Thoracolumbar junction syndrome (Maigne Syndrome): Review Torakolomber bileşke sendromu (Maigne Sendromu)
Journal of Rheumatology and Medical Rehabilitation, cilt.19, sa.4, ss.200-207, 2008 (Scopus)
- Yayın Türü: Makale / Derleme
- Cilt numarası: 19 Sayı: 4
- Basım Tarihi: 2008
- Dergi Adı: Journal of Rheumatology and Medical Rehabilitation
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.200-207
- Anahtar Kelimeler: Back pain, Low back pain, Zygapophyseal joint
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Thoracolumbar junction syndrome (TLJ), also known as Maigne's Syndrome is commonly overlooked in the differantial diagnosis of low back pain. TLJ is comprised of the T10-11, T11-12, and T12-L1 motion segments. This transitional area, interposed between the thoracic and lumbar spine, is often the source of a characteristic pain syndrome characterized by a referral of the pain in related dermatomes. This syndrome is fully described and studied by Robert Maigne in 1974. The pain is result from facet joint dysfunction. In very rare cases, the problem may be due to a prolapsed intervertebral disc. The most frequent manifestation of this thoracolumbar junction syndrome is low back pain, which is exactly like low back pain of lumbosacral or sacroiliac origin. There may also be lower abdominal pain mimicking visceral problems, or pain mimicking trochanter bursitis; in an even smaller number of cases, there may be pubic pain. The pain is due to reflex tissue disturbances as a result of a cellulotenoperiosteomyalgic syndrome of spinal origin. Thoracolumbar junction syndrome is diagnosed exclusively on clinical criteria. The back pain originated from the TLJ is confirmed by posterior iliac crest point sign, positive pinch and rolling test, clinical evidence of spesific level involvement in the TLJ, tenderness to the deep palpation over the involved apophyseal joints and spesific response to diagnostic blockage with local anaesthetic. The syndrome is usually treated with local injection and manipulation. Rehabilitation is directed toward restoring proper thoracolumbar mechanics. Copyright © 2008 by Türk Tibbi Rehabilitasyon Kurumu Derneǧi.