Furthermore, the morphological evidence, combined with recent embryological studies, supports the use of the term �spinotransverse� to more accurately describe this muscle group.
| Identifer | oai:union.ndltd.org:ADTP/243051 |
| Date | January 2009 |
| Creators | Cornwall, Jonathan Edgar, n/a |
| Publisher | University of Otago. Department of Anatomy & Structural Biology |
| Source Sets | Australiasian Digital Theses Program |
| Language | English |
| Detected Language | English |
| Rights | http://policy01.otago.ac.nz/policies/FMPro?-db=policies.fm&-format=viewpolicy.html&-lay=viewpolicy&-sortfield=Title&Type=Academic&-recid=33025&-find), Copyright Jonathan Edgar Cornwall |
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