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Resultados de la termocoagulación percutánea lumbar en el síndrome facetario postcirugía del raquis
F. Seijo, C. Alvarez, J.M. Moreno
Servicio de Neurocirugía, Hospital Central de Asturias, Oviedo
J.M. López*
* Departamento de Morfología y Biología Celular, Universidad de Oviedo
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El objetivo de este estudio fue valorar los resultados de la termocoagulaci&#243;n percut&#225;nea lumbar en el s&#237;ndrome facetario tras la cirug&#237;a de la hernia discal lumbar&#46; Para ello&#44; se realiz&#243; un estudio retrospectivo de 47 pacientes que presentaban esta patolog&#237;a y a los que se les realiz&#243; de forma sistem&#225;tica una termocoagulaci&#243;n lumbar bilateral de los espacios L3&#8211;L4&#44; L4&#8211;L5 Y L5&#8211;S1&#46; Los datos epidemiol&#243;gicos fueron 21 hombres y 26 mujeres&#44; con una edad media de 52 a&#241;os &#40;rango 27 &#8211; 72 a&#241;os&#41; operados de hernia discallumbar en uno o m&#225;s de los espacios L4&#8211;L5 y&#47;o L5&#8211;S1&#44; y a los que se les aplic&#243;&#44; previamente&#44; unos criterios de inclusi&#243;n y exclusi&#243;n&#46; Los resultados de la termocoagulaci&#243;n percut&#225;nea al mes de la realizaci&#243;n de la misma fueron 35 &#40;75 &#37;&#41; casos exitosos&#44; y 12 &#40;25 &#37;&#41; fracasos y al a&#241;o 22 &#40;47 &#37;&#41; casos exitosos y 25 &#40;53 &#37;&#41; fracasos&#44; siendo los buenos resultados m&#225;s frecuentes a corto plazo en la mujer y m&#225;s frecuentes a largo plazo en el var&#243;n&#46; Las complicaciones que presentaron fueron en 7 pacientes y durante un per&#237;odo transitorio que variaba entre 7 y 48 d&#237;as&#44; parestesias y disestesias a nivel de la cara externa o interna de muslos&#46;</p>"
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        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The aim of the present work was to study the effects of percutaneous radiofrequency facet denervation on patients with a lumbar facet syndrome&#46; All patients had been previously operated for lumbar disc herniation&#46; One month after the operation the results of percutaneous radiofrequency facet denervation were 35 successes and 12 failures and twelve months later 22 successes and 25 failures&#46; Overall the results were better in women than in men at 6 months follow-up&#46; However&#44; long-term results &#40;12 months follow-up&#41; were better in men than in women&#46;</p>"
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