Tratamiento quirúrgico de la mielopatía cervical espondiloartrósica
M. Clavel Escribano, P. Clavel Laria
Servicio de Neurocirugía, Hospital General de Cataluña, Barcelona
Leído
7516
Vecesse ha leído el artículo
5853
Total PDF
1663
Total HTML
Compartir estadísticas
array:22 [ "pii" => "S1130147396707510" "issn" => "11301473" "doi" => "10.1016/S1130-1473(96)70751-0" "estado" => "S300" "fechaPublicacion" => "1996-01-01" "aid" => "70751" "copyright" => "Sociedad Española de Neurocirugía" "copyrightAnyo" => "1996" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 1996;7:4-10" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 7529 "formatos" => array:3 [ "EPUB" => 21 "HTML" => 1660 "PDF" => 5848 ] ] "itemSiguiente" => array:18 [ "pii" => "S1130147396707522" "issn" => "11301473" "doi" => "10.1016/S1130-1473(96)70752-2" "estado" => "S300" "fechaPublicacion" => "1996-01-01" "aid" => "70752" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 1996;7:11-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 3078 "formatos" => array:3 [ "EPUB" => 19 "HTML" => 1363 "PDF" => 1696 ] ] "es" => array:9 [ "idiomaDefecto" => true "titulo" => "Maxilotomía ampliada (LeFort I con segmentación sagital) como vía de abordaje a la base craneal" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "11" "paginaFinal" => "17" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "G. Sánchez Aniceto, A. Silván González de Rivera, J.C. Moreno Vázquez, R. Díez Lobato, A. Cabrera Yesares, V. López Pizarra, R. Castillo Escandón" "autores" => array:7 [ 0 => array:2 [ "nombre" => "G." "apellidos" => "Sánchez Aniceto" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Silván González de Rivera" ] 2 => array:2 [ "nombre" => "J.C." "apellidos" => "Moreno Vázquez" ] 3 => array:2 [ "nombre" => "R." "apellidos" => "Díez Lobato" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Cabrera Yesares" ] 5 => array:2 [ "nombre" => "V." "apellidos" => "López Pizarra" ] 6 => array:2 [ "nombre" => "R." "apellidos" => "Castillo Escandón" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147396707522?idApp=UINPBA00004B" "url" => "/11301473/0000000700000001/v1_201305151450/S1130147396707522/v1_201305151450/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Tratamiento quirúrgico de la mielopatía cervical espondiloartrósica" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "4" "paginaFinal" => "10" ] ] "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, Barcelona" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras Clave" "identificador" => "xpalclavsec162922" "palabras" => array:3 [ 0 => "Mielopatía cervical espondiloartrósica" 1 => "Larninectomía" 2 => "Fusión vertebral" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key Words" "identificador" => "xpalclavsec162921" "palabras" => array:3 [ 0 => "Spondylotic cervical myelopathy" 1 => "Laminectomy" 2 => "Vertebral fusion" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presentan los resultados de una serie de 21 pacientes consecutivos intervenidos quirúrgicamente de mielopatía espondilótica o espondiloartrósica. Catorce de ellos fueron intervenidos por vía posterior con extensa laminectomía cervical y fijación interna con placas de titanio y tornillos introducidos en las masas articulares.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Los otros 7 pacientes fueron intervenidos por vía anterior (corpectomía a uno o múltiples niveles) con injerto autólogo y fijación interna con placa y tornillos.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se insiste en la conveniencia de relacionar los estudios radiológicos con la clínica de los pacientes para evitar los diagnósticos erróneos. Hacemos énfasis en la necesidad prioritaria de realizar una descompresión adecuada tanto por vía anterior como posterior. Se establece la conveniencia de adoptar una u otra vía dependiendo cual sea la localización preferente de la compresión, desaconsejando la vía posterior en los enfermos con deformidad cifótica de la columna cervical.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Insistimos en intervenir a estos pacientes en una fase más precoz, antes de que las lesiones mielomalácicas sean evidentes en los estudios de resonancia magnética.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">We are reporting our results with 21 consecutive patients treated surgically of cervical spondylotic myelopathy. In 14 of them we performed cervical laminectomy in addition to a posterolateral fusion with titanium plates and screws introduced in the lateral masses.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The other 7 patients were treated with an anterior approach, corpectomy at single or multiple levels, placement of autologous graft and fixation with plates and screws.