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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Es bien conocido el alto riesgo que conlleva la realizaci&#243;n de una laminectom&#237;a standard en patolog&#237;a dorsal anterior a la m&#233;dula&#44; como puede ser una hernia de disco&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">En los &#250;ltimos siete a&#241;os hemos realizado el abordaje posterolateral extracavitario en 15 pacientes para diferentes patolog&#237;as &#40;5 tumoraciones malignas&#44; 5 hernias de disco&#44; 3 pacientes postraum&#225;ticos y 2 tumoraciones benignas&#41;&#46; La costilla o costillas resecadas en el abordaje las utilizamos como injerto&#46; En las fracturasluxaciones y en los casos de tumoraciones malignas debe a&#241;adirse un sistema de fijaci&#243;n posterior &#40;Isola o similar&#41;&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Resulta una excelente t&#233;cnica de abordaje a la columna dorsal y de elecci&#243;n en todo tipo de hernias discales dorsales y tumoraciones benignas &#40;neurinomas&#41; intra-extracanaliculares&#46;</p>"
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Vol. 7. Núm. 2.
Páginas 119-125 (enero 1996)
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Vol. 7. Núm. 2.
Páginas 119-125 (enero 1996)
El abordaje posterolateral extracavitario a la columna dorsal
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M. Clavel Escribano, P. Clavel Laria
Servicio de Neurocirugía, Hospital General de Cataluña y Clínica del Pilar de Barcelona
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Resumen

Es bien conocido el alto riesgo que conlleva la realización de una laminectomía standard en patología dorsal anterior a la médula, como puede ser una hernia de disco.

En los últimos siete años hemos realizado el abordaje posterolateral extracavitario en 15 pacientes para diferentes patologías (5 tumoraciones malignas, 5 hernias de disco, 3 pacientes postraumáticos y 2 tumoraciones benignas). La costilla o costillas resecadas en el abordaje las utilizamos como injerto. En las fracturasluxaciones y en los casos de tumoraciones malignas debe añadirse un sistema de fijación posterior (Isola o similar).

Resulta una excelente técnica de abordaje a la columna dorsal y de elección en todo tipo de hernias discales dorsales y tumoraciones benignas (neurinomas) intra-extracanaliculares.

Palabras clave:
Abordaje posterolateral extracavitario
Columna dorsal
Summary

The high risk of performing a standard thoracic laminectomy to relieve the pressure produced on the anterior surface of the spinal cord by a thoracic disc is wellknown.

During the last seven years we have performed the posterolateral extracavitary approach in 15 patients with different pathologies (5 malignant tumors, 5 thoracic disc herniation, 3 traumatic cord lesions and 2 benign tumors). The rib or ribs resected in the approach were used as interbody grafts. In patients with fracture-Iuxation and malignant tumors an instrumental posterior fixation (Isola or similar) was used.

The posterolateral extracavitary approach is an excellent surgical technique for the thoracic spine and our choice for any type of disc herniation or benign intra-extracanalicular tumors.

Key words:
Posterolateral extracavitary approach
Thoracic spine

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