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González Tortosa, A. Mendoza Roca, M. Poza Poza" "autores" => array:3 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "González Tortosa" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Mendoza Roca" ] 2 => array:2 [ "nombre" => "M." 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Piquer, G. Bataller, H. Pérez Garrigues, R. Villanueva, F. Cortés, J. Navarro, P. Riesgo" "autores" => array:7 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Piquer" ] 1 => array:2 [ "nombre" => "G." "apellidos" => "Bataller" ] 2 => array:2 [ "nombre" => "H." "apellidos" => "Pérez Garrigues" ] 3 => array:2 [ "nombre" => "R." "apellidos" => "Villanueva" ] 4 => array:2 [ "nombre" => "F." "apellidos" => "Cortés" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Navarro" ] 6 => array:2 [ "nombre" => "P." "apellidos" => "Riesgo" ] ] ] 1 => array:2 [ "autoresLista" => "V. Vázquez Añón" "autores" => array:1 [ 0 => array:2 [ "nombre" => "V." "apellidos" => "Vázquez Añón" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S113014739670742X?idApp=UINPBA00004B" "url" => "/11301473/0000000700000002/v1_201305151451/S113014739670742X/v1_201305151451/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "El abordaje posterolateral extracavitario a la columna dorsal" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "119" "paginaFinal" => "125" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "M. Clavel Escribano, P. Clavel Laria" "autores" => array:2 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Clavel Escribano" ] 1 => array:2 [ "nombre" => "P." "apellidos" => "Clavel Laria" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía, Hospital General de Cataluña y Clínica del Pilar de Barcelona" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec162962" "palabras" => array:2 [ 0 => "Abordaje posterolateral extracavitario" 1 => "Columna dorsal" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec162961" "palabras" => array:2 [ 0 => "Posterolateral extracavitary approach" 1 => "Thoracic spine" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Es bien conocido el alto riesgo que conlleva la realización de una laminectomía standard en patología dorsal anterior a la médula, como puede ser una hernia de disco.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">En los últimos siete años hemos realizado el abordaje posterolateral extracavitario en 15 pacientes para diferentes patologías (5 tumoraciones malignas, 5 hernias de disco, 3 pacientes postraumáticos y 2 tumoraciones benignas). La costilla o costillas resecadas en el abordaje las utilizamos como injerto. En las fracturasluxaciones y en los casos de tumoraciones malignas debe añadirse un sistema de fijación posterior (Isola o similar).</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Resulta una excelente técnica de abordaje a la columna dorsal y de elección en todo tipo de hernias discales dorsales y tumoraciones benignas (neurinomas) intra-extracanaliculares.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The high risk of performing a standard thoracic laminectomy to relieve the pressure produced on the anterior surface of the spinal cord by a thoracic disc is wellknown.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">During the last seven years we have performed the posterolateral extracavitary approach in 15 patients with different pathologies (5 malignant tumors, 5 thoracic disc herniation, 3 traumatic cord lesions and 2 benign tumors). The rib or ribs resected in the approach were used as interbody grafts. In patients with fracture-Iuxation and malignant tumors an instrumental posterior fixation (Isola or similar) was used.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The posterolateral extracavitary approach is an excellent surgical technique for the thoracic spine and our choice for any type of disc herniation or benign intra-extracanalicular tumors.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Clavel Escribano, M.; Clavel Laria, P.: El abordaje posterolateral extracavitario a la columna dorsal. Neurocirugía 1996; 7: 119–125.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:16 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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