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">It is important to correlate the radiological findings with the clinical symptomatology to avoid misdiagnosis. We emphasize the priority of adquate descompression with anterior and posterior approach. The decision to perform one or the other depends on where the compression is located. We should avoid posterior decompression in the presence of a kyphotic deformity.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">We emphasize the importance of an earlier diagnosis and surgical treatment before they develop irreversible lesions.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Clavel Escribano, M.; Clavel Laria, P.: Tratamiento quirúrgico de la mielopatía cervical espondiloartrósica. Neurocirugía 1996; 7: 4–10.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:41 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Les myelopathies cervicales d’origine raquidienne" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "J. Aboulker" 1 => "I. Metzger" 2 => "M. David" 3 => "P. Engel" 4 => "J. Balliret" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Neurochirurgie" "fecha" => "1965" "volumen" => "11" "paginaInicial" => "87" "paginaFinal" => "198" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Treatment of cervical spine injuries with anterior plating. Indications, techniques, and results" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M. Aebi" 1 => "K. Zuber" 2 => "D. Marchesi" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Spine" "fecha" => "1991" "volumen" => "16" "numero" => "SuppI 3" "paginaInicial" => "38" "paginaFinal" => "45" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The results of surgical treatment of spondylotic radiculomyelopathy with complete cervical laminectomy and posterior foramen magnum decompression" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "H. Alsharif" 1 => "S. Ezzat" 2 => "A. Hay" 3 => "N.A. Motty" 4 => "S.A. Malek" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Acta Neurochir. (Wien)" "fecha" => "1979" "volumen" => "48" "paginaInicial" => "83" "paginaFinal" => "100" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The effect of cervical mobility on the natural history of cervical spondylotic myelopathy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M.P. Barnes" 1 => "M. Saunders" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J. Neurol. Neurosurg. Psychiatry" "fecha" => "1984" "volumen" => "47" "paginaInicial" => "17" "paginaFinal" => "20" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6693912" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Analysis of cervical spine curvature in patients with cervical spondylosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "U. Batzdorf" 1 => "A. Batzdorff" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Neurosurgery" "fecha" => "1988" "volumen" => "22" "paginaInicial" => "827" "paginaFinal" => "836" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3380271" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The posterior operation in treatment of cervical spondylosis with myelopathy: A long-term follow-up study" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "S.N. Bishara" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J. Neurol. Neurosurg. Psychiatry" "fecha" => "1971" "volumen" => "34" "paginaInicial" => "393" "paginaFinal" => "398" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5096553" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Some aspects of cervical spondylosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "P. Bradshaw" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Q. J. Med." "fecha" => "1957" "volumen" => "26" "paginaInicial" => "177" "paginaFinal" => "208" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/13432142" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib8" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Surgical stabilization of the cervical spine. A comparative analysis of anterior and posterior spine fusions" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "D.A. Capen" 1 => "D.E. Garland" 2 => "R.L. Waters" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Clin. Orthop." "fecha" => "1985" "volumen" => "196" "paginaInicial" => "229" "paginaFinal" => "237" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3995822" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib9" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Anterior cervical fusion and interbody stabilization with the trapezial osteosynthetic plate technique. Aesculap Scientific Information Leaflets