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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La luxaci&#243;n bilateral pura de facetas articulares &#40;LFA&#41; a nivel de la columna tor&#225;cica&#44; es una entidad rara pero que da lugar a graves lesiones medulares en un alto porcentaje de casos&#46; En la gran mayor&#237;a de los casos se produce por un mecanismo de flexi&#243;ndistraccion&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Presentamos el caso de un var&#243;n que sufri&#243; un politraumatismo con importantes lesiones toraco-abdominales y esquel&#233;ticas&#44; por lo que estuvo ingresado en un hospital comarcal&#44; y al que&#44; un mes despu&#233;s&#44; se le diagnostic&#243; una luxaci&#243;n bilateral de facetas articulares a nivel T11-T12&#44; que en un principio pas&#243; desapercibida&#46; El diagn&#243;stico se obtuvo mediante las radiograf&#237;as simples y la TC con reconstrucci&#243;n sagital&#46; Fue intervenido quir&#250;rgicamente para realizar la reducci&#243;n de la luxaci&#243;n y fijaci&#243;n instrumentada a nivel T11-T12&#46; La recuperaci&#243;n fue completa en la primera semana postoperatoria&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La LFA pura a nivel tor&#225;cico&#44; en un elevado porcentaje&#44; se asocia a lesiones toracoabdominales que agravan el proceso y pueden contribuir a que las LFA pasen inadvertidas inicialmente&#44; sobre todo en pacientes sin afectaci&#243;n neurol&#243;gica&#44; con riesgo de provocar un da&#241;o neurol&#243;gico secundario&#46; La TC con reconstrucci&#243;n sagital nos permite realizar un diagnostico adecuado y precoz&#46; El tratamiento es quir&#250;rgico&#44; tanto para la reducci&#243;n como para la fijaci&#243;n posterior&#44; ya que se trata de una lesi&#243;n altamente inestable&#46; El pron&#243;stico es malo en pacientes con lesiones medulares completas&#44; mientras que la mejor&#237;a es frecuente en los casos de lesi&#243;n incompleta&#46;</p>"
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        "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Bilateral pure facets dislocation in the thoracic spine is rare&#44; but when it does occur in almost every istance produces a severe spinal cord lesion&#46; It is thought to be caused by a flexion distraction mechanisms in most of the cases&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">A case is presented of a male suffered a polytrauma with important thoracic&#44; abdominal&#44; and esqueletic injuries in a car accident&#46; The patient was in a hospital during two weeks&#44; and one month after the trauma a bilateral pure dislocation of T11-T12 facets was diagnosed&#46; Diagnosis was made with radiographs and CT with sagittal reconstruction&#46; After an open reduction and fixation&#44; recovery was complete within the first postoperative week&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Facet dislocation in the thoracic spine is associated in many cases with thoracic and abdominal injuries that worsen the clinical picture&#44; and thus it may contribute to misdiagnosis of the facet dislocation&#44; specially in the cases with no neurological symptoms&#44; adding a risk of secondary spinal cord damage&#46; High-resolution CT with sagittal reconstruction provides an adequate and rapid demonstration of the luxation and associated thoraco-abdominal damages&#46; Facet dislocation are unstable injuries that require open reduction and fixation&#46; Recovery of patients with incomplete lesions is frequent&#44; however&#44; recovery from complete lesions did not occur&#46;</p>"
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Luxación pura de facetas articulares T11-T12 sin secuelas neurológicas. Caso clínico
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