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array:23 [ "pii" => "S1130147300707573" "issn" => "11301473" "doi" => "10.1016/S1130-1473(00)70757-3" "estado" => "S300" "fechaPublicacion" => "2000-01-01" "aid" => "70757" "copyright" => "Sociedad Española de Neurocirugía" "copyrightAnyo" => "2000" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2000;11:43-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2201 "formatos" => array:3 [ "EPUB" => 16 "HTML" => 955 "PDF" => 1230 ] ] "itemSiguiente" => array:18 [ "pii" => "S1130147300707585" "issn" => "11301473" "doi" => "10.1016/S1130-1473(00)70758-5" "estado" => "S300" "fechaPublicacion" => "2000-01-01" "aid" => "70758" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2000;11:50-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 5512 "formatos" => array:3 [ "EPUB" => 17 "HTML" => 1347 "PDF" => 4148 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Tratamiento neuroendoscópico de los quistes coloides del III ventrículo" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "50" "paginaFinal" => "58" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Neuroendoscopic treatment of colloid cysts" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:2 [ 0 => array:2 [ "autoresLista" => "R. 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"apellidos" => "Rodiño" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147300707585?idApp=UINPBA00004B" "url" => "/11301473/0000001100000001/v1_201305151021/S1130147300707585/v1_201305151021/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1130147300707561" "issn" => "11301473" "doi" => "10.1016/S1130-1473(00)70756-1" "estado" => "S300" "fechaPublicacion" => "2000-01-01" "aid" => "70756" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2000;11:31-42" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2612 "formatos" => array:3 [ "EPUB" => 16 "HTML" => 986 "PDF" => 1610 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Asociaciones tumorales en el sistema nervioso central. Estudio de ocho casos con verificación quirúrgica" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "31" "paginaFinal" => "42" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Multiple tumors of the Nervous System. Analysis of eight surgically verified cases of association of intracranial tumors" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "S. Castro, R. Díez Lobato, S. Madero, R. Alday, A. Cabrera, P. González León, J.R. Ricoy, E. Lamas" "autores" => array:8 [ 0 => array:2 [ "nombre" => "S." "apellidos" => "Castro" ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Díez Lobato" ] 2 => array:2 [ "nombre" => "S." "apellidos" => "Madero" ] 3 => array:2 [ "nombre" => "R." "apellidos" => "Alday" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Cabrera" ] 5 => array:2 [ "nombre" => "P." "apellidos" => "González León" ] 6 => array:2 [ "nombre" => "J.R." "apellidos" => "Ricoy" ] 7 => array:2 [ "nombre" => "E." "apellidos" => "Lamas" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147300707561?idApp=UINPBA00004B" "url" => "/11301473/0000001100000001/v1_201305151021/S1130147300707561/v1_201305151021/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Atornillado transarticular posterior atloaxoideo en la inestabilidad del complejo CO-CI-C2" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "43" "paginaFinal" => "49" ] ] "autores" => array:2 [ 0 => array:3 [ "autoresLista" => "S. Martín-Ferrer, J. Rimbau, M<span class="elsevierStyleSup">a</span>C. Joly" "autores" => array:3 [ 0 => array:2 [ "nombre" => "S." "apellidos" => "Martín-Ferrer" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Rimbau" ] 2 => array:2 [ "nombre" => "M<span class="elsevierStyleSup">a</span>C." "apellidos" => "Joly" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía. Hospital Universitario “Dr. Josep Trueta” Girona" ] ] ] 1 => array:3 [ "autoresLista" => "J. Teruel, J. Pont" "autores" => array:2 [ 0 => array:3 [ "nombre" => "J." "apellidos" => "Teruel" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "J." "apellidos" => "Pont" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicio de Radiología. Hospital Universitario “Dr. Josep Trueta”. Girona" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Posterior Cl-C2 transarticular screw fixation for instability of the CO-C2 complex" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec156860" "palabras" => array:5 [ 0 => "Columna cervical" 1 => "Inestabilidad atloaxoidea" 2 => "Atornillado transarticular Cl-C2" 3 => "Artrodesis interlaminar CI-C2" 4 => "Artritis reumatoide" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec156859" "palabras" => array:5 [ 0 => "Cervical spine" 1 => "Atlanto-axial instability" 2 => "CI-C2 transarticular screws" 3 => "CI-C2 wiring" 4 => "Rheumatoid arthritis" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Un seleccionado grupo de pacientes afectos de procesos traumáticos, malformativos, degenerativos, infecciosos o tumorales del complejo cervical alto que provocan una inestabilidad de este segmento, precisarán para su tratamiento una fijación interna. Sobre todo, en los casos con inestabilidad atloaxoidea la fijación mediante el atornillado posterior interarticular Cl-C2 suplementado a una artrodesis interlaminar Cl-C2 deberá considerarse como una opción terapéutica adecuada.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">En nuestro servicio 6 pacientes han sido intervenidos mediante esta técnica, en otros 5 más la artrodesis interarticular se asoció a una fijación occipitocervical. La etiología que indicó el tratamiento quirúrgico fue pseudoartrosis de fracturas de la base de la odontoides en 3 casos, artritis reumatoide en 3, rotura del ligamento transverso del atlas en 2 y tumores de axis en 3. Todos los pacientes obtuvieron una triple fusión ósea interarticular e interlaminar. No hemos constatado ninguna complicación biomecánica, neurológica, infecciosa ni vascular. Nuestra limitada experiencia demuestra que esta técnica debe considerarse con fuerza en el tratamiento quirúrgico de algunos pacientes con inestabilidad del segmento cervical alto, en particular en el caso de reintervenciones tras el fracaso de otras técnicas.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The management of patients with atlantoaxial instability remains a complex and challenging problem for neurosurgeons. Instability may result from congenital malformations, trauma, neoplasm, infection, rheumatoid subluxation or other degenerative diseases. Posterior Cl-C2 transarticular facet screw fixation with a supplemental bone-wire fusion has been advocated for the management of atlanto-axial instability.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">We present our experience with 11 cases in which we have applied this technique. Atlantoaxial or CO-C2 instability was caused by odontoid pseudoarthrosis in 3 patients, transverse ligament disruption in 2, rheumatoid arthritis in 3 and tumors of the axis in 3. All 11 patients achieved solid osseous fusion. Progression of spinal deformity, screw pullout or breakage, and neurological, infection or vascular complications did not occur. This limited experience demonstrates that posterior transarticular screw fixation supplemented with an interspinous Cl-C2 wiring is an important option in the management of patients with atlantoaxial instability.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Martín-Ferrer, S.; Rimbau, J.; Joly, Mª.C.; Teruel, J.; Pont, J.: Atornillado transarticular posterior atloaxoideo en la inestabilidad del complejo CO-CI-C2. Neurocirugía 2000; 11: 43–49.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:33 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Atlantoaxial dislocations in the arthritic patient: Report of 45 cases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "H.H. Bohlman" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "J Bone Joint Surg (Br)." "fecha" => "1978" "volumen" => "2" "paginaInicial" => "197" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." 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