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    "cita" => "Neurocirugia. 1992;3:13-9"
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      "titulo" => "A very large proportion of human brain tumours show DNA alterations at the EGF-R gene"
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          "autoresLista" => "A. Del Arco, J. García, M. Izquierdo"
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            0 => array:2 [
              "nombre" => "A."
              "apellidos" => "Del Arco"
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            2 => array:2 [
              "nombre" => "M."
              "apellidos" => "Izquierdo"
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          "autoresLista" => "J.M. Izquierdo, M.G. Blázquez"
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            0 => array:2 [
              "nombre" => "J.M."
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              "nombre" => "M.G."
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    "titulo" => "Tratamiento alternativo de la hernia discal lumbo-sacra. Nuclectomía percutánea automatizada. Nuestra experiencia en 50 pacientes"
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        "autoresLista" => "F. San Emeterio Samperio, J. Ailagas de las Heras, J.M. Coca Martín, J.I. Díaz de Tuesta"
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          0 => array:2 [
            "nombre" => "F."
            "apellidos" => "San Emeterio Samperio"
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          1 => array:2 [
            "nombre" => "J."
            "apellidos" => "Ailagas de las Heras"
          ]
          2 => array:2 [
            "nombre" => "J.M."
            "apellidos" => "Coca Martín"
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          3 => array:2 [
            "nombre" => "J.I."
            "apellidos" => "Díaz de Tuesta"
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        "afiliaciones" => array:1 [
          0 => array:1 [
            "entidad" => "Servicio de Neurocirugía. Hospital Clínico Universitario, Valladolid"
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            0 => "Nuclectomía percutánea"
            1 => "Hernia discal"
            2 => "Presión intradiscal"
            3 => "Protrusión discal"
            4 => "Ciatalgia"
          ]
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            0 => "Percutaneous nuclectomy"
            1 => "Discal herniation"
            2 => "Intradiscal pressure"
            3 => "Discal protrusion"
            4 => "Leg-Radiating pain"
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        "titulo" => "Resumen"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Hemos seleccionado 50 pacientes afectos de hernia discal no emigrada&#44; mediante estudios radiol&#243;gicos y exploraci&#243;n cl&#237;nica&#44; con criterios rigurosos&#58; Lasegue a menos de 70 grados y datos positivos neurorradiol&#243;gicoso Han sido intervenidos mediante nuclectom&#237;a automatizada percut&#225;nea con resultados altamente satisfactorios&#46; Cuatro pacientes son considerados como malos resultados&#46; Seis regulares y 40 buenos&#46; No hemos apreciado complicaciones&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La cantidad de material discal extra&#237;do fue como media 2&#8217;4 gramos&#44; sin que esa cantidad mayor o menor influyese en el resultado&#44; lo que parece indicar que la mejor&#237;a se debe a descompresi&#243;n de la ra&#237;z&#44; m&#225;s que a extirpaci&#243;n total del disco&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Consideramos pues la t&#233;cnica &#250;til para casos concretos&#44; sin excluir en otros pacientes otras t&#233;cnicas&#46;</p>"
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        "titulo" => "Summary"
        "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Filty patients with non-extruded lumbar disc herniation were selected for percutaneous automated nucleotomy on strict clinical and radiological criteria&#46; Overall&#44; the results were highly satisfactory&#46; Only four patients had poor result&#44; six were moderately improved and forty experienced a satisfactory resulto There were no complications&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The amount of disc material removed averaged 2&#46;4 grams&#44; but it did not correlated with the clinical outcome of the patient&#44; suggesting that improvement is related to root decompression&#44; more than to complete disc extirpation&#46; Thus&#44; we consider percutaneous automated nucleotomy very useful for selected cases&#44; not excluding the use of alternative conventional techniques in other patients&#46;</p>"
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                      "titulo" => "Percutaneous discectomy&#58; An alternative to chemonucleolysis&#63;"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
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                        "tituloSerie" => "Neurosurgery"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6227832"
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                      "titulo" => "Percutaneous nucleotomy&#46; A new concept technique and 12 years experience"
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                          "autores" => array:1 [
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                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin&#46; Orthop&#46;"
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                        "paginaFinal" => "23"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2910622"
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                      "titulo" => "Percutaneous discectomy&#58; A new treatment method for lumbar disc herniation"
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                          "etal" => false
                          "autores" => array:4 [
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                            2 => "T&#46; Nakayama"
                            3 => "K&#46; Oomori"
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                      "titulo" => "Percutaneous lateral discectomy of the lumbar spine&#58; A preliminary report"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "P&#46; Kambin"
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                      "Revista" => array:5 [
                        "tituloSerie" => "Clin&#46; Orthop&#46;"
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                      "titulo" => "Posterolateral percutaneous suclion- excision of herniated lumbar intervertebral discs&#58; Report of interim results"
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                          "etal" => false
                          "autores" => array:2 [
                            0 => "P&#46; Kambin"
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                      "Revista" => array:5 [
