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"apellidos" => "García-March" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Broseta" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Cátedra de Neurocirugía de la Universidad de Salamanca y Hospitales General de la Santísima Trinidad (Salamanca), 9 de Octubre (Valencia)" ] ] ] 1 => array:3 [ "autoresLista" => "J.C. Paniagua, A. Framiñán" "autores" => array:2 [ 0 => array:3 [ "nombre" => "J.C." "apellidos" => "Paniagua" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "A." "apellidos" => "Framiñán" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicio de Radiodiagnóstico del Hospital Universitario de Salamanca" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Posterior transarticular cervical plating in chronic postraumatic cervical instability of ligamentous origin" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec156885" "palabras" => array:4 [ 0 => "Columna cervical" 1 => "Inestabilidad cervical" 2 => "Fijación instrumentada" 3 => "Injerto óseo" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec156886" "palabras" => array:4 [ 0 => "Cervical Spine" 1 => "Cervical Spine Instability" 2 => "Plate fixation" 3 => "Bone graft" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La inestabilidad cervical postraumática crónica ha sido tratada casi siempre con medidas conservadoras. Hoy en día, cuando éstas fracasan, el tratamiento quirúrgico mediante abordaje posterior tiene su papel para estabilizar la columna cervical.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Presentamos un grupo de 31 pacientes, de predominio femenino y edad media de 27,5 años, afectos de inestabilidad cervical postraumática crónica de origen ligamentario donde se practicó fijación instrumentada por vía posterior mediante tornillos anclados en los macizos articulares.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">En el 93,5% de los casos remitió la clínica previa. La lordosis fisiológica se corrigió en todos salvo en uno. El 77,4% se han reintegrado hasta el momento a su actividad laboral previa. No se registraron complicaciones.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los resultados demuestran que la fijación posterior transarticular es una técnica segura y eficaz para el manejo de este tipo de inestabilidad representando un avance sobre otros procedimientos.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Postraumatic chronic cervical instability has almost always been treated by conservative measures. Nowadays when these methods fail, surgical treatment by posterior approach has his role in order to stabilize the cervical spine.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We present a group of 31 patients with female preponderance and 27.5 years of mean age affected of postraumatic chronic cervical instability of ligamentous origin treated by cervical fixation through articular mass screws and plates.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Clinical remission was reached in 93.5%. Physiologic cervical lordosis was corrected in all except in one case. 77.4% of patients have returnned to work. No complications were detected.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Our results showed that lateral mass plating is a safe, effective technique for managing this kind of instability that represents a major advance over other procedures.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Sánchez-Ledesma, M.J.; Gonçalves, J.; García-March, G.; Paniagua, J.C.; Framiñán, A.; Broseta, J.: Fijación posterior transarticular en la inestabilidad cervical postraumática crónica de origen ligamentario. Neurocirugía 2000; 11: 95–102.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:15 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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