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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Muscles+Ligaments+Tendons+J
2015 ; 5
(1
): 33-7
Nephropedia Template TP
gab.com Text
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English Wikipedia
Shortness of filum terminale represents an anatomical specific feature in
fibromyalgia: a nuclear magnetic resonance and clinical study
#MMPMID25878985
Mantia R
; Di Gesł M
; Vetro A
; Mantia F
; Palma S
; Iovane A
Muscles Ligaments Tendons J
2015[Jan]; 5
(1
): 33-7
PMID25878985
show ga
BACKGROUND: 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.
METHODS: 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.
RESULTS: 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. CONCLUSION: 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.