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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La infecci&#243;n del interespacio representa una complicaci&#243;n poco habitual tras la cirug&#237;a de la hernia de disco lumbar&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se analiza la presentaci&#243;n cl&#237;nica y radiol&#243;gica en 6 casos de discitis postquir&#250;rgica que representan el 0&#44;8&#37; de los pacientes intervenidos en nuestro servicio de hernia de disco lumbar&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Todos los casos presentaron dolor lumbar acompa&#241;ado de fiebre&#44; elevaci&#243;n significativa de la velocidad de sedimentaci&#243;n globular y en el estudio con resonancia magn&#233;tica se evidenci&#243; la presencia de hipose&#241;al en T1 e hiperse&#241;al en T2 a nivel de los platillos&#44; y realce con gadolinio&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Se realiz&#243; tratamiento con reposo&#44; antiestafiloc&#243;cicos e inmovilizaci&#243;n lumbar&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Tras una revisi&#243;n de la literatura&#44; se recalca la importancia de las determinaciones anal&#237;ticas postoperatorias cuando se sospecha la presencia de discitis&#44; siendo imprescindible a nuestro entender practicar una resonancia magn&#233;tica sin y con contraste para poder hacer un diagn&#243;stico preciso&#46;</p>"
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        "resumen" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Discitis is an infrequent complication after intervertebral disc surgery&#46; We review a series of 6 cases of postoperative discitis who represent 0&#46;8&#37; of all the patients operated on for lumbar disc herniation&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">All the patients had low back pain&#44; fever and an increased postoperative erytrocite sedimentation rate &#40;ESR&#41;&#46; Magnetic resonance imaging with and without administration of gadolinium showed decreased bone marrow signal intensity adjacent to the disk space on the T1-weighted image and increased disk space signal intensity on the more T2-weighted image&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Treatment was performed with bed rest&#44; antimicrobial therapy and inmobilization of the spine&#46;</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">The authors suggest that increased body temperature&#44; and ESR within few days after disc operation is the first sign of infection&#46; This should be confirmed with MRI unenhnaced and enhanced T1 and T2 sequences&#46;</p>"
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                            4 => "S&#46;W&#46; Wiesel"
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                        "paginaFinal" => "594"
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                          "autores" => array:1 [
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                        "tituloSerie" => "Acta Neurol Psychiatr Belg"
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                        "paginaFinal" => "324"
                        "link" => array:1 [
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/13649273"
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                        "link" => array:1 [
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2781408"
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              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A study of acute infectious lesions of the intervertebral disks"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46;K&#46; Ghormley"
                            1 => "W&#46;H&#46; Bickel"
                            2 => "D&#46;D&#46; Dickson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "South Med J"
                        "fecha" => "1940"
                        "volumen" => "33"
                        "paginaInicial" => "347"
                        "paginaFinal" => "352"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Discitis after discography"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "R&#46;D&#46; Guyer"
                            1 => "R&#46; Collier"
                            2 => "W&#46;J&#46; Stith"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Spine"
                        "fecha" => "1988"
                        "volumen" => "13"
                        "paginaInicial" => "1352"
                        "paginaFinal" => "1354"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3212569"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Disc space infection"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "L&#46;F&#46; Harris"
                            1 => "F&#46;P&#46; Haws"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ala Med"
                        "fecha" => "1994"
                        "volumen" => "63"
                        "paginaInicial" => "12"
                        "paginaFinal" => "14"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8030585"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Erytrocyte sedimentation rate after lumbar spine surgery"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "B&#46; Jonsson"
                            1 => "R&#46; Soderholm"
                            2 => "B&#46; Stromquist"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Spine"
                        "fecha" => "1991"
                        "volumen" => "16"
                        "paginaInicial" => "1049"
                        "paginaFinal" => "1050"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1948395"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Erytrocyte sedimentation rate following uncomplicated lumbar disc operations"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46;P&#46; Kapp"
                            1 => "W&#46;A&#46; Sybers"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Surg Neurol"
                        "fecha" => "1979"
                        "volumen" => "12"
                        "paginaInicial" => "329"
                        "paginaFinal" => "330"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/524252"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pyogenic infections occurring primarily in intervertebral disc"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "H&#46;B&#46; Kemp"
                            1 => "J&#46;W&#46; Jackson"
                            2 => "J&#46;D&#46; Jeremiah"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Bone Joint Surg"
                        "fecha" => "1973"
                        "volumen" => "50"
                        "paginaInicial" => "698"
                        "paginaFinal" => "701"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Microsurgical treatment of lumbar disc herniation&#58; follow-up of 237 patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "E&#46; Kotilainen"
                            1 => "S&#46; Valtonen"
                            2 => "C&#46;A&#46; Carlson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Acta Neurochir &#40;Wien&#41;"
                        "fecha" => "1993"
                        "volumen" => "120"
                        "paginaInicial" => "143"
                        "paginaFinal" => "149"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Lannelongue&#58; Citado por Malik y McCormick&#46;"
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Discitis following removal of intervertebral disc"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "T&#46;S&#46; Lindholm"
                            1 => "P&#46; Pylkkanen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Spine"
                        "fecha" => "1982"
                        "volumen" => "7"
                        "paginaInicial" => "618"
                        "paginaFinal" => "622"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7167835"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Management of spine and intervertebral disc space infection"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "G&#46;M&#46; Malik"
                            1 => "P&#46; McCormick"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Comtemporary Neurosurgery"
                        "fecha" => "1988"
                        "volumen" => "10"
                        "paginaInicial" => "1"
                        "paginaFinal" => "6"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Le disciti lombari post-operatorie"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46; Natale"
