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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.
The cord is stabilized within the dura mater by the connecting denticulate ligaments, which extend from the enveloping pia mater laterally between the dorsal and ventral roots.
The pia mater attaches to the dura mater through 21 pairs of denticulate ligaments that pass through the arachnoid mater and dura mater of the spinal cord.
The pia mater of the spinal cord has a pair of denticulate ligaments (one on each side of the spinal cord) with 21 attachments per side which attach it to the arachnoid and dura maters.
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.