The pia mater

Pia mater

Pia mater often referred to as simply the pia, is the delicate innermost layer of the meninges, the membranes surrounding the brain and spinal cord. The word finds its roots in Latin, meaning literally "tender mother." The other two meningeal membranes are the dura mater and the arachnoid mater....

 of the spinal cord

Spinal cord

The spinal cord is a long, thin, tubular bundle of nervous tissue and support cells that extends from the brain . The brain and spinal cord together make up the central nervous system...

 has a pair of denticulate ligament

Ligament

In anatomy, the term ligament is used to denote any of three types of structures. Most commonly, it refers to fibrous tissue that connects bones to other bones and is also known as articular ligament, articular larua, fibrous ligament, or true ligament.Ligament can also refer to:* Peritoneal...

s (one on each side of the spinal cord) with 21 attachments per side which attach it to the arachnoid

Arachnoid mater

The arachnoid mater, literally from Latin "spider -like mother", is one of the three meninges, the membranes that cover the brain and spinal cord...

 and dura mater

Dura mater

The dura mater , or dura, is the outermost of the three layers of the meninges surrounding the brain and spinal cord. It is derived from Mesoderm. The other two meningeal layers are the pia mater and the arachnoid mater. The dura surrounds the brain and the spinal cord and is responsible for...

s. Named for their tooth-like appearance, the denticulate ligaments are traditionally believed to provide stability for the spinal cord against motion within the vertebral column

Vertebral column

In human anatomy, the vertebral column is a column usually consisting of 24 articulating vertebrae, and 9 fused vertebrae in the sacrum and the coccyx. It is situated in the dorsal aspect of the torso, separated by intervertebral discs...

. Fortunately, from a clinical standpoint, denticulate ligaments do not play a significant role in lumbar spinal stenosis when compared to issues such as disc herniations, facet hypertrophy, shape of spinal canal, size of spinal canal, ligamentum flavum hypertrophy, or degenerative joint disease resulting in bony osteophyte formation.

Additional images

These ligaments may be affected by altered motion and position of the vertebral segments.

Sources

• Clinically Oriented Anatomy. Moore, Keith and Arthur F. Dalley. Philadelphia, Lipincott, Williams and Williams 2006.