Artrodesis cervical anterior mediante implante de tantalio. Resultados clínicos y radiológicos
Anterior cervical fusion with tantalum interbody implants. Clinical and radiological results in a prospective study
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Ibarzábal" "autores" => array:6 [ 0 => array:3 [ "nombre" => "C." "apellidos" => "Vicario" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "F." "apellidos" => "Lopez-Oliva" ] 2 => array:2 [ "nombre" => "T." "apellidos" => "Sánchez-Lorente" ] 3 => array:2 [ "nombre" => "J.J." "apellidos" => "Asenjo-Siguero" ] 4 => array:2 [ "nombre" => "F." "apellidos" => "Ladero" ] 5 => array:2 [ "nombre" => "A." "apellidos" => "Ibarzábal" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Unidad de columna, Centro de Rehabilitación FREMAP, Majadahonda, Madrid" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondencia postal: Espinosa. C/ El Bosque 10. Cobisa, Toledo 45111." ] ] ] 1 => array:3 [ "autoresLista" => "M. Zimmermann" "autores" => array:1 [ 0 => array:3 [ "nombre" => "M." "apellidos" => "Zimmermann" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicio de Salud Laboral. Instituto de Salud Publica. Comunidad de Madrid" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Anterior cervical fusion with tantalum interbody implants. Clinical and radiological results in a prospective study" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-11-19" "fechaAceptado" => "2005-05-18" "PalabrasClave" => array:2 [ "es" => array:2 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec159209" "palabras" => array:5 [ 0 => "Discectomía anterior cervical" 1 => "Tantalio" 2 => "Hedrocel" 3 => "Artrosis cervical" 4 => "Hernia discal cervical" ] ] 1 => array:4 [ "clase" => "abr" "titulo" => "Abreviaturas" "identificador" => "xpalclavsec159210" "palabras" => array:4 [ 0 => "ACDF" 1 => "DCAA" 2 => "EVA" 3 => "VAS" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec159208" "palabras" => array:5 [ 0 => "Anterior cervical discectomy" 1 => "Tantalum" 2 => "Hedrocel" 3 => "Cervical spondylosis" 4 => "Cervical disc herniation" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La discectomía cervical anterior con artrodesis intersomática (DCAA) es una técnica quirúrgica ampliamente aceptada en el tratamiento de la enfermedad discal cervical. Recientemente se han introducido con esta indicación las cajas de tantalio debido a sus excelentes propiedades mecánicas y biológicas.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Presentamos los resultados iniciales clínicos y radiológicos de un estudio prospectivo de 24 pacientes intervenidos en nuestro servicio tras el empleo de cajas de tantalio en la DCAA. La evaluación clínica pre y postoperatoria se realizó mediante cuestionario que incluía una Escala Visual Analógica de dolor, el Índice de Oswestry, y la Escala de Zung. Los resultados fueron clasificados mediante los criterios de Odom. La evaluación radiológica incluyó radiografías dinámicas en las que se midieron las variaciones del ángulo de Cobb y la distancia interespinosa. Postoperatoriamente los pacientes fueron revisados en el tercer mes y al año de la intervención.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Todos los parámetros clínicos mejoraron de forma estadísticamente significativa. Según con los criterios de Odom, el 75% de los casos fueron considerados como excelentes o buenos. Sólo se confirmó clínica y radiológicamente un caso de pseudoartrosis. No se observaron diferencias significativas en las revisiones al año y a los 3 meses.</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Las cajas de tantalio constituyen un implante prometedor y pensamos que útil entre las diversas opciones quirúrgicas para la DCAA, por sus buenos resultados clínicos, por la no necesidad de autoinjerto, y por su excelente compatibilidad con la resonancia nuclear magnética.