Duncan R W, Esses S
Watauga Orthopaedics, Johnson City, Tennessee, USA.
Spine (Phila Pa 1976). 1995 May 15;20(10):1197-8. doi: 10.1097/00007632-199505150-00016.
This is a report of a 31-year-old woman with Marfan syndrome with severe back pain secondary to pedicle fractures of the lumbar spine resulting from attenuation of the pedicles.
To report and discuss a case of Marfan syndrome.
The authors report the clinical course of a patient with Marfan syndrome and pedicle fractures secondary to thinning of the pedicles.
After initial diagnosis of Marfan syndrome was confirmed, radiologic techniques, including magnetic resonance imaging and bone scan, were used to evaluate any abnormalities of the lumbar spine.
The patient was treated with pain medications and activity modification, which allowed for no marked improvement.
Thinning and possible fracturing of the pedicles should be considered as an etiology of back pain in the patient with Marfan syndrome.
本文报告一名31岁患有马凡综合征的女性，因椎弓根变薄导致腰椎椎弓根骨折继发严重背痛。
报告并讨论一例马凡综合征病例。
作者报告了一名患有马凡综合征且因椎弓根变薄继发椎弓根骨折患者的临床病程。
在确诊马凡综合征后，采用包括磁共振成像和骨扫描在内的放射学技术评估腰椎的任何异常情况。
患者接受了止痛药物治疗并调整了活动，但疼痛无明显改善。
椎弓根变薄及可能发生的骨折应被视为马凡综合征患者背痛的病因。