S-039" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "W. Caspar" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:4 [ "edicion" => "7" "fecha" => "1986" "editorial" => "Aesculap Instruments" "editorialLocalizacion" => "Burlingame, Calif" ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib10" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Anterior stabilization with trapezoid osteosynthetic plate technique in cervical spine injuries" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "W. Caspar" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:4 [ "titulo" => "Cervical spine i" "paginaInicial" => "198" "paginaFinal" => "204" "serieFecha" => "1987" ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib11" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cervical myelopathy: a complication of cervical spondylosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "E. Clarke" 1 => "P.K. Robinson" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Brain" "fecha" => "1956" "volumen" => "79" "paginaInicial" => "483" "paginaFinal" => "510" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/13364095" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib12" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Técnica de fijación de cuerpo vertebral cervical" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "M. Clavel" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Rev. Españ. Traumat. Orto" "fecha" => "1984" "volumen" => "28" "paginaInicial" => "449" "paginaFinal" => "454" ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib13" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tratamiento quirúrgico de la mielopatía espondiloartrósica. Estudio preliminar" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M. Clavel" 1 => "R. Noboa" 2 => "P. Clavel" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Neurocirugía" "fecha" => "1993" "volumen" => "4" "paginaInicial" => "46" "paginaFinal" => "52" ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib14" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Identifiable causes for poor outcome in surgery for cervical spondylosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A.G. Clifton" 1 => "J.M. Stevens" 2 => "P. Whitear" 3 => "B.E. Kendall" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Neuroradiology" "fecha" => "1990" "volumen" => "32" "paginaInicial" => "450" "paginaFinal" => "455" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2287369" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib15" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cervical spondylotic myelopathy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "P.H. Crandall" 1 => "U. Batzdorf" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3171/jns.1966.25.1.0057" "Revista" => array:6 [ "tituloSerie" => "J. Neurosurg." "fecha" => "1966" "volumen" => "25" "paginaInicial" => "57" "paginaFinal" => "66" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5947048" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib16" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Spinal instability as defined by the three-column spine concept in acute spinal trauma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "F. Denis" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Clin. Orthop." "fecha" => "1984" "volumen" => "189" "paginaInicial" => "65" "paginaFinal" => "76" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6478705" "web" => "Medline" ] ] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib17" "etiqueta" => "17." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A comparative study of the treatment of cervical spondylotic myeloradiculopathy. Experience with 50 cases treated by means of extensive laminectomy, foraminotomy, and excision of osteophytes during the past 10 years" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J.A. Epstein" 1 => "Y. Janin" 2 => "R. Carras" 3 => "L.S. Lavine" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Acta Neurochir." "fecha" => "1982" "volumen" => "61" "paginaInicial" => "89" "paginaFinal" => "104" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6280455" "web" => "Medline" ] ] ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib18" "etiqueta" => "18." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cervical spondylotic myelopathy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "R.J.L. Ferguson" 1 => "L.R. Caplan" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Neurol. Clin." "fecha" => "1985" "volumen" => "3" "paginaInicial" => "373" "paginaFinal" => "382" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3894921" "web" => "Medline" ] ] ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib19" "etiqueta" => "19." