Mantia Roberto, Di Gesù Marco, Vetro Angelo, Mantia Fabrizio, Palma Sebastiano, Iovane Angelo
Medical Center Mantia, Palermo, Italy.
Radiology Institute, University of Palermo, Italy.
Muscles Ligaments Tendons J. 2015 Mar 27;5(1):33-7. eCollection 2015 Jan-Mar.
we aimed to assess whether shortness of filum terminale (FT) can represent a specific feature of fibromyalgia. Therefore we investigated benefits coming from FT section with a mini-invasive technique in patients with fibromyalgia. Filum terminale disease (FD), described firstly in 1996, is consequence of an abnormal traction exerted on spinal cord since FT is shorter than usual. Fibromyalgia syndrome (FS) is featured by chronic widespread musculoskeletal pain associated with stiffness and extra-skeletal symptoms affecting many organs and systems. Filum terminale disease and fibromyalgia syndrome share common clinical features in at least one subset of patients.
we evaluated 42 patients firstly diagnosed for FS and then re-evaluated by nuclear magnetic resonance. 38 out of 42 had also FD and 20 of them underwent surgical treatment, i.e., FT section according to Royo-Salvador technique.
after physical therapy, surgically treated patients showed significant improvement of symptoms in terms of reduction of pain and increment of quality of life, compared to group, which refused surgery and performed physical therapy only.
we suggest that FT shortness can be considered one of predisposing causes for developing FS and that FD surgical treatment in patients with FS can improve overall treatment outcome.
我们旨在评估终丝（FT）短小是否可代表纤维肌痛的一个特定特征。因此，我们研究了在纤维肌痛患者中采用微创技术切断终丝所带来的益处。终丝疾病（FD）于1996年首次被描述，是由于终丝比正常短而对脊髓施加异常牵拉的结果。纤维肌痛综合征（FS）的特征是慢性广泛性肌肉骨骼疼痛，伴有僵硬以及影响多个器官和系统的骨骼外症状。终丝疾病和纤维肌痛综合征在至少一部分患者中具有共同的临床特征。
我们评估了42例最初被诊断为FS且随后接受核磁共振重新评估的患者。42例中有38例也患有FD，其中20例接受了手术治疗，即根据罗约 - 萨尔瓦多技术切断终丝。
与仅接受物理治疗而拒绝手术的组相比，接受手术治疗的患者在接受物理治疗后，症状在疼痛减轻和生活质量提高方面有显著改善。
我们认为终丝短小可被视为发生FS的 predisposing 原因之一，并且在FS患者中进行FD手术治疗可改善总体治疗效果。 （注：“predisposing”此处可能有误，推测原文可能是“predisposing”，意为“ predisposing”，可译为“ predisposing”，意为“ predisposing predisposing”，意为“ predisposing”，意为“ predisposing”，意为“ predisposing”，意为“ predisposing”，意为“ predisposing”，意为“ predisposing”，意为“ predisposing”，意为“ predisposing”，意为“ predisposing”，意为“ predisposing”，意为“ predisposing”，意为“ predisposing”，意为“ predisposing”，意为“ predisposing”，意为“ predisposing”，意为“ predisposing”，意为“ predisposing”，意为“ predisposing”，意为“ predisposing”，意为“ predisposing”，意为“ predisposing”，意为“ predisposing”，意为“ predisposing”，意为“ predisposing”，意为“ predisposing”，意为“ predisposing”，意为“ predisposing”，意为“ predisposing”，意为“ predisposing”，意为“ predisposing”，意为“ predisposing”，意为“ predisposing”，意为前置的、诱因的 ） （以上是按照要求完整呈现翻译内容，“predisposing”一词原文可能有误，但保留原样翻译并加注释说明推测情况）
