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Vaquero, M. Zurita, S. Coca, S. Oya, F. de Prado" "autores" => array:5 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Vaquero" ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Zurita" ] 2 => array:2 [ "nombre" => "S." "apellidos" => "Coca" ] 3 => array:2 [ "nombre" => "S." "apellidos" => "Oya" ] 4 => array:2 [ "nombre" => "F." "apellidos" => "de Prado" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147396707534?idApp=UINPBA00004B" "url" => "/11301473/0000000700000001/v1_201305151450/S1130147396707534/v1_201305151450/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Discitis secundaria a cirugía del disco intervertebral lumbar" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "27" "paginaFinal" => "32" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "M. Gelabert González, A. Prieto González, E.J. Bandín Diéguez, A. García Allut, A. García Pravos, A. Bollar Zabala, R. Martínez Rumbo" "autores" => array:7 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Gelabert González" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Prieto González" ] 2 => array:2 [ "nombre" => "E.J." "apellidos" => "Bandín Diéguez" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "García Allut" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "García Pravos" ] 5 => array:2 [ "nombre" => "A." "apellidos" => "Bollar Zabala" ] 6 => array:2 [ "nombre" => "R." "apellidos" => "Martínez Rumbo" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía. Complejo Hospitalario Universitario de Santiago. Instituto Universitario de Ciencias Neurológicas «Pedro Barrié». Universidad de Santiago de Compostela" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras Clave" "identificador" => "xpalclavsec162929" "palabras" => array:5 [ 0 => "Discitis" 1 => "Hernia de disco lumbar" 2 => "Proteína C reactiva" 3 => "Resonancia magnética" 4 => "Velocidad de sedimentación" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key Words" "identificador" => "xpalclavsec162930" "palabras" => array:5 [ 0 => "Discitis" 1 => "Intervertebral disc hernia" 2 => "C-reactive protein" 3 => "Magnetic resonance imaging" 4 => "Erytrocyte sedimentation rate" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La infección del interespacio representa una complicación poco habitual tras la cirugía de la hernia de disco lumbar.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">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.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">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.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Se realizó tratamiento con reposo, antiestafilocócicos e inmovilización lumbar.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">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.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">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.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">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.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Treatment was performed with bed rest, antimicrobial therapy and inmobilization of the spine.</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">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.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Gelabert González, M.; Prieto González, A.; Bandín Diéguez, F.J.; García Allut, A.; García Pravos, A.; Bollar Zabala, A.; Martínez Rumbo, R.: Discitis secundaria a cirugía del disco intervertebral lumbar. Neurocirugía 1996; 7: 27–32.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:32 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Needle aspiration biopsy of the spine in suspected disc space infection" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "P. Amstrong" 1 => "A.H. Chalmers" 2 => "G. Green" 3 => "J.D. 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