Uso de espaciadores interespinosos en pacientes con hernia de disco lumbar, dos años de seguimiento



Document title: Uso de espaciadores interespinosos en pacientes con hernia de disco lumbar, dos años de seguimiento
Journal: Revista de especialidades médico-quirúrgicas
Database: PERIÓDICA
System number: 000349679
ISSN: 1665-7330
Authors: 1
Institutions: 1Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Hospital Regional Presidente Juárez, Oaxaca. México
Year:
Volumen: 17
Number: 2
Pages: 87-93
Country: México
Language: Español
Document type: Estadística o encuesta
Approach: Caso clínico
Spanish abstract un promedio de 63.3%; sólo una paciente tuvo malos resultados; en la EVA preoperatoria resultó con dolor radicular (en la pierna) de ocho puntos, así como dolor lumbar de ocho puntos; a los seis meses bajó seis puntos en ambas mediciones, pero la paciente padecía mucha limitación. Conclusiones: los espaciadores interespinosos son una opción más del arsenal terapéutico para el tratamiento quirúrgico de la hernia discal, porque por lo menos a dos años de seguimiento obtuvimos resultados excelentes en pacientes seleccionados, pues el dolor lumbar y el dolor radicular disminuyeron y el índice de discapacidad mejoró
English abstract Objective: To show that back pain and radicular pain of the patient are reduced by diminishing charges, in press, in the disk and that the segment maintains its mobility. Patients and methods: A prospective, longitudinal and clinical research conducted at the Hospital Regional Presidente Juárez, ISSSTE Oaxaca City was performed in patients operated on and diagnosed with lumbar disc herniation in segments L3-4, L4-5 and L5-S1, as demonstrated by nuclear magnetic resonance in the period from July 2008 to June 2009. There were 26 patients and of these, 17 were female (65.3%), the follow up period was 24 months and age of patients ranged from 15 to 50 years, with an average age of 29 years. According to the disc herniation found, 22 herniated discs corresponded to the segment L4-5, 14 at L5-S1 segment, and 10, the segments L4-5 and L5-S1; there were 36 disc herniations in 26 patients, thus there were 10 double hernias. Fields were prepared to place Lixus OXPEKK® -IG and LS Lixus OXPEKK® -IG, and once placed the test implants, definitive implants Lixus OXPEKK® -IG and LS Lixus OXPEKK® -IG were prepared. Results: We evaluated all patients with visual analog scale (VAS) and the Oswestry Disability Index. The analog measurement of preoperative leg pain (radicular pain) was 8.7, the 26 patients fulfilled 24 months follow up and remained at 0.5 points on the VAS, which means that the pain was reduced 94%. Regarding back pain measured by VAS, patients had on average 8.4 points, at 24 months were up by 1.5 points, which means that patients had (so far) an improvement of 82%. Also they were assessed with the Oswestry Disability Index, the preoperative disability index was 84% and the lowest was 48%, with an average of 63.3%, only one patient had poor results, the preoperative VAS pain was radicular (leg) of eight points as well as back pain, at six months it reduced six points in both measurements, but the patient suffered from many limitations. Conclusions: ..
Disciplines: Medicina
Keyword: Cirugía,
Traumatología y ortopedia,
Hernia discal,
Espaciadores,
Lumbalgia,
Dolor lumbar,
Indice funcional de Oswestry,
Escala visual analógica
Keyword: Medicine,
Surgery,
Traumatology and orthopedics,
Disk hernia,
Spacers,
Lumbalgia,
Lumbar pain,
Oswestry disability index,
Visual analogous scale
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