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                    0 => array:1 [
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                        "tituloSerie" => "J&#46; Bone Joint Surg &#40;Am&#41;"
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                        "paginaInicial" => "565"
                        "paginaFinal" => "594"
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                            1 => "T&#46;S&#46; Whitecould"
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                          "autores" => array:2 [
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                            3 => "B&#46;E&#46; Kendall"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2287369"
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                          "autores" => array:1 [
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                        "tituloSerie" => "J&#46; Neurosurg&#46;"
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                        "paginaFinal" => "617"
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                      "titulo" => "La fusion vertebrale par voie ventrale dans la discopathie cervicale"
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                        "tituloSerie" => "Rev&#46; Neurol&#46;"
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                      "titulo" => "Anterior body fusion for sever cervical disk degeneration"
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                        "tituloSerie" => "Surg&#46; Gynecol&#46; Obstet&#46;"
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                        "paginaFinal" => "758"
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                        "tituloSerie" => "Acta Neorochir&#46; &#40;Wien&#41;"
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                      "titulo" => "Neurology complications of anterior cervical fusion"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "T&#46;B&#46; Flynn"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Spine"
                        "fecha" => "1982"
                        "volumen" => "7"
                        "paginaInicial" => "536"
                        "paginaFinal" => "539"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7167824"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Complications of cervical spine injury&#46; In the cervical spine"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46; Graham"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:5 [
                        "titulo" => "The cervical Spine Research Society"
                        "paginaInicial" => "831"
                        "paginaFinal" => "837"
                        "edicion" => "2end"
                        "serieFecha" => "1989"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Anterior cervical fusion for degeneration or protruded discs&#58; A review of one hundred forty-six patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "D&#46;R&#46; Gore"
                            1 => "S&#46;B&#46; Sepic"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Spine"
                        "fecha" => "1984"
                        "volumen" => "9"
                        "paginaInicial" => "667"
                        "paginaFinal" => "671"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6505833"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cervical spondylotic myelopathy&#59; Results of anterior decompression and stabilization"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "D&#46; Hicks"
                            1 => "T&#46; Whitecloud"
                            2 => "S&#46;H&#46; LaRocca"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Orthop&#46; Trans&#46;"
                        "fecha" => "1980"
                        "volumen" => "4"
                        "paginaInicial" => "44"
                        "paginaFinal" => "48"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Herniated cervical disks&#46; Analysis of a series of 230 csaes"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46; Jomin"
                            1 => "F&#46; Lesoin"
                            2 => "G&#46; Lozes"
                            3 => "C&#46;E&#46; Thomas"
                            4 => "M&#46; Rousseaux"
                            5 => "J&#46; Clarisse"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Acta Neurochi&#46; &#40;Wien&#41;"
                        "fecha" => "1986"
                        "volumen" => "79"
                        "paginaInicial" => "107"
                        "paginaFinal" => "113"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Predictability of operative results of cervical compression myelopathy based on preoperative computerized tomographic myelography"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "T&#46; Koyanagi"
                            1 => "K&#46; Hirabayashi"
                            2 => "K&#46; Satomi"
                            3 => "Y&#46; Yoyama"
                            4 => "Y&#46; Fujimura"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Spine"
                        "fecha" => "1993"
                        "volumen" => "18"
                        "paginaInicial" => "1958"
                        "paginaFinal" => "1963"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8272943"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Anterior surgery for cervical disk Disease"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "D&#46; Lunsford"
                            1 => "D&#46;J&#46; Bissonette"
                            2 => "D&#46;S&#46; Zorub"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1980.53.1.0012"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg"