                            1 => "M&#46; Lama"
                            2 => "R&#46; D&#8217;Avanzo"
                            3 => "D&#46; Squillante"
                            4 => "F&#46;A&#46; Cioffi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Minerva Anestesiol"
                        "fecha" => "1992"
                        "volumen" => "58"
                        "paginaInicial" => "209"
                        "paginaFinal" => "215"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1620450"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Role of technetium-99m diphosphonate and gallium-67 citrate bone scanning in the early diagnosis of infectious spondylodiscitis&#46; A comparative study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "J&#46;M&#46; Nolla"
                            1 => "L&#46; Mateo"
                            2 => "A&#46; Rozadilla"
                            3 => "J&#46; Mora"
                            4 => "J&#46; Valverde"
                            5 => "D&#46; Roig"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "An Rheum Dis"
                        "fecha" => "1992"
                        "volumen" => "51"
                        "paginaInicial" => "665"
                        "paginaFinal" => "667"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Postoperative intervertebral discitis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46; Puranen"
                            1 => "J&#46; Makela"
                            2 => "S&#46; Lahde"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Acta Orthop Scand"
                        "fecha" => "1984"
                        "volumen" => "55"
                        "paginaInicial" => "461"
                        "paginaFinal" => "465"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6475515"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Postoperative intervertebral disc space infection"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "C&#46;E&#46; Rawlings"
                            1 => "R&#46;H&#46; Wilkins"
                            2 => "H&#46;A&#46; Gallis"
                            3 => "J&#46;L&#46; Goldner"
                            4 => "R&#46; Francis"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1983"
                        "volumen" => "13"
                        "paginaInicial" => "371"
                        "paginaFinal" => "376"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6633829"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Discitis tras la cirug&#237;a de la hernia de disco"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46; Rodr&#237;guez"
                            1 => "C&#46; Moreiro"
                            2 => "A&#46; B&#225;rcena"
                            3 => "J&#46;M&#46; Ca&#241;izal"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Phronesis"
                        "fecha" => "1989"
                        "volumen" => "10"
                        "paginaInicial" => "308"
                        "paginaFinal" => "311"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
              "etiqueta" => "26&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Infections involving the intervertebral discs&#58; Diagnosis and management"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46;L&#46; Scherbel"
                            1 => "W&#46;J&#46; Gardner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "1960"
                        "volumen" => "174"
                        "paginaInicial" => "370"
                        "paginaFinal" => "374"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14442640"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib27"
              "etiqueta" => "27&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Discitis after procedures on the intervertebral disc"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "K&#46;P&#46; Schulitz"
                            1 => "J&#46; Assheuer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Spine"
                        "fecha" => "1994"
                        "volumen" => "19"
                        "paginaInicial" => "1172"
                        "paginaFinal" => "1177"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8059276"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib28"
              "etiqueta" => "28&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A comparison between magnetic resonance imaging and scintigraphic bone imaging in the diagnosis of disc space infection in an animal model"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "E&#46;P&#46; Szypryt"
                            1 => "J&#46;G&#46; Hardy"
                            2 => "C&#46;E&#46; Hinton"
                            3 => "B&#46;S&#46; Worthington"
                            4 => "R&#46;C&#46; Mulholland"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Spine"
                        "fecha" => "1988"
                        "volumen" => "13"
                        "paginaInicial" => "1042"
                        "paginaFinal" => "1046"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3206298"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib29"
              "etiqueta" => "29&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Closed space infection following removal of lumbar intervertebral disc"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "A&#46;A&#46; Thibodeau"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Bone Joint Surg"
                        "fecha" => "1968"
                        "volumen" => "50"
                        "paginaInicial" => "400"
                        "paginaFinal" => "410"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5642825"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib30"
              "etiqueta" => "30&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Postoperative inflammatory disease of lumbar discs"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "F&#46; Turnbull"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1953.10.5.0469"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Neurosurg"
                        "fecha" => "1953"
                        "volumen" => "10"
                        "paginaInicial" => "469"
                        "paginaFinal" => "473"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/13097207"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            30 => array:3 [
              "identificador" => "bib31"
              "etiqueta" => "31&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Limitations of indium leukocyte imaging for the diagnosis of spine infections"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46;L&#46; Whalen"
                            1 => "M&#46;L&#46; Brown"
                            2 => "R&#46; McLeod"
                            3 => "R&#46;H&#46; Fitzgerald"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Spine"
                        "fecha" => "1991"
                        "volumen" => "16"
                        "paginaInicial" => "193"
                        "paginaFinal" => "197"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2011776"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            31 => array:3 [
              "identificador" => "bib32"
              "etiqueta" => "32&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intervertebral disc infection after lumbar chemonucleolisis&#58; Report of a case"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "H&#46;E&#46; Zeiger"
                            1 => "E&#46;J&#46; Zampella"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1986"
                        "volumen" => "18"
                        "paginaInicial" => "616"
                        "paginaFinal" => "621"
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Vol. 7. Núm. 1.
Páginas 27-32 (enero 1996)
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Vol. 7. Núm. 1.
Páginas 27-32 (enero 1996)
Discitis secundaria a cirugía del disco intervertebral lumbar
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6491
M. Gelabert González, A. Prieto González, E.J. Bandín Diéguez, A. García Allut, A. García Pravos, A. Bollar Zabala, R. Martínez Rumbo
Servicio de Neurocirugía. Complejo Hospitalario Universitario de Santiago. Instituto Universitario de Ciencias Neurológicas «Pedro Barrié». Universidad de Santiago de Compostela
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Resumen

