Aparato Locomotor

Vol 22 nº 4 Octubre/Diciembre 2011

Imprimir Histórico de publicaciones

Ectasia and lumbar pain associated with marfan syndrome

Sanz Ayán MP1, Forteza Gil A2, Álvarez Badillo A3, Lagares Gómez-Abascal A4, Ramos González A5, Sánchez Sánchez V6, Cortina Romero JM2

1 Unidad de Síndrome de Marfan. Servicio de Medicina Física y Rehabilitación,
2 Servicio de Cirugía Cardiaca, Hospital Universitario 12 de Octubre.
3 Departamento de Medicina Física y Rehabilitación de la Universidad Complutense Madrid.
4 Servicio de Neurocirugía.
5 Servicio de Radiología.
6 Servicio de Cardiología, Hospital Universitario 12 de Octubre de Madrid.

Objetive: Evaluate clinically and radiographically whether the presence and size of dural ectasia (ED) is associated with low back pain in patients with Marfan syndrome (MS).

Material and method: 92 patients diagnosed with MS according to Ghent criteria were studied prospectively for one year. Underwent a medical history, imaging tests, including a lumbar spine MRI volumetric and 3 questionnaires were given: SRS 22 (Scoliosis Research Society) and SF 36 v-2 and Oswestry Disability Index subdivided according to the sample in group I (patients with moderate lower back pain and / or severe) and group II (patients without pain).

Results: Multivariate analysis of variables related to low back pain, the ED reached statistical significance. ED was present in 75.9% of patients in group I, and 49.2% in group II. The presence of ED is associated with low back pain in patients with MS with an OR of 3.24 (1.21 to 8.68) p = 0.016 and the presence of vertebral deformity (scalloping) with an OR of 129, 83 (16.1 to 1047.74) p <0.001.

Conclusion: The presence and size of ED was significantly associated with LBP in the SM but the «scalloping» does not affect the increased intensity of pain.

Key words: Spinal canal. Dural Ectasia, low Back pain. Rehabilitation. Marfan syndrome. Central nervous system.

Correspondencia:

MP Sanz Ayán
Servicio de Rehabilitación. Hospital 12 de Octubre.
Av de Andalucía s/n Km 5,4 C.P. 28041 Madrid.
ayan0@yahoo.es


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