Ectasia dural y dolor lumbar en pacientes con síndrome de Marfan
- M. P. Sanz Ayán
- Alberto Forteza Gil
- Antonio Alvarez Badillo
- Alfonso Lagares
- A. Ramos González
- V. Sánchez Sánchez
- José M. Cortina Romero
ISSN: 1888-6116
Year of publication: 2011
Volume: 22
Issue: 4
Pages: 248-255
Type: Article
More publications in: Trauma
Abstract
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.