La infección del interespacio representa una complicación poco habitual tras la cirugía de la hernia de disco lumbar.

Se analiza la presentación clínica y radiológica en 6 casos de discitis postquirúrgica que representan el 0,8% de los pacientes intervenidos en nuestro servicio de hernia de disco lumbar.

Todos los casos presentaron dolor lumbar acompañado de fiebre, elevación significativa de la velocidad de sedimentación globular y en el estudio con resonancia magnética se evidenció la presencia de hiposeñal en T1 e hiperseñal en T2 a nivel de los platillos, y realce con gadolinio.

Se realizó tratamiento con reposo, antiestafilocócicos e inmovilización lumbar.

Tras una revisión de la literatura, se recalca la importancia de las determinaciones analíticas postoperatorias cuando se sospecha la presencia de discitis, siendo imprescindible a nuestro entender practicar una resonancia magnética sin y con contraste para poder hacer un diagnóstico preciso.

Palabras Clave:
Discitis
Hernia de disco lumbar
Proteína C reactiva
Resonancia magnética
Velocidad de sedimentación
Summary

Discitis is an infrequent complication after intervertebral disc surgery. We review a series of 6 cases of postoperative discitis who represent 0.8% of all the patients operated on for lumbar disc herniation.

All the patients had low back pain, fever and an increased postoperative erytrocite sedimentation rate (ESR). Magnetic resonance imaging with and without administration of gadolinium showed decreased bone marrow signal intensity adjacent to the disk space on the T1-weighted image and increased disk space signal intensity on the more T2-weighted image.

Treatment was performed with bed rest, antimicrobial therapy and inmobilization of the spine.

The authors suggest that increased body temperature, and ESR within few days after disc operation is the first sign of infection. This should be confirmed with MRI unenhnaced and enhanced T1 and T2 sequences.

Key Words:
Discitis
Intervertebral disc hernia
C-reactive protein
Magnetic resonance imaging
Erytrocyte sedimentation rate

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