Sistema de neutralización dinámica en la columna lumbar. SISTEMA DYNESYS Experiencia en 94 casos
M. Bordes-Monmeneu
, V. Bordes-García, F. Rodrigo-Baeza, D. Sáez
Hospital 9 de Octubre. Valencia
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SISTEMA DYNESYS Experiencia en 94 casos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "499" "paginaFinal" => "506" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "M. Bordes-Monmeneu, V. Bordes-García, F. Rodrigo-Baeza, D. Sáez" "autores" => array:4 [ 0 => array:3 [ "nombre" => "M." "apellidos" => "Bordes-Monmeneu" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "V." "apellidos" => "Bordes-García" ] 2 => array:2 [ "nombre" => "F." "apellidos" => "Rodrigo-Baeza" ] 3 => array:2 [ "nombre" => "D." "apellidos" => "Sáez" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Hospital 9 de Octubre. Valencia" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondencia postal: M. Bordes Monmeneu, c/ Jorge Juan 24. 46004 Valencia." ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-09-24" "fechaAceptado" => "2005-01-27" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec159087" "palabras" => array:1 [ 0 => "Inestabilidad lumbar. Patología degenerativa lumbo-sacra. Estabilización dinámica. Sistema de neutralización. Dynesys" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec159088" "palabras" => array:1 [ 0 => "Lumbar instability. Degenerative lumbosacraI pathology. Dynamic stabilisation. Dynesys neutralisation system" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Valorar los resultados obtenidos con la utilización del sistema Dynesys (Dynamic Neutralización System for the spine), en un grupo de 94 pacientes, como nuevo concepto para el tratamiento de la patología degenerativa lumbar basado en la estabilización lumbar con conservación de la función articular en contra de la restricción de la artrodesis clásica.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Presentamos 94 pacientes en los que se utilizó este sistema de los cuales 62 fueron hombres y 32 mujeres con una edad media de 46.4 años. La patología de los pacientes fue de hernia discal en 27 casos, discopatía degenerativa en 54 casos y estenosis de canal en 13 casos. Se realizó un seguimiento entre 14 t 24 meses valorando la clínica según la escala de Oswestry y la reincorporación al trabajo.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Los resultados en la escala de Oswestry fue del 21.4% definitivo con respecto al 56.8% previo al tratamiento y la reincorporación al trabajo fue del 82%. El cuadro ciático ha remitido prácticamente en todos los casos, así como la lumbalgia y una mejoría del 60% en casos de claudicación. Como complicaciones reseñamos dos casos debidas a la técnica, con malposición de tornillos en un caso y rotura pedicular en otro, dos casos de seroma subcutáneo y dos infecciones subclínicas tardías.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La neutralización dinámica obtenida mediante este sistema, no debe ser considerada como una artrodesis. El tratamiento con Dynesys amplía la población de pacientes en los que se puede intervenir a aquellos que en principio no son tributarios de una fijación estándar, pero que planteaban dudas al cirujano al aplicar técnicas sin apoyo instrumental, incorporando el concepto de funcionalidad frente a la restricción del movimiento. Se puede definir como una prótesis díscal colocada extra-discalmente. Hemos obtenido un buen resultado en la mayoría de nuestros pacientes, aunque pensamos que es preciso ampliar el tiempo de seguimiento.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To assess the results obtained using the Dynesys system (Dynamic Neutralisation System for the spine), in a group of 94 patients This new system for treating lumbar degenerative pathologie is based on lumbar stabilisation and preservation of articular function, as opposed to traditional arthrodesis restrictions.