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Anterior cervical discectomy and interbody fusion (ACDF) is a widely accepted surgical technique in the treatment of cervical disc disease. Tantalum cages have been recently introduced in spine surgery for interbody fusion because of the advantages of their mechanical properties.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We present the results of a prospective clinical and radiological study on 24 consecutive patients who underwent an ACDF with tantalum cages. Clinical evaluation was assessed preoperatively and after surgery by a questionnaire that included a Visual Analogic Scale (VAS) of neck and arm pain, the Oswestry Dissability Index and the Zung Depression Scale. Results were classified by Odom's criteria. Radiological evaluation included flexion-extension X-rays, and changes in distance between spinous processes and Cobb angle were measured. Postoperatively patients were reviewed 3 and 12 months after surgery.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A statisitical significative improvement in all clinical data was reported. According to Odom's criteria in 75% of patients the results were considered like excellent or good. Only one case of radiological and clinical pseudoarthrosis was confirmed. No significative differences were reported 3 and 12 months after surgery.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Tantalum cages are a very promising and usefull alternative among implants available for ACDF. Compatibility with MRI postoperative studies and the unnecessariness of autograft are some of their advantages.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Vicario, C.; Lopez-Oliva, F.; Sánchez Lorente, T.; Zimmermann, M.; Asenjo Siguero, J.J.; Ladero, F.; Ibarzábal, A.: Artrodesis cervical anterior mediante implante de tantalio. Resultados clínicos y radiológicos. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Octubre | 1 | 0 | 1 |
| 2023 Marzo | 2 | 1 | 3 |
| 2019 Febrero | 2 | 0 | 2 |
| 2018 Febrero | 10 | 6 | 16 |
| 2018 Enero | 15 | 4 | 19 |
| 2017 Diciembre | 18 | 14 | 32 |
| 2017 Noviembre | 30 | 33 | 63 |
| 2017 Octubre | 34 | 11 | 45 |
| 2017 Septiembre | 22 | 7 | 29 |
| 2017 Agosto | 24 | 7 | 31 |
| 2017 Julio | 21 | 6 | 27 |
| 2017 Junio | 53 | 8 | 61 |
| 2017 Mayo | 27 | 11 | 38 |
| 2017 Abril | 25 | 8 | 33 |
| 2017 Marzo | 23 | 1 | 24 |
| 2017 Febrero | 32 | 4 | 36 |
| 2017 Enero | 42 | 5 | 47 |
| 2016 Diciembre | 30 | 12 | 42 |
| 2016 Noviembre | 31 | 11 | 42 |
| 2016 Octubre | 42 | 16 | 58 |
| 2016 Septiembre | 52 | 14 | 66 |
| 2016 Agosto | 51 | 18 | 69 |
| 2016 Julio | 26 | 12 | 38 |
| 2016 Junio | 2 | 0 | 2 |
| 2015 Diciembre | 3 | 0 | 3 |
| 2015 Octubre | 1 | 0 | 1 |
| 2015 Septiembre | 1 | 0 | 1 |
| 2015 Julio | 3 | 5 | 8 |
| 2015 Junio | 24 | 5 | 29 |
| 2015 Mayo | 40 | 13 | 53 |
| 2015 Abril | 29 | 11 | 40 |
| 2015 Marzo | 27 | 12 | 39 |
| 2015 Febrero | 24 | 11 | 35 |
| 2015 Enero | 27 | 11 | 38 |
| 2014 Diciembre | 22 | 20 | 42 |
| 2014 Noviembre | 26 | 20 | 46 |
| 2014 Octubre | 36 | 17 | 53 |
| 2014 Septiembre | 32 | 19 | 51 |
| 2014 Agosto | 27 | 17 | 44 |
| 2014 Julio | 23 | 16 | 39 |
| 2014 Junio | 33 | 25 | 58 |
| 2014 Mayo | 28 | 26 | 54 |
| 2014 Abril | 35 | 29 | 64 |
| 2014 Marzo | 34 | 24 | 58 |
| 2014 Febrero | 24 | 26 | 50 |
| 2014 Enero | 22 | 30 | 52 |
| 2013 Diciembre | 28 | 40 | 68 |
| 2013 Noviembre | 34 | 32 | 66 |
| 2013 Octubre | 31 | 24 | 55 |
| 2013 Septiembre | 29 | 20 | 49 |
| 2013 Agosto | 27 | 25 | 52 |
| 2013 Julio | 30 | 17 | 47 |
| 2013 Junio | 17 | 21 | 38 |
| 2013 Mayo | 27 | 19 | 46 |
| 2013 Abril | 25 | 22 | 47 |
| 2013 Marzo | 13 | 20 | 33 |
| 2013 Febrero | 12 | 17 | 29 |
| 2013 Enero | 13 | 14 | 27 |
| 2012 Diciembre | 11 | 24 | 35 |
| 2012 Noviembre | 0 | 9 | 9 |
| 2012 Octubre | 0 | 1 | 1 |
| 2012 Septiembre | 0 | 2 | 2 |
| 2012 Enero | 7 | 0 | 7 |
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