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        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Valorar los resultados obtenidos con la utilizaci&#243;n del sistema Dynesys &#40;Dynamic Neutralizaci&#243;n System for the spine&#41;&#44; en un grupo de 94 pacientes&#44; como nuevo concepto para el tratamiento de la patolog&#237;a degenerativa lumbar basado en la estabilizaci&#243;n lumbar con conservaci&#243;n de la funci&#243;n articular en contra de la restricci&#243;n de la artrodesis cl&#225;sica&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Presentamos 94 pacientes en los que se utiliz&#243; este sistema de los cuales 62 fueron hombres y 32 mujeres con una edad media de 46&#46;4 a&#241;os&#46; La patolog&#237;a de los pacientes fue de hernia discal en 27 casos&#44; discopat&#237;a degenerativa en 54 casos y estenosis de canal en 13 casos&#46; Se realiz&#243; un seguimiento entre 14 t 24 meses valorando la cl&#237;nica seg&#250;n la escala de Oswestry y la reincorporaci&#243;n al trabajo&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Los resultados en la escala de Oswestry fue del 21&#46;4&#37; definitivo con respecto al 56&#46;8&#37; previo al tratamiento y la reincorporaci&#243;n al trabajo fue del 82&#37;&#46; El cuadro ci&#225;tico ha remitido pr&#225;cticamente en todos los casos&#44; as&#237; como la lumbalgia y una mejor&#237;a del 60&#37; en casos de claudicaci&#243;n&#46; Como complicaciones rese&#241;amos dos casos debidas a la t&#233;cnica&#44; con malposici&#243;n de tornillos en un caso y rotura pedicular en otro&#44; dos casos de seroma subcut&#225;neo y dos infecciones subcl&#237;nicas tard&#237;as&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La neutralizaci&#243;n din&#225;mica obtenida mediante este sistema&#44; no debe ser considerada como una artrodesis&#46; El tratamiento con Dynesys ampl&#237;a la poblaci&#243;n de pacientes en los que se puede intervenir a aquellos que en principio no son tributarios de una fijaci&#243;n est&#225;ndar&#44; pero que planteaban dudas al cirujano al aplicar t&#233;cnicas sin apoyo instrumental&#44; incorporando el concepto de funcionalidad frente a la restricci&#243;n del movimiento&#46; Se puede definir como una pr&#243;tesis d&#237;scal colocada extra-discalmente&#46; Hemos obtenido un buen resultado en la mayor&#237;a de nuestros pacientes&#44; aunque pensamos que es preciso ampliar el tiempo de seguimiento&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To assess the results obtained using the Dynesys system &#40;Dynamic Neutralisation System for the spine&#41;&#44; in a group of 94 patients This new system for treating lumbar degenerative pathologie is based on lumbar stabilisation and preservation of articular function&#44; as opposed to traditional arthrodesis restrictions&#46;</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We analyze series of 94 patiens in whom this system was used&#46; 62 were males and 32 females with an average age of 46&#44;4 years&#46; The pathologies treated were disc herniation in 27 cases&#44; degenerative discopathy in 54 cases and lumbar channel stenosis in 13 cases&#46; Follow-up was carried out between 14 and 24 months&#44; assessing the clinical picture according to the Oswestry scale and the return to work&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The final results on the Oswestry scale were 21&#44;4&#37; with respect to 56&#44;8&#37; prior to the treatment and the return to work was 82&#37;&#46; There was a remission of the sciatica symptoms in almost all the cases&#44; as well as of the lumbar pain&#44; and there was a 60&#37; improvement in the claudication cases&#46; With regard to complications&#44; we would like to point out two cases due to the technique&#44; one because of the wrong positioning of the screws and the other due to the rupture of the pedicle&#46; There were two cases of subcutaneous seroma and two late subclinical infections&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The dynamic neutralisation obtained using this system&#44; should not be considered as an arthrodesis&#46; Treatment using Dynesys enlarges the population of patiens candidates for surgery to who initially do not apparently need a standard fixation&#44; but who raise doubt regarding the application of techniques without instrumental support&#44; incorporating the functionality concept as opposed to restricting movement&#46; This system can be defined as a disc prosthesis fitted externally to the disc&#46; We have obtained good results in the majority of our patients&#44; although we believethut the follow-up should be increased&#46;</p>"
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Sistema de neutralización dinámica en la columna lumbar. SISTEMA DYNESYS Experiencia en 94 casos
M. Bordes-Monmeneu
, V. Bordes-García, F. Rodrigo-Baeza, D. Sáez
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