                        "fecha" => "1980"
                        "volumen" => "53"
                        "paginaInicial" => "12"
                        "paginaFinal" => "19"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7411200"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Imaging Degenerative Disease of the cervical spine"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46; Modic"
                            1 => "J&#46; Ross"
                            2 => "T&#46; Nasaryk"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Clin&#46; Orthop&#46; Rel&#46; Res&#46;"
                        "fecha" => "1988"
                        "volumen" => "2"
                        "paginaInicial" => "122"
                        "paginaFinal" => "135"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Dose Increased signal intensity of the spinal cord on MR imagnes due to cervical myelopathy predict prognosis&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "Y&#46; Morio"
                            1 => "K&#46; Yamamoto"
                            2 => "K&#46; Kuranobu"
                            3 => "M&#46; Murata"
                            4 => "K&#46; Tuda"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Arch&#46; Orthop&#46; Trauma Surg&#46;"
                        "fecha" => "1994"
                        "volumen" => "133"
                        "paginaInicial" => "254"
                        "paginaFinal" => "259"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The results of anterior cervical fusion in cervical spondylosis&#46; Review of 125 cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46;H&#46; Mussa"
                            1 => "M&#46; Nitta"
                            2 => "L&#46; Symon"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Acta&#46; Neurochir&#46; &#40;Wien&#41;"
                        "fecha" => "1983"
                        "volumen" => "68"
                        "paginaInicial" => "277"
                        "paginaFinal" => "288"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cervical disk lesions"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "G&#46;L&#46; Odom"
                            1 => "W&#46; Finney"
                            2 => "B&#46; Woodhall"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "1958"
                        "volumen" => "1983"
                        "paginaInicial" => "23"
                        "paginaFinal" => "28"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Spinal cord compression due to prolapse of cervicl intervertebral disk &#40;Herniation of nucleus purposes&#41;&#58; treatment in 26 csaes by disectomy without interbody done graft"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "S&#46;A&#46; Laire"
                            1 => "D&#46;G&#46;T&#46; Thomas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1983.59.5.0847"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg"
                        "fecha" => "1983"
                        "volumen" => "59"
                        "paginaInicial" => "847"
                        "paginaFinal" => "853"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6619937"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Anterior discectomy without interbody fusion for cervical disk herniation&#46;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "V&#46; Pintillart"
                            1 => "A&#46; Cernier"
                            2 => "J&#46;M&#46; Vital"
                            3 => "J&#46; Senegas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Euro Spine&#44; J&#46;"
                        "fecha" => "1995"
                        "volumen" => "4"
                        "paginaInicial" => "45"
                        "paginaFinal" => "51"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
              "etiqueta" => "26&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Anterior and posterior cervical spine fusion"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "R&#46;A&#46; Robins"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin&#46; Orthop&#46;"
                        "fecha" => "1964"
                        "volumen" => "35"
                        "paginaInicial" => "34"
                        "paginaFinal" => "62"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5889170"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib27"
              "etiqueta" => "27&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Treatment of certain cervical spine disorders by anterior removal of the intervertebral disc and interbody fusiono"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "G&#46;W&#46; Smith"
                            1 => "R&#46;A&#46; Robinson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J&#46; Bone Joint Surgery &#40;Am&#41;&#46;"
                        "fecha" => "1958"
                        "volumen" => "40A"
                        "paginaInicial" => "607"
                        "paginaFinal" => "613"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib28"
              "etiqueta" => "28&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Microsurgical of cervicl spine in elderly patients&#44; Part 1&#46; Surgery of degenerative disease"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "V&#46; Seifert"
                            1 => "F&#46;M&#46; Van Krieken"
                            2 => "M&#46; Zimmerman"
                            3 => "D&#46; Stolke"
                            4 => "S&#46;D&#46; Bao"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Acta&#44; Neurochir&#46; &#40;Wien&#41;"
                        "fecha" => "1994"
                        "volumen" => "131"
                        "numero" => "1&#8211;2"
                        "paginaInicial" => "119"
