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Fractura transdiscal y subluxación C5-C6 en paciente con espondilitis anquilopoyética
C5-C6 transdiscal fracture and subluxation in a patient with ankylosing spondylitis
A. Carrillo-Colmenero
, T. García-de la Oliva
Servicios de Radiodiagnóstico. Hospital Regional Universitario Carlos Haya. Málaga
H.F. Cabrera Ortiz*
* Servicios de Neurocirugía. Hospital Regional Universitario Carlos Haya. Málaga
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La fractura cervical es una posible complicaci&#243;n&#44; no infrecuente&#44; de la espondilitis anquilopoy&#233;tica &#40;EA&#41; de larga evoluci&#243;n&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La actual nota cl&#237;nica recoge un caso registrado en nuestro hospital&#44; consistente en una fractura transdiscal y luxaci&#243;n C5-C6&#44; con paraplejia final residual&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Su gravedad&#44; pues&#44; radica en su importante morbimortalidad en este tipo de pacientes&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El presente art&#237;culo centra su atenci&#243;n sobre el diagn&#243;stico precoz&#44; que posibilitar&#225; un manejo terap&#233;utico personalizado&#44; y sobre la prevenci&#243;n&#44; en la medida de lo posible&#44; de esta grave complicaci&#243;n&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Analizamos el contexto cl&#237;nico del paciente&#44; los factores predisponentes&#44; el mecanismo lesional&#44; la expresi&#243;n radiol&#243;gica&#44; las secuelas neurol&#243;gicas y el manejo terap&#233;utico&#46;</p>"
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        "resumen" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Cervical fracture is not a rare complication of longterm ankylosing spondylitis &#40;AS&#41;&#46; We are reporting a case of cervical fracture in a patient affected by which was complicated by a transdiscal fracture&#44; C5-C6 subluxation&#44; and residual paraplegia&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">We analyse clinical presentation&#44; predisponent factors&#44; injury mechanism&#44; radiologic features&#44; neurological deficits&#44; and terapeutic management&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">We discuss the accurate diagnosis and the most suitable treatment for this serious complication&#44; as well as prevention measures&#46;</p>"
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ISSN: 11301473
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