Origin of Nerves Supplying the Posterior Portion of Lumbar Intervertebral Discs in Rats

Study Design The authors studied the origin of nerves supplying the posterior portion of lumbar intervertebral discs in rats by resection of 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 stimulation of an inflamed lower spinal nerve root elicits leg pain but not low back pain and that stimulation of the posterior portion of lumbar intervertebral discs evokes only low back pain. These facts suggest that pain sensation from the posterior portion of lumbar discs is not transmitted via the lower spinal nerve roots. Methods Forty-five Wistar rats were used. Seven days after the resection of sympathetic trunks with ganglia at different levels, the whole lumbar spine was stained by an acetylcholinesterase histochemical method. The posterior portions of lumbar intervertebral discs were observed. Results The dense nerve network on the posterior portion of lumbar intervertebral discs had disappeared almost completely after total resection of bilateral sympathetic trunks at L2-L6. However, there was a slight decrease in the network 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 nerves multisegmentally and bilaterally.