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Porto" "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Diasternatornyelia associated to congenital scoliosiso. Case report" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:1 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec163410" "palabras" => array:3 [ 0 => "Diastematomyelia" 1 => "Scoliosis" 2 => "Surgical treatment" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Diastematomielia é uma malformação embriológica rara que consiste na divisão da medula em duas hemimedulas iguais ou desiguais, por uma extensão variável, ocorrendo em situações de disrafismo espinal oculto ou “Spina bifida aperta”.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Associa-se a anomalias cutâneas, vertebrais e escoliose. Pode manifestar-se clínicamente por síndrome neuromusculoesquelética.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">O tratamento cirúrgico deve ser profilático, segundo alguns autores.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Quando há escoliose congénita associada, a remoção do esporão ósseo deve ser prévia acorrecção da escoliose, se forem usadas técnicas de distracção.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Neste caso particular foi feito um tratamento preventivo duplo, ortopédico e neurocirúrgico, no mesmo tempo cirúrgico, pelo uso combinado de toracofrenolombotomia e artrodese anterior, seguindo-se laminotomia e remoção do esporão por via posterior.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Diastematomyelia is arare embryologic malformation with division of the cord in two equal or unequal portions, for a variable extension, occuring in ocult spinal disrafism or in “spina bifida aperta”.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">There is association with vertebral and skin abnormalities and scoliosis. It can present with neuromusculoskeletal syndrome.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">According to sorne authors the surgical treatment must be prophylactic.</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">When there is congenital scoliosis associated, the removal of the septum must be previous to the correction of the scoliosis, if there is indication to use distraction thecniques.</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">In this case we used a prophylactic combined treatment wiht anterior arthrodesis followed by a laminotomy and removal of the septum in the same surgical session.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Resende, M.; Martins, V.; Oliveira, A.; Geraldes, A.; Seabra, J.; García, R: Diastematomielia associada a escoliase congãnita. Apresentaçao de um caso. Neurocirugía 1998; 9: 316–320.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:9 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diastematomyelia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "A.S. Bligh" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Clin. Radiol." "fecha" => "1961" "volumen" => "12" "paginaInicial" => "158" "paginaFinal" => "163" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "B.N. French Midline Fusion defects and defects of formation, in Julian R. Youlmans eds. Neurological Surgery, third edition, W.B. 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