Opens in a new tab
Home › Body Atlas › Joints › Posterior Annular Fibres (Lumbar Disc)
Joint Lower Back

Posterior Annular Fibres (Lumbar Disc)

fibrae anuli fibrosi posteriores (discus intervertebralis lumbalis)

The posterior annulus is the critical zone for disc herniation, posterolateral fibres lack PLL reinforcement and experience the highest tensile forces during lumbar flexion with rotation. Sequential fibre failure produces the radial fissure through which the nucleus pulposus herniates to compress adjacent nerve roots. The posterolateral herniation at L4-L5 and L5-S1 compresses the L5 and S1 roots respectively.

Anatomical Data

Structure

Bones
  • Ring apophyses and endplates of adjacent lumbar vertebral bodies
Ligaments
Biomechanics

Function & Actions

Movements
  • Small flexion and extension
  • Small lateral flexion
  • Small rotation
  • Resists these movements at the end of range
Clinical Relevance

Clinical Notes

L4-L5 posterolateral disc herniation compresses the traversing L5 root (not the exiting L4) producing foot dorsiflexion weakness, first toe weakness, and lateral leg numbness. L5-S1 herniation compresses S1 producing ankle plantarflexion weakness, reduced Achilles reflex, and lateral foot numbness. Discectomy removes the herniated fragment, the remaining annulus heals over 6-8 weeks.

Pathology

Common Injuries & Conditions

Posterolateral Disc Herniation

Posterior annulus radial tear allowing nucleus herniation to compress traversing nerve root managed with conservative physiotherapy or microdiscectomy for refractory radiculopathy.

This website uses cookies to enhance your browsing experience and ensure the site functions properly. By continuing to use this site, you acknowledge and accept our use of cookies.

Accept All Accept Required Only