Neural foraminal ligaments of the lumbar spine: appearance at CT and MR imaging

Axial and parasagittal computed tomographic (CT) scans and magnetic resonance (MR) images and exactly corresponding sections obtained with the freezing microtome in 18 human cadavers were examined to characterize the radiologic appearance of the lumbar neural forminal ligaments, which have been thought to contribute to nerve root compression. In the CT component of this study, 114 neural foramina at 57 spinal levels were studied; in the MR component, 27 neural foramina were studied. The ligaments originated from the posterolateral margin of the intervertebral disk and attached to the inferior pedicle, superior articular process, transverse process, or ligamentum flavum. On CT scans, they appeared as linear structures with higher attenuation coefficients than those of the adjacent fat and areolar tissue; on MR images, as linear structures with lower signal intensities than those of the adjacent fat and areolar tissue in the neural foramina. It is concluded that the ligaments in the neural foramen can be effectively depicted with CT or MR imaging.