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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Examinar los casos de hernia discal lumbar operados entre los a&#241;os 1997 y 2002&#44; realizando un an&#225;lisis de las complicaciones quir&#250;rgicas&#44; a la vez que se realiza una revisi&#243;n de la literatura en relaci&#243;n con el tema&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se revisaron las historias cl&#237;nicas de 64 pacientes con diagn&#243;stico de compresi&#243;n radicular lumbar por hernia discal&#44; sometidos a tratamiento quir&#250;rgico&#44; analiz&#225;ndose un total de 73 cirug&#237;as&#44; incluyendo 9 reintervenciones realizadas en el per&#237;odo de tiempo definido al inicio&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se presentaron complicaciones en 7 procedimientos &#40;9&#46;6&#37;&#41;&#58; 2 infecciones profundas&#44; 1 caso de desgarro de la duramadre reparado&#44; 2 casos de f&#237;stula de l&#237;quido cefalorraqu&#237;deo &#40;LCR&#41;&#44; 1 pseudomeningocele&#44; y 1 caso de lesi&#243;n de la ra&#237;z L5&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Las complicaciones que se presentaron con mayor frecuencia fueron los desgarros de la duramadre y las infecciones&#44; resultados que coinciden con las series internacionales publicadas&#46;</p>"
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        "titulo" => "Summary"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To analyze the complications in a series of patients operated on for lumbar disc herniations between 1997 and 2002&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The records of 64 patients with the diagnosis of lumbar radicular compression by disc herniation who underwent 73 surgical procedures were analyzed&#46; The patients with radicular pain without disc herniation were excluded&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Complications occurring in 7 cases &#40;9&#46;6&#37;&#41; were 2 deep infections&#44; 1 dural tear which was repaired&#44; 2 cerebrospinal fluid fistulae&#44; 1 pseudomeningocele and 1 lesion of L5 root&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The most frequent complications were dural tear and infection&#46; These observations are similar to those reported in previously published papers</p>"
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Vol. 16. Núm. 5.
Páginas 419-426 (enero 2004)
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Vol. 16. Núm. 5.
Páginas 419-426 (enero 2004)
Análisis de las complicaciones de la cirugía de la hernia discal lumbar
Analysis of the lumbar discectomy complications
Visitas
2681
P.A. Hernández-Pérez
, H. Prinzo-Yamurri
Cátedra de Neurocirugía. Hospital de Clínicas Dr. Manuel Quintela. Universidad de la República Oriental del Uruguay
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Resumen
Objetivo

Examinar los casos de hernia discal lumbar operados entre los años 1997 y 2002, realizando un análisis de las complicaciones quirúrgicas, a la vez que se realiza una revisión de la literatura en relación con el tema.

Material y métodos

Se revisaron las historias clínicas de 64 pacientes con diagnóstico de compresión radicular lumbar por hernia discal, sometidos a tratamiento quirúrgico, analizándose un total de 73 cirugías, incluyendo 9 reintervenciones realizadas en el período de tiempo definido al inicio.

Resultados

Se presentaron complicaciones en 7 procedimientos (9.6%): 2 infecciones profundas, 1 caso de desgarro de la duramadre reparado, 2 casos de fístula de líquido cefalorraquídeo (LCR), 1 pseudomeningocele, y 1 caso de lesión de la raíz L5.

Conclusiones

Las complicaciones que se presentaron con mayor frecuencia fueron los desgarros de la duramadre y las infecciones, resultados que coinciden con las series internacionales publicadas.

Palabras clave:
Discectomía lumbar
Complicaciones
Cirugía espinal
Summary
Objective

To analyze the complications in a series of patients operated on for lumbar disc herniations between 1997 and 2002.

Methods

The records of 64 patients with the diagnosis of lumbar radicular compression by disc herniation who underwent 73 surgical procedures were analyzed. The patients with radicular pain without disc herniation were excluded.

Results

Complications occurring in 7 cases (9.6%) were 2 deep infections, 1 dural tear which was repaired, 2 cerebrospinal fluid fistulae, 1 pseudomeningocele and 1 lesion of L5 root.

Conclusions

The most frequent complications were dural tear and infection. These observations are similar to those reported in previously published papers

Key words:
Lumbar discectomy
Complications
Spinal surgery

Artículo

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