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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La inestabilidad cervical postraum&#225;tica cr&#243;nica ha sido tratada casi siempre con medidas conservadoras&#46; Hoy en d&#237;a&#44; cuando &#233;stas fracasan&#44; el tratamiento quir&#250;rgico mediante abordaje posterior tiene su papel para estabilizar la columna cervical&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Presentamos un grupo de 31 pacientes&#44; de predominio femenino y edad media de 27&#44;5 a&#241;os&#44; afectos de inestabilidad cervical postraum&#225;tica cr&#243;nica de origen ligamentario donde se practic&#243; fijaci&#243;n instrumentada por v&#237;a posterior mediante tornillos anclados en los macizos articulares&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">En el 93&#44;5&#37; de los casos remiti&#243; la cl&#237;nica previa&#46; La lordosis fisiol&#243;gica se corrigi&#243; en todos salvo en uno&#46; El 77&#44;4&#37; se han reintegrado hasta el momento a su actividad laboral previa&#46; No se registraron complicaciones&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los resultados demuestran que la fijaci&#243;n posterior transarticular es una t&#233;cnica segura y eficaz para el manejo de este tipo de inestabilidad representando un avance sobre otros procedimientos&#46;</p>"
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        "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Postraumatic chronic cervical instability has almost always been treated by conservative measures&#46; Nowadays when these methods fail&#44; surgical treatment by posterior approach has his role in order to stabilize the cervical spine&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We present a group of 31 patients with female preponderance and 27&#46;5 years of mean age affected of postraumatic chronic cervical instability of ligamentous origin treated by cervical fixation through articular mass screws and plates&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Clinical remission was reached in 93&#46;5&#37;&#46; Physiologic cervical lordosis was corrected in all except in one case&#46; 77&#46;4&#37; of patients have returnned to work&#46; No complications were detected&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Our results showed that lateral mass plating is a safe&#44; effective technique for managing this kind of instability that represents a major advance over other procedures&#46;</p>"
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Fijación posterior transarticular en la inestabilidad cervical postraumática crónica de origen ligamentario
Posterior transarticular cervical plating in chronic postraumatic cervical instability of ligamentous origin
M.J. Sánchez-Ledesma, J. Gonçalves, G. García-March, J. Broseta
Cátedra de Neurocirugía de la Universidad de Salamanca y Hospitales General de la Santísima Trinidad (Salamanca), 9 de Octubre (Valencia)
J.C. Paniagua*, A. Framiñán*
* Servicio de Radiodiagnóstico del Hospital Universitario de Salamanca
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