                        "paginaFinal" => "124"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib29"
              "etiqueta" => "29&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Surgical conditions of cervical spine"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46; Tomilson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Semin&#46; Vet&#46; Med&#46; Surg&#46; Small Sanim"
                        "fecha" => "1996"
                        "volumen" => "11"
                        "paginaInicial" => "225"
                        "paginaFinal" => "2234"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib30"
              "etiqueta" => "30&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Anterolateral surgery for cervical spondylosis in cases of myelopathy or nerve root compression"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "H&#46; Verbiest"
                            1 => "Y&#46; Paz"
                            2 => "H&#46;D&#46; Geuse"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1966.25.6.0611"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1966"
                        "volumen" => "25"
                        "paginaInicial" => "611"
                        "paginaFinal" => "622"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5925723"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            30 => array:3 [
              "identificador" => "bib31"
              "etiqueta" => "31&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:1 [
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "T&#46;S&#46; Whitecloud"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Cervical Spondylosis in&#58; the adult Spine principles and practice"
                        "paginaInicial" => "1165"
                        "paginaFinal" => "1185"
                        "serieFecha" => "1991"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            31 => array:3 [
              "identificador" => "bib32"
              "etiqueta" => "32&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prognostic factors of posterior cervical disk surgery&#58; A prospective consecutive study of 54 patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "C&#46; Woertgen"
                            1 => "M&#46; Holzschuh"
                            2 => "R&#46;D&#46; Rothoerl"
                            3 => "E&#46; Haeusler"
                            4 => "A&#46; Brawanski"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1997"
                        "volumen" => "40"
                        "paginaInicial" => "724"
                        "paginaFinal" => "728"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9092845"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            32 => array:3 [
              "identificador" => "bib33"
              "etiqueta" => "33&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:1 [
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                          "autores" => array:1 [
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                    ]
                  ]
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                      "LibroEditado" => array:5 [
                        "paginaInicial" => "4"
                        "paginaFinal" => "10"
                        "serieVolumen" => "7"
                        "serieTitulo" => "Microsurgery of the cervical spine"
                        "serieFecha" => "1991"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
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Vol. 10. Núm. 2.
Páginas 131-135 (enero 1998)
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Vol. 10. Núm. 2.
Páginas 131-135 (enero 1998)
El tratamiento quirúrgico anterior de la hernia discal cervical crónica. Posibles factores pronósticos
Surgical treatment of cervical chronic disc herniation (anterior approach). Prognostic factors
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A. Faleh Tamimi
Servicio de Neurocirugía del Hospital de la Universidad de Jordania y Facultad de Medicina. Amman, Jordania
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Se presenta un estudio prospectivo de 43 pacientes con hernia discal cervical espondilótica, intervenidos quirúrgicamente por el abordaje anterior con injerto óseo. Nuestros resultados obtenidos siguiendo los criterios de Odom fueron excelentes en el 65% de los casos, buenos en el 27%, aceptables en el 4.6% y pobres en el 2.3%. Con el fin de detectar posibles factores pronósticos hemos correlllcionado los resultados con la edad, tiempo de evolución de la enfermedad y el estado neurológico inicial. Hemos encontrado que edades bajas (<40 años) y tiempos de duración de la enfermedad (<2 años) eran factores pronósticos posiblemente favorables. Los pacientes con déficit radicular han tenido un resultado superior a los pacientes con déficit piramidal o mixto.

Palabras Clave:
Hernia discal cervical
Espondilosis cervical
Artrodesis intersomática cervical
Pronóstico
Summary

We report a retrospective study of 43 patients with spondylotic cervical herniated disc, treated surgically by the anterior approach with bone grafting. Our results which were achieved according to Odomo's Criteria were excellent in 65% of the cases, Good in 27%, Fair in 4.6% and Poor in 2.3%. For detection of possible prognostic factors we correlated our results with the age, the clínical course, and the initial neurological stage. We found that a lower age (<40 years) and a shorter duration of the illness (<2 years) were positive prognostic factors. We found that patients who initially had radicular type déficit showed more dramatic improvment postoperativly than those with pyramidal and or mixed type of déficit.

Key Words:
Cervical disk
Cervical Spondylosis
Cervical interbody fusiono
Prognosis

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