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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La discectom&#237;a cervical anterior con artrodesis intersom&#225;tica &#40;DCAA&#41; es una t&#233;cnica quir&#250;rgica ampliamente aceptada en el tratamiento de la enfermedad discal cervical&#46; Recientemente se han introducido con esta indicaci&#243;n las cajas de tantalio debido a sus excelentes propiedades mec&#225;nicas y biol&#243;gicas&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Presentamos los resultados iniciales cl&#237;nicos y radiol&#243;gicos de un estudio prospectivo de 24 pacientes intervenidos en nuestro servicio tras el empleo de cajas de tantalio en la DCAA&#46; La evaluaci&#243;n cl&#237;nica pre y postoperatoria se realiz&#243; mediante cuestionario que inclu&#237;a una Escala Visual Anal&#243;gica de dolor&#44; el &#205;ndice de Oswestry&#44; y la Escala de Zung&#46; Los resultados fueron clasificados mediante los criterios de Odom&#46; La evaluaci&#243;n radiol&#243;gica incluy&#243; radiograf&#237;as din&#225;micas en las que se midieron las variaciones del &#225;ngulo de Cobb y la distancia interespinosa&#46; Postoperatoriamente los pacientes fueron revisados en el tercer mes y al a&#241;o de la intervenci&#243;n&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Todos los par&#225;metros cl&#237;nicos mejoraron de forma estad&#237;sticamente significativa&#46; Seg&#250;n con los criterios de Odom&#44; el 75&#37; de los casos fueron considerados como excelentes o buenos&#46; S&#243;lo se confirm&#243; cl&#237;nica y radiol&#243;gicamente un caso de pseudoartrosis&#46; No se observaron diferencias significativas en las revisiones al a&#241;o y a los 3 meses&#46;</p> <span class="elsevierStyleSectionTitle">Conclusi&#243;n</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Las cajas de tantalio constituyen un implante prometedor y pensamos que &#250;til entre las diversas opciones quir&#250;rgicas para la DCAA&#44; por sus buenos resultados cl&#237;nicos&#44; por la no necesidad de autoinjerto&#44; y por su excelente compatibilidad con la resonancia nuclear magn&#233;tica&#46;</p>"
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        "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Anterior cervical discectomy and interbody fusion &#40;ACDF&#41; is a widely accepted surgical technique in the treatment of cervical disc disease&#46; Tantalum cages have been recently introduced in spine surgery for interbody fusion because of the advantages of their mechanical properties&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We present the results of a prospective clinical and radiological study on 24 consecutive patients who underwent an ACDF with tantalum cages&#46; Clinical evaluation was assessed preoperatively and after surgery by a questionnaire that included a Visual Analogic Scale &#40;VAS&#41; of neck and arm pain&#44; the Oswestry Dissability Index and the Zung Depression Scale&#46; Results were classified by Odom&#39;s criteria&#46; Radiological evaluation included flexion-extension X-rays&#44; and changes in distance between spinous processes and Cobb angle were measured&#46; Postoperatively patients were reviewed 3 and 12 months after surgery&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A statisitical significative improvement in all clinical data was reported&#46; According to Odom&#39;s criteria in 75&#37; of patients the results were considered like excellent or good&#46; Only one case of radiological and clinical pseudoarthrosis was confirmed&#46; No significative differences were reported 3 and 12 months after surgery&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Tantalum cages are a very promising and usefull alternative among implants available for ACDF&#46; Compatibility with MRI postoperative studies and the unnecessariness of autograft are some of their advantages&#46;</p>"
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Más opciones de artículo
Artrodesis cervical anterior mediante implante de tantalio. Resultados clínicos y radiológicos
Anterior cervical fusion with tantalum interbody implants. Clinical and radiological results in a prospective study
C. Vicario
, F. Lopez-Oliva, T. Sánchez-Lorente, J.J. Asenjo-Siguero, F. Ladero, A. Ibarzábal
Unidad de columna, Centro de Rehabilitación FREMAP, Majadahonda, Madrid
M. Zimmermann*
* Servicio de Salud Laboral. Instituto de Salud Publica. Comunidad de Madrid

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Teléfono
Llamadas desde España
932 415 960
Llamadas desde el extranjero
+34 932 415 960
Horario de 9 a 18h. excepto los meses de julio y agosto que será de 9 a 15h.
Idiomas
Neurocirugía
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