Discitis secundaria a cirugía del disco intervertebral lumbar
M. Gelabert González, A. Prieto González, E.J. Bandín Diéguez, A. García Allut, A. García Pravos, A. Bollar Zabala, R. Martínez Rumbo
Servicio de Neurocirugía. Complejo Hospitalario Universitario de Santiago. Instituto Universitario de Ciencias Neurológicas «Pedro Barrié». Universidad de Santiago de Compostela
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García Pravos, A. Bollar Zabala, R. Martínez Rumbo" "autores" => array:7 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Gelabert González" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Prieto González" ] 2 => array:2 [ "nombre" => "E.J." "apellidos" => "Bandín Diéguez" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "García Allut" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "García Pravos" ] 5 => array:2 [ "nombre" => "A." "apellidos" => "Bollar Zabala" ] 6 => array:2 [ "nombre" => "R." "apellidos" => "Martínez Rumbo" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía. Complejo Hospitalario Universitario de Santiago. Instituto Universitario de Ciencias Neurológicas «Pedro Barrié». Universidad de Santiago de Compostela" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras Clave" "identificador" => "xpalclavsec162929" "palabras" => array:5 [ 0 => "Discitis" 1 => "Hernia de disco lumbar" 2 => "Proteína C reactiva" 3 => "Resonancia magnética" 4 => "Velocidad de sedimentación" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key Words" "identificador" => "xpalclavsec162930" "palabras" => array:5 [ 0 => "Discitis" 1 => "Intervertebral disc hernia" 2 => "C-reactive protein" 3 => "Magnetic resonance imaging" 4 => "Erytrocyte sedimentation rate" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La infección del interespacio representa una complicación poco habitual tras la cirugía de la hernia de disco lumbar.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se analiza la presentación clínica y radiológica en 6 casos de discitis postquirúrgica que representan el 0,8% de los pacientes intervenidos en nuestro servicio de hernia de disco lumbar.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Todos los casos presentaron dolor lumbar acompañado de fiebre, elevación significativa de la velocidad de sedimentación globular y en el estudio con resonancia magnética se evidenció la presencia de hiposeñal en T1 e hiperseñal en T2 a nivel de los platillos, y realce con gadolinio.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Se realizó tratamiento con reposo, antiestafilocócicos e inmovilización lumbar.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Tras una revisión de la literatura, se recalca la importancia de las determinaciones analíticas postoperatorias cuando se sospecha la presencia de discitis, siendo imprescindible a nuestro entender practicar una resonancia magnética sin y con contraste para poder hacer un diagnóstico preciso.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Discitis is an infrequent complication after intervertebral disc surgery. We review a series of 6 cases of postoperative discitis who represent 0.8% of all the patients operated on for lumbar disc herniation.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">All the patients had low back pain, fever and an increased postoperative erytrocite sedimentation rate (ESR). Magnetic resonance imaging with and without administration of gadolinium showed decreased bone marrow signal intensity adjacent to the disk space on the T1-weighted image and increased disk space signal intensity on the more T2-weighted image.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Treatment was performed with bed rest, antimicrobial therapy and inmobilization of the spine.</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">The authors suggest that increased body temperature, and ESR within few days after disc operation is the first sign of infection. This should be confirmed with MRI unenhnaced and enhanced T1 and T2 sequences.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Gelabert González, M.; Prieto González, A.; Bandín Diéguez, F.J.; García Allut, A.; García Pravos, A.; Bollar Zabala, A.; Martínez Rumbo, R.: Discitis secundaria a cirugía del disco intervertebral lumbar. Neurocirugía 1996; 7: 27–32.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:32 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Needle aspiration biopsy of the spine in suspected disc space infection" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "P. Amstrong" 1 => "A.H. Chalmers" 2 => "G. Green" 3 => "J.D. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 3 | 3 | 6 |
| 2022 Diciembre | 1 | 2 | 3 |
| 2020 Marzo | 1 | 2 | 3 |
| 2018 Marzo | 1 | 4 | 5 |
| 2018 Febrero | 45 | 32 | 77 |
| 2018 Enero | 56 | 38 | 94 |
| 2017 Diciembre | 48 | 66 | 114 |
| 2017 Noviembre | 63 | 60 | 123 |
| 2017 Octubre | 55 | 45 | 100 |
| 2017 Septiembre | 53 | 64 | 117 |
| 2017 Agosto | 61 | 60 | 121 |
| 2017 Julio | 65 | 72 | 137 |
| 2017 Junio | 77 | 74 | 151 |
| 2017 Mayo | 58 | 55 | 113 |
| 2017 Abril | 49 | 69 | 118 |
| 2017 Marzo | 56 | 92 | 148 |
| 2017 Febrero | 109 | 104 | 213 |
| 2017 Enero | 56 | 81 | 137 |
| 2016 Diciembre | 72 | 66 | 138 |
| 2016 Noviembre | 83 | 91 | 174 |
| 2016 Octubre | 73 | 74 | 147 |
| 2016 Septiembre | 156 | 178 | 334 |
| 2016 Agosto | 227 | 217 | 444 |
| 2016 Julio | 115 | 183 | 298 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Septiembre | 1 | 0 | 1 |
| 2015 Julio | 2 | 11 | 13 |
| 2015 Junio | 22 | 52 | 74 |
| 2015 Mayo | 49 | 109 | 158 |
| 2015 Abril | 32 | 105 | 137 |
| 2015 Marzo | 20 | 103 | 123 |
| 2015 Febrero | 27 | 132 | 159 |
| 2015 Enero | 14 | 94 | 108 |
| 2014 Diciembre | 19 | 74 | 93 |
| 2014 Noviembre | 22 | 96 | 118 |
| 2014 Octubre | 26 | 95 | 121 |
| 2014 Septiembre | 17 | 107 | 124 |
| 2014 Agosto | 24 | 95 | 119 |
| 2014 Julio | 17 | 80 | 97 |
| 2014 Junio | 33 | 69 | 102 |
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| 2014 Marzo | 23 | 88 | 111 |
| 2014 Febrero | 18 | 93 | 111 |
| 2014 Enero | 28 | 82 | 110 |
| 2013 Diciembre | 20 | 80 | 100 |
| 2013 Noviembre | 26 | 104 | 130 |
| 2013 Octubre | 27 | 108 | 135 |
| 2013 Septiembre | 25 | 93 | 118 |
| 2013 Agosto | 14 | 90 | 104 |
| 2013 Julio | 21 | 101 | 122 |
| 2013 Junio | 16 | 76 | 92 |
| 2013 Mayo | 14 | 70 | 84 |
| 2013 Abril | 17 | 47 | 64 |
| 2013 Marzo | 12 | 42 | 54 |
| 2013 Febrero | 11 | 29 | 40 |
| 2013 Enero | 15 | 13 | 28 |
| 2012 Diciembre | 10 | 13 | 23 |
| 2012 Noviembre | 0 | 8 | 8 |
| 2012 Octubre | 0 | 2 | 2 |
| 2012 Septiembre | 0 | 2 | 2 |
| 2012 Enero | 11 | 0 | 11 |
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