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"apellidos" => "García-de la Oliva" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicios de Radiodiagnóstico. Hospital Regional Universitario Carlos Haya. Málaga" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondencia postal: Servicio de Radiodiagnóstico. Hospital Regional Universitario Carlos Haya. Málaga." ] ] ] 1 => array:3 [ "autoresLista" => "H.F. Cabrera Ortiz" "autores" => array:1 [ 0 => array:3 [ "nombre" => "H.F." "apellidos" => "Cabrera Ortiz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicios de Neurocirugía. Hospital Regional Universitario Carlos Haya. Málaga" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "C5-C6 transdiscal fracture and subluxation in a patient with ankylosing spondylitis" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-10-01" "fechaAceptado" => "2005-03-07" "PalabrasClave" => array:2 [ "es" => array:2 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec159407" "palabras" => array:3 [ 0 => "Espondilitis anquilopoyética" 1 => "Fractura cervical" 2 => "Lesión neurológica" ] ] 1 => array:4 [ "clase" => "abr" "titulo" => "Abreviaturas" "identificador" => "xpalclavsec159405" "palabras" => array:5 [ 0 => "AS" 1 => "EA" 2 => "RM" 3 => "STIR" 4 => "TAC" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec159406" "palabras" => array:3 [ 0 => "Ankylosing spondylitis" 1 => "Cervical fracture" 2 => "Cervical subluxation" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La fractura cervical es una posible complicación, no infrecuente, de la espondilitis anquilopoyética (EA) de larga evolución.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La actual nota clínica recoge un caso registrado en nuestro hospital, consistente en una fractura transdiscal y luxación C5-C6, con paraplejia final residual.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Su gravedad, pues, radica en su importante morbimortalidad en este tipo de pacientes.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El presente artículo centra su atención sobre el diagnóstico precoz, que posibilitará un manejo terapéutico personalizado, y sobre la prevención, en la medida de lo posible, de esta grave complicación.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Analizamos el contexto clínico del paciente, los factores predisponentes, el mecanismo lesional, la expresión radiológica, las secuelas neurológicas y el manejo terapéutico.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Cervical fracture is not a rare complication of longterm ankylosing spondylitis (AS). We are reporting a case of cervical fracture in a patient affected by which was complicated by a transdiscal fracture, C5-C6 subluxation, and residual paraplegia.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">We analyse clinical presentation, predisponent factors, injury mechanism, radiologic features, neurological deficits, and terapeutic management.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">We discuss the accurate diagnosis and the most suitable treatment for this serious complication, as well as prevention measures.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Carrillo-Colmenero, A.; García-de la Oliva, T.; Cabrera Ortiz, H.F.: Fractura transdiscal y subluxación C5-C6 en paciente con espondilitis anquilopoyética. Neurocirugía 2006; 17: 440–444.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:23 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Primary prevention of deep venous trombosis and pulmonary embolism in acute spinal cord injured patients" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "S. Alto" 1 => "A. Pieri" 2 => "M. D’Andrea" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1038/sj.sc.3101298" "Revista" => array:6 [ "tituloSerie" => "Spinal Cord" "fecha" => "2002" "volumen" => "40" "paginaInicial" => "300" "paginaFinal" => "303" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12037712" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." 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