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We analyze series of 94 patiens in whom this system was used. 62 were males and 32 females with an average age of 46,4 years. The pathologies treated were disc herniation in 27 cases, degenerative discopathy in 54 cases and lumbar channel stenosis in 13 cases. Follow-up was carried out between 14 and 24 months, assessing the clinical picture according to the Oswestry scale and the return to work.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The final results on the Oswestry scale were 21,4% with respect to 56,8% prior to the treatment and the return to work was 82%. There was a remission of the sciatica symptoms in almost all the cases, as well as of the lumbar pain, and there was a 60% improvement in the claudication cases. With regard to complications, we would like to point out two cases due to the technique, one because of the wrong positioning of the screws and the other due to the rupture of the pedicle. There were two cases of subcutaneous seroma and two late subclinical infections.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The dynamic neutralisation obtained using this system, should not be considered as an arthrodesis. Treatment using Dynesys enlarges the population of patiens candidates for surgery to who initially do not apparently need a standard fixation, but who raise doubt regarding the application of techniques without instrumental support, incorporating the functionality concept as opposed to restricting movement. This system can be defined as a disc prosthesis fitted externally to the disc. We have obtained good results in the majority of our patients, although we believethut the follow-up should be increased.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Bordes-Monmeneu, M.; Bordes-García, V.; Rodrigo- Baeza, F.; Sáez, D.: Sistema de neutralización dinámica en la columna lumbar. SISTEMA DYNESYS Experiencia en 94 casos. Neurocirugía 2005; 16:499–506.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:22 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Ariga, K., Miyamoto, S., Nakase, T., Okuda, S., Meng, W., Yonenobu, K., Yoshikawa, H. The relationship between apoptosis of endplate chondrcytes and aging and degeneration of the intervertebral disc. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 2 | 3 | 5 |
| 2018 Febrero | 11 | 7 | 18 |
| 2018 Enero | 15 | 13 | 28 |
| 2017 Diciembre | 14 | 16 | 30 |
| 2017 Noviembre | 54 | 35 | 89 |
| 2017 Octubre | 15 | 7 | 22 |
| 2017 Septiembre | 13 | 8 | 21 |
| 2017 Agosto | 9 | 6 | 15 |
| 2017 Julio | 16 | 7 | 23 |
| 2017 Junio | 17 | 33 | 50 |
| 2017 Mayo | 20 | 5 | 25 |
| 2017 Abril | 20 | 11 | 31 |
| 2017 Marzo | 6 | 4 | 10 |
| 2017 Febrero | 4 | 0 | 4 |
| 2017 Enero | 15 | 7 | 22 |
| 2016 Diciembre | 27 | 11 | 38 |
| 2016 Noviembre | 22 | 3 | 25 |
| 2016 Octubre | 27 | 15 | 42 |
| 2016 Septiembre | 34 | 14 | 48 |
| 2016 Agosto | 39 | 9 | 48 |
| 2016 Julio | 26 | 10 | 36 |
| 2016 Febrero | 1 | 0 | 1 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Julio | 2 | 5 | 7 |
| 2015 Junio | 14 | 19 | 33 |
| 2015 Mayo | 28 | 12 | 40 |
| 2015 Abril | 13 | 9 | 22 |
| 2015 Marzo | 19 | 13 | 32 |
| 2015 Febrero | 20 | 16 | 36 |
| 2015 Enero | 34 | 18 | 52 |
| 2014 Diciembre | 28 | 24 | 52 |
| 2014 Noviembre | 26 | 8 | 34 |
| 2014 Octubre | 33 | 15 | 48 |
| 2014 Septiembre | 21 | 15 | 36 |
| 2014 Agosto | 20 | 17 | 37 |
| 2014 Julio | 19 | 12 | 31 |
| 2014 Junio | 39 | 24 | 63 |
| 2014 Mayo | 32 | 16 | 48 |
| 2014 Abril | 19 | 12 | 31 |
| 2014 Marzo | 23 | 18 | 41 |
| 2014 Febrero | 24 | 18 | 42 |
| 2014 Enero | 31 | 20 | 51 |
| 2013 Diciembre | 21 | 15 | 36 |
| 2013 Noviembre | 26 | 14 | 40 |
| 2013 Octubre | 35 | 13 | 48 |
| 2013 Septiembre | 32 | 16 | 48 |
| 2013 Agosto | 38 | 25 | 63 |
| 2013 Julio | 34 | 10 | 44 |
| 2013 Junio | 31 | 17 | 48 |
| 2013 Mayo | 31 | 17 | 48 |
| 2013 Abril | 26 | 13 | 39 |
| 2013 Marzo | 22 | 21 | 43 |
| 2013 Febrero | 19 | 14 | 33 |
| 2013 Enero | 21 | 20 | 41 |
| 2012 Diciembre | 12 | 26 | 38 |
| 2012 Noviembre | 0 | 6 | 6 |
| 2012 Octubre | 0 | 1 | 1 |
| 2012 Septiembre | 0 | 1 | 1 |
| 2012 Enero | 17 | 0 | 17 |
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