                        "tituloSerie" => "Clin&#46; Orthop&#46;"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3720102"
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                      "titulo" => "10 years of percutaneous disc surgery&#58; Results and development"
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                          "autores" => array:2 [
                            0 => "H&#46;J&#46; Leu"
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                      "Revista" => array:7 [
                        "tituloSerie" => "Schweiz Rundsch Med Prax"
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                        "numero" => "51"
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                      "titulo" => "Percutaneous automated discectomy&#58; A new method for lumbar disc removal"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46;C&#46; Maroon"
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                      "doi" => "10.3171/jns.1987.66.1.0143"
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                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1987"
                        "volumen" => "66"
                        "paginaInicial" => "143"
                        "paginaFinal" => "146"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3783249"
                            "web" => "Medline"
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                    0 => array:2 [
                      "titulo" => "Injuries to the large abdominal vesseIs during lumbar nucleotomy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46; Nadstawek"
                            1 => "H&#46;D&#46; Wassmann"
                            2 => "D&#46;K&#46; Boker"
                            3 => "R&#46; Schultheiss"
                            4 => "U&#46; Hornchen"
                          ]
                        ]
                      ]
                    ]
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                        "tituloSerie" => "J&#46; Neurosurg&#46; Sci&#46;"
                        "fecha" => "1989"
                        "volumen" => "33"
                        "numero" => "3"
                        "paginaInicial" => "281"
                        "paginaFinal" => "286"
                        "link" => array:1 [
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                      "titulo" => "Percutaneous lumbar discectomy using a new aspiration probe"
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                          "etal" => false
                          "autores" => array:5 [
                            0 => "G&#46; Onik"
                            1 => "C&#46; Helms"
                            2 => "L&#46; Ginsberg"
                            3 => "T&#46; Hoglund"
                            4 => "J&#46; Morris"
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                        "tituloSerie" => "AJNR"
                        "fecha" => "1985"
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                        "paginaFinal" => "293"
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                    0 => array:2 [
                      "titulo" => "Automated percutaneous discectomy&#58; initial palient experience&#46; Work in progress"
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                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "G&#46; Onik"
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                            2 => "C&#46; Helms"
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                      "doi" => "10.1148/radiology.162.1.3786751"
                      "Revista" => array:6 [
                        "tituloSerie" => "Radiology"
                        "fecha" => "1987"
                        "volumen" => "162"
                        "paginaInicial" => "129"
                        "paginaFinal" => "132"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3786751"
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                    0 => array:2 [
                      "titulo" => "Percutaneous automated discectomy in the treatment of herniated lumbar disc"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "G&#46; Onik"
                            1 => "V&#46; Mooney"
                            2 => "I&#46; Wiltse"
                          ]
                        ]
                      ]
                    ]
                  ]
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                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Radiology"
                        "fecha" => "1987"
                        "volumen" => "165"
                        "numero" => "supl"
                        "paginaInicial" => "78"
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Transdiscoscopic percutaneous nucleotomy in disc herniation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46; Schreiber"
                            1 => "Y&#46; Suezawa"
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                      ]
                    ]
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Orthop&#46; Rev&#46;"
                        "fecha" => "1986"
                        "volumen" => "15"
                        "numero" => "1"
                        "paginaInicial" => "35"
                        "paginaFinal" => "38"
                        "link" => array:1 [
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3453439"
                            "web" => "Medline"
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                ]
              ]
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                      "titulo" => "Indicalions and techniques of percutaneous nucleotomy and chemonucleolysis"
                      "autores" => array:1 [
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                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46; Schreiber"
                            1 => "Y&#46; Suezawa"
                            2 => "H&#46;A&#46; Yacob"
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                      ]
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Rev&#46; Chir&#46; Orthop"
                        "fecha" => "1987"
                        "volumen" => "73"
                        "numero" => "Supl 2"
                        "paginaInicial" => "171"
                        "paginaFinal" => "173"
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                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3616004"
                            "web" => "Medline"
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                ]
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Percutaneous nucleotomy&#46; An alternalive to spinal surgery"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "Y&#46; Suezawa"
                            1 => "H&#46;A&#46; Yacob"
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
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