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cervical nerve root compression resulting from disc degeneration and root sleeve fibrosis: a clinical investigation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "R. Frykholm" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Acta Chir. Scand. Suppl." "fecha" => "1951" "volumen" => "160" "paginaInicial" => "1" "paginaFinal" => "149" ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib20" "etiqueta" => "20." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The effect of surgical immobilization after laminectomy in the treatmet of advanced cases of cervical spondylotic myelopathy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "L. González-Feria" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Acta Neurochir." "fecha" => "1975" "volumen" => "31" "paginaInicial" => "185" "paginaFinal" => "193" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1181812" "web" => "Medline" ] ] ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib21" "etiqueta" => "21." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cervical spondylotic radiculopathy and myelopathy: a long term follow-up study" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "F.K. Gregorius" 1 => "T. Estrin" 2 => "P.H. Crandall" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch. Neurol." "fecha" => "1976" "volumen" => "33" "paginaInicial" => "618" "paginaFinal" => "625" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/962644" "web" => "Medline" ] ] ] ] ] ] ] ] 21 => array:3 [ "identificador" => "bib22" "etiqueta" => "22." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cervical corpectomy and plate fixation for postlaminectomy kyphosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J.M. Herman" 1 => "V.K.H. Sonntag" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3171/jns.1994.80.6.0963" "Revista" => array:6 [ "tituloSerie" => "J. Neurosurg." "fecha" => "1994" "volumen" => "80" "paginaInicial" => "963" "paginaFinal" => "970" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8189276" "web" => "Medline" ] ] ] ] ] ] ] ] 22 => array:3 [ "identificador" => "bib23" "etiqueta" => "23." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Expansive open-door laminoplasty for cervical spinal stenotic myelopathy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "K. Hirabayashi" 1 => "K. Watanabe" 2 => "K. Wakano" 3 => "N. Suzuki" 4 => "K. Satomi" 5 => "Y. Ishii" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Spine" "fecha" => "1983" "volumen" => "8" "paginaInicial" => "693" "paginaFinal" => "699" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6420895" "web" => "Medline" ] ] ] ] ] ] ] ] 23 => array:3 [ "identificador" => "bib24" "etiqueta" => "24." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Critical analysis of extensive cervicallaminectomy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "Y. Ishida" 1 => "K. Suzuki" 2 => "K. Ohmori" 3 => "Y. Kikata" 4 => "H. Hattori" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Neurosurgery" "fecha" => "1989" "volumen" => "24" "paginaInicial" => "215" "paginaFinal" => "222" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2918972" "web" => "Medline" ] ] ] ] ] ] ] ] 24 => array:3 [ "identificador" => "bib25" "etiqueta" => "25." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Anterior cervical vertebrectomy and interbody fusion for multilevel spondylosis and ossification of the posterior longitudinal ligament" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "T. Kojima" 1 => "S. Waga" 2 => "Y. Kubo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Neurosurgery" "fecha" => "1989" "volumen" => "24" "paginaInicial" => "864" "paginaFinal" => "872" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2501709" "web" => "Medline" ] ] ] ] ] ] ] ] 25 => array:3 [ "identificador" => "bib26" "etiqueta" => "26." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cervical spondylotic myelopathy: natural history" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "H. LaRocca" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Spine" "fecha" => "1988" "volumen" => "13" "paginaInicial" => "854" "paginaFinal" => "855" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3057650" "web" => "Medline" ] ] ] ] ] ] ] ] 26 => array:3 [ "identificador" => "bib27" "etiqueta" => "27." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Natural history and prognosis of cervical spondylosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "F. Lees" 1 => "J.W.A. Turner" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Br. Med. J." "fecha" => "1963" "volumen" => "2" "paginaInicial" => "1607" "paginaFinal" => "1610" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/728746" "web" => "Medline" ] ] ] ] ] ] ] ] 27 => array:3 [ "identificador" => "bib28" "etiqueta" => "28." