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array:23 [ "pii" => "S1130147393711318" "issn" => "11301473" "doi" => "10.1016/S1130-1473(93)71131-8" "estado" => "S300" "fechaPublicacion" => "1993-01-01" "aid" => "71131" "copyright" => "Sociedad Española de Neurocirugía" "copyrightAnyo" => "1993" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 1993;4:46-52" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 4237 "formatos" => array:3 [ "EPUB" => 32 "HTML" => 1335 "PDF" => 2870 ] ] "itemSiguiente" => array:18 [ "pii" => "S113014739371132X" "issn" => "11301473" "doi" => "10.1016/S1130-1473(93)71132-X" "estado" => "S300" "fechaPublicacion" => "1993-01-01" "aid" => "71132" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 1993;4:53-61" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2482 "formatos" => array:3 [ "EPUB" => 28 "HTML" => 1044 "PDF" => 1410 ] ] "es" => array:9 [ "idiomaDefecto" => true "titulo" => "Traumatismos raqui-medulares. Consideraciones a propósito de 56 casos y revisión de la literatura" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "53" "paginaFinal" => "61" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J.M. Granado Peña" "autores" => array:1 [ 0 => array:2 [ "nombre" => "J.M." "apellidos" => "Granado Peña" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S113014739371132X?idApp=UINPBA00004B" "url" => "/11301473/0000000400000001/v1_201305151424/S113014739371132X/v1_201305151424/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1130147393711306" "issn" => "11301473" "doi" => "10.1016/S1130-1473(93)71130-6" "estado" => "S300" "fechaPublicacion" => "1993-01-01" "aid" => "71130" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 1993;4:33-45" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 4939 "formatos" => array:3 [ "EPUB" => 27 "HTML" => 1549 "PDF" => 3363 ] ] "es" => array:9 [ "idiomaDefecto" => true "titulo" => "Tratamiento de las sinostosis craneofaciales" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "33" "paginaFinal" => "45" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J. Esparza, F. Cordobés, R. Salván, M. Ochotorena, M. Muñoz, J. Ayerbe" "autores" => array:6 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Esparza" ] 1 => array:2 [ "nombre" => "F." "apellidos" => "Cordobés" ] 2 => array:2 [ "nombre" => "R." "apellidos" => "Salván" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Ochotorena" ] 4 => array:2 [ "nombre" => "M." "apellidos" => "Muñoz" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Ayerbe" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147393711306?idApp=UINPBA00004B" "url" => "/11301473/0000000400000001/v1_201305151424/S1130147393711306/v1_201305151424/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Tratamiento quirúrgico de la mielopatía cervical espondiloartrósica. Estudio preliminar" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "46" "paginaFinal" => "52" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "M. Clavel Escribano, R. Noboa Baquero, P. Clavel Laria" "autores" => array:3 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Clavel Escribano" ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Noboa Baquero" ] 2 => array:2 [ "nombre" => "P." "apellidos" => "Clavel Laria" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía. Hospital General de Cataluña. Barcelona" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec162394" "palabras" => array:3 [ 0 => "Mielopatía cervical espondiloartrósica" 1 => "Laminectomía" 2 => "Fusión vertebral" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec162393" "palabras" => array:3 [ 0 => "Spondylotic cervical myelopathy" 1 => "Laminectomy" 2 => "Vertebral fusion" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presenta un estudio clínico preliminar de un grupo de ocho pacientes intervenidos quirúrgicamente de mielopatía cervical espondiloartrósica, con seguimiento que oscila de tres a dieciocho meses. Todos ellos fueron intervenidos con tracción cervical esquelética y en decúbito prono. Extensa laminectomía cervical y foraminotomías con técnica microquirúrgica.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Siguiendo el concepto de que la inmovilización mejora el pronóstico de estos pacientes se añadió un sistema de fusión posterolateral con placas de titanio y tornillos introducidos en las masas articulares (Levtec). Los resultados en este período de seguimiento han sido muy alentadores, pudiéndose realizar estudios de RNM pre y postoperatorios.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Hacemos énfasis en el diagnóstico y cirugía precoz de estos pacientes antes de que las lesiones irreversibles aparezcan. Se discuten otras vías de abordaje para la mielopatía cervical espondiloartrósica.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">This is a preliminary clinical work including the results obtained in eight patients operated on for cervical spondylotic myelopathy with a follow-up of three to eighteen months. They had surgery in prone position under skeletal traction. A large microsurgical cervical laminectomy with foraminotomy was performed.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Following the concept that inmobilization should improve the prognosis in these patients, a posterolateral spinal fusión –with titanium plates and screws introduced in the facets (Levtec)– was added to the procedure. The results are very encouraging and we have performed MRI studies before and after surgery.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We emphasize the importance of an earlier diagnosis and surgical treatment in these patients before they develop irreversible lesions. We discuss alternative approaches for the spondylotic cervical myelopathy.</p>" ] ] "NotaPie" => array:2 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Clavel, M.; Noboa, R.; y Clavel P.: Tratarmiento quirúrgico de la mielopatía espondiloartrósica. Estudio preliminar. Neurocirugía 1993; 4: 46–52.</p>" ] 1 => array:2 [ "etiqueta" => "☆☆" "nota" => "<p class="elsevierStyleNotepara">Trabajo presentado en parte'como comunicación oral y vídeo en la XLIII Reunión de la Sociedad Luso-Española de Neurocirugía. Estoril, mayo, 1992.</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" => "Les myelopathies cervicales d'origine raquidienne" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "J. Aboulker" 1 => "I. Metzger" 2 => "M. David" 3 => "P. Engel" 4 => "J. Balliret" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Neurochirurgie" "fecha" => "