Traumatismos raqui-medulares. Consideraciones a propósito de 56 casos y revisión de la literatura
J.M. Granado Peña
Servicio de Neurocirugía. Hospital Insular de Gran Canaria
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Consideraciones a propósito de 56 casos y revisión de la literatura" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "53" "paginaFinal" => "61" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "J.M. Granado Peña" "autores" => array:1 [ 0 => array:2 [ "nombre" => "J.M." "apellidos" => "Granado Peña" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía. Hospital Insular de Gran Canaria" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec162398" "palabras" => array:6 [ 0 => "Traumatismo" 1 => "Lesión medular" 2 => "Fractura" 3 => "Fractura-Luxación" 4 => "Implante" 5 => "Prednisolona" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec162399" "palabras" => array:6 [ 0 => "Spinal trauma" 1 => "Spinal cord damage" 2 => "Fracture" 3 => "Fracture-dislocation" 4 => "Prednisolone" 5 => "Implant" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El tratamiento de los traumatismos raqui-medulares plantea en la actualidad importantes controversias entre los partidarios del tratamiento conservador y el quirúrgico.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">En el presente trabajo se analizan los datos clínicos, etiopatogénicos y terapéuticos de 56 casos consecutivos de trauma espinal y se comparan los resultados con los publicados en la literatura.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Del presente estudio se desprende que los varones con edades alrededor de los 36 años constituyen la población de mayor riesgo y que la causa fundamental son los accidentes de tráfico. El tratamiento quirúrgico de urgencia raramente es necesario y, en la mayor parte de los casos, está contraindicado. El tratamiento quirúrgico puede aconsejarse en aquellos casos en que el estado del paciente haga prever las mínimas complicaciones posibles y debe ser realizada por equipos expertos.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The treatment of the spinal trauma is currently a matter of controversy between different authors.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">In this paper, the results in a series of 56 patients with spinal trauma are presented and discussed. The etiopathogenic factors, the clinical picture, the therapeutic approaches, and the follow-up were taken into account and compared with those published in the Iiterature. It is concluded that men over 36 years are mainly affected. A car accident is the cause of the trauma in the majority of the cases. Surgical management is seldom required in the acute fase and, in few cases, it may be contraindicated. The surgical treatment is indicated in those patients with a good general condition, in whom the possible complications are usually minimal. In any case, the operation must be carried out by expert surgical teams.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Granado, J. M.: Traumatismos raqui-medulares. Consideraciones a propósito de 56 casos y revisión de la literatura. Neurocirugía 1993; 4: 53–61.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:56 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Contoured Harrington instrumentation in the treatment of unstable spinal fractures. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2023 March | 0 | 1 | 1 |
| 2021 March | 1 | 0 | 1 |
| 2021 January | 1 | 0 | 1 |
| 2020 November | 1 | 0 | 1 |
| 2020 October | 1 | 0 | 1 |
| 2020 August | 1 | 0 | 1 |
| 2020 June | 2 | 0 | 2 |
| 2020 April | 1 | 0 | 1 |
| 2020 March | 2 | 0 | 2 |
| 2020 February | 1 | 0 | 1 |
| 2020 January | 1 | 0 | 1 |
| 2019 May | 2 | 0 | 2 |
| 2019 February | 2 | 0 | 2 |
| 2018 November | 2 | 0 | 2 |
| 2018 October | 2 | 0 | 2 |
| 2018 September | 2 | 0 | 2 |
| 2018 April | 3 | 0 | 3 |
| 2018 March | 5 | 0 | 5 |
| 2018 February | 16 | 7 | 23 |
| 2018 January | 18 | 13 | 31 |
| 2017 December | 21 | 16 | 37 |
| 2017 November | 18 | 28 | 46 |
| 2017 October | 13 | 22 | 35 |
| 2017 September | 15 | 35 | 50 |
| 2017 August | 17 | 17 | 34 |
| 2017 July | 16 | 17 | 33 |
| 2017 June | 30 | 18 | 48 |
| 2017 May | 18 | 22 | 40 |
| 2017 April | 15 | 50 | 65 |
| 2017 March | 18 | 40 | 58 |
| 2017 February | 5 | 11 | 16 |
| 2017 January | 7 | 10 | 17 |
| 2016 December | 34 | 27 | 61 |
| 2016 November | 14 | 38 | 52 |
| 2016 October | 26 | 40 | 66 |
| 2016 September | 52 | 77 | 129 |
| 2016 August | 61 | 55 | 116 |
| 2016 July | 46 | 50 | 96 |
| 2015 December | 2 | 0 | 2 |
| 2015 July | 1 | 6 | 7 |
| 2015 June | 18 | 24 | 42 |
| 2015 May | 52 | 39 | 91 |
| 2015 April | 37 | 26 | 63 |
| 2015 March | 32 | 30 | 62 |
| 2015 February | 18 | 35 | 53 |
| 2015 January | 11 | 22 | 33 |
| 2014 December | 15 | 21 | 36 |
| 2014 November | 16 | 22 | 38 |
| 2014 October | 17 | 47 | 64 |
| 2014 September | 10 | 34 | 44 |
| 2014 August | 19 | 27 | 46 |
| 2014 July | 12 | 25 | 37 |
| 2014 June | 15 | 30 | 45 |
| 2014 May | 14 | 28 | 42 |
| 2014 April | 11 | 27 | 38 |
| 2014 March | 13 | 32 | 45 |
| 2014 February | 11 | 23 | 34 |
| 2014 January | 14 | 23 | 37 |
| 2013 December | 12 | 22 | 34 |
| 2013 November | 13 | 22 | 35 |
| 2013 October | 22 | 24 | 46 |
| 2013 September | 25 | 34 | 59 |
| 2013 August | 24 | 49 | 73 |
| 2013 July | 19 | 23 | 42 |
| 2013 June | 16 | 26 | 42 |
| 2013 May | 13 | 29 | 42 |
| 2013 April | 19 | 15 | 34 |
| 2013 March | 21 | 18 | 39 |
| 2013 February | 11 | 4 | 15 |
| 2013 January | 15 | 8 | 23 |
| 2012 December | 16 | 11 | 27 |
| 2012 November | 1 | 8 | 9 |
| 2012 October | 0 | 1 | 1 |
| 2012 September | 0 | 2 | 2 |
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