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Imaging of degenerative disease of the cervical spine" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M. Modic" 1 => "J. Ross" 2 => "T. Masaryk" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Clin. Orthop. Rel. Res." "fecha" => "1988" "volumen" => "2" "paginaInicial" => "122" "paginaFinal" => "135" ] ] ] ] ] ] 28 => array:3 [ "identificador" => "bib29" "etiqueta" => "29." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Ruptured cervical discs: experience with 250 cases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "F. Murphey" 1 => "J.C.H. Simmons" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Am. J. Surg." "fecha" => "1966" "volumen" => "32" "paginaInicial" => "83" "paginaFinal" => "88" ] ] ] ] ] ] 29 => array:3 [ "identificador" => "bib30" "etiqueta" => "30." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The pathogenesis of the spinal cord disorder associated with cervical spondylosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "S. Nurick" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Brain" "fecha" => "1972" "volumen" => "95" "paginaInicial" => "87" "paginaFinal" => "100" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5023093" "web" => "Medline" ] ] ] ] ] ] ] ] 30 => array:3 [ "identificador" => "bib31" "etiqueta" => "31." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The natural history and the results of surgical treatment of the spinal cord disorder associated with cervical spondylosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "S. Nurick" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Brain" "fecha" => "1972" "volumen" => "95" "paginaInicial" => "101" "paginaFinal" => "108" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5023079" "web" => "Medline" ] ] ] ] ] ] ] ] 31 => array:3 [ "identificador" => "bib32" "etiqueta" => "32." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Suspension laminotomy: A new surgical thechnique for compression myelopathy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "K. Ohmori" 1 => "Y. Ishida" 2 => "K. Suzuki" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Neurosurgery" "fecha" => "1987" "volumen" => "21" "paginaInicial" => "950" "paginaFinal" => "957" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3437970" "web" => "Medline" ] ] ] ] ] ] ] ] 32 => array:3 [ "identificador" => "bib33" "etiqueta" => "33." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Reflection of a laminar flap for exposure of the spinal canal in children" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "A.J. Raimondi" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Clin. Neurosurg." "fecha" => "1978" "volumen" => "25" "paginaInicial" => "504" "paginaFinal" => "511" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/361326" "web" => "Medline" ] ] ] ] ] ] ] ] 33 => array:3 [ "identificador" => "bib34" "etiqueta" => "34." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Alterations in primary and coupled neck motions after facetectomy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "R.B. Raynor" 1 => "R. Moskovich" 2 => "P. Zidel" 3 => "J. Pugh" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Neurosurgery" "fecha" => "1987" "volumen" => "21" "paginaInicial" => "681" "paginaFinal" => "685" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3696402" "web" => "Medline" ] ] ] ] ] ] ] ] 34 => array:3 [ "identificador" => "bib35" "etiqueta" => "35." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Surgical treatment of cervical spondylotic myelopathy: time for a controlled trial" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "L. Rowland" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Neurology" "fecha" => "1992" "volumen" => "42" "paginaInicial" => "5" "paginaFinal" => "13" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1584431" "web" => "Medline" ] ] ] ] ] ] ] ] 35 => array:3 [ "identificador" => "bib36" "etiqueta" => "36." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Multisegmental cervical spondylosis: treatment by spondylectomy, microsurgical decompression, and osteosynthesis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "V. Seifert" 1 => "D. Stolke" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Neurosurgery" "fecha" => "1991" "volumen" => "29" "paginaInicial" => "498" "paginaFinal" => "503" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1944828" "web" => "Medline" ] ] ] ] ] ] ] ] 36 => array:3 [ "identificador" => "bib37" "etiqueta" => "37." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cervical spondylosis treatment by bilateral facetectomy and laminectomy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "W.B. Scoville" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3171/jns.1961.18.4.0423" "Revista" => array:6 [ "tituloSerie" => "J. Neurosurg." "fecha" => "1961" "volumen" => "18" "paginaInicial" => "423" "paginaFinal" => "428" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/13749416" "web" => "Medline" ] ] ] ] ] ] ] ] 37 => array:3 [ "identificador" => "bib38" "etiqueta" => "38." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cervical spondylosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M. Sturgill" 1 => "F. Brown" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Neurosurgery Quarterly" "fecha" => "1994" "volumen" => "4" "paginaInicial" => "158" "paginaFinal" => "173" ] ] ] ] ] ] 38 => array:3 [ "identificador" => "bib39" "etiqueta" => "39." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The surgical treatment of cervical spondylotic myelopathy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "L. Symon" 1 => "P. Lavender" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Neurology" "fecha" => "1967" "volumen" => "17" "paginaInicial" => "117" "paginaFinal" => "127" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6066872" "web" => "Medline" ] ] ] ] ] ] ] ] 39 => array:3 [ "identificador" => "bib40" "etiqueta" => "40." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Chronic cervical cord compression: clinical significance of increased signal intensity on MR images" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "M. Takahashi" 1 => "Y. Yamashita" 2 => "Y. Sakamoto" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1148/radiology.173.1.2781011" "Revista" => array:6 [ "tituloSerie" => "Radiology" "fecha" => "1989" "volumen" => "173" "paginaInicial" => "219" "paginaFinal" => "224" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2781011" "web" => "Medline" ] ] ] ] ] ] ] ] 40 => array:3 [ "identificador" => "bib41" "etiqueta" => "41." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "P.R. Young" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:4 [ "titulo" => "Microsurgery of the cervical spine" "paginaInicial" => "49" "paginaFinal" => "65" "serieFecha" => "1991" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/11301473/0000000700000001/v1_201305151450/S1130147396707510/v1_201305151450/es/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/11301473/0000000700000001/v1_201305151450/S1130147396707510/v1_201305151450/es/main.pdf?idApp=UINPBA00004B&text.app=https://revistaneurocirugia.com/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147396707510?idApp=UINPBA00004B" ]
| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 2 | 3 | 5 |
| 2020 Marzo | 1 | 0 | 1 |
| 2020 Febrero | 0 | 2 | 2 |
| 2018 Marzo | 1 | 0 | 1 |
| 2018 Febrero | 20 | 38 | 58 |
| 2018 Enero | 29 | 50 | 79 |
| 2017 Diciembre | 20 | 65 | 85 |
| 2017 Noviembre | 46 | 96 | 142 |
| 2017 Octubre | 37 | 57 | 94 |
| 2017 Septiembre | 22 | 84 | 106 |
| 2017 Agosto | 25 | 67 | 92 |
| 2017 Julio | 30 | 82 | 112 |
| 2017 Junio | 30 | 95 | 125 |
| 2017 Mayo | 41 | 85 | 126 |
| 2017 Abril | 22 | 96 | 118 |
| 2017 Marzo | 27 | 95 | 122 |
| 2017 Febrero | 11 | 107 | 118 |
| 2017 Enero | 18 | 92 | 110 |
| 2016 Diciembre | 35 | 73 | 108 |
| 2016 Noviembre | 39 | 109 | 148 |
| 2016 Octubre | 44 | 104 | 148 |
| 2016 Septiembre | 127 | 188 | 315 |
| 2016 Agosto | 343 | 421 | 764 |
| 2016 Julio | 143 | 249 | 392 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Julio | 0 | 6 | 6 |
| 2015 Junio | 11 | 161 | 172 |
| 2015 Mayo | 19 | 119 | 138 |
| 2015 Abril | 16 | 111 | 127 |
| 2015 Marzo | 20 | 120 | 140 |
| 2015 Febrero | 15 | 105 | 120 |
| 2015 Enero | 22 | 88 | 110 |
| 2014 Diciembre | 18 | 85 | 103 |
| 2014 Noviembre | 12 | 93 | 105 |
| 2014 Octubre | 20 | 145 | 165 |
| 2014 Septiembre | 16 | 193 | 209 |
| 2014 Agosto | 17 | 165 | 182 |
| 2014 Julio | 16 | 84 | 100 |
| 2014 Junio | 24 | 109 | 133 |
| 2014 Mayo | 17 | 136 | 153 |
| 2014 Abril | 10 | 140 | 150 |
| 2014 Marzo | 19 | 171 | 190 |
| 2014 Febrero | 10 | 173 | 183 |
| 2014 Enero | 18 | 195 | 213 |
| 2013 Diciembre | 19 | 107 | 126 |
| 2013 Noviembre | 18 | 99 | 117 |
| 2013 Octubre | 20 | 102 | 122 |
| 2013 Septiembre | 20 | 91 | 111 |
| 2013 Agosto | 17 | 98 | 115 |
| 2013 Julio | 27 | 95 | 122 |
| 2013 Junio | 18 | 94 | 112 |
| 2013 Mayo | 13 | 141 | 154 |
| 2013 Abril | 17 | 103 | 120 |
| 2013 Marzo | 14 | 78 | 92 |
| 2013 Febrero | 22 | 54 | 76 |
| 2013 Enero | 22 | 40 | 62 |
| 2012 Diciembre | 13 | 42 | 55 |
| 2012 Noviembre | 0 | 28 | 28 |
| 2012 Octubre | 0 | 23 | 23 |
| 2012 Septiembre | 0 | 1 | 1 |
| 2012 Enero | 8 | 0 | 8 |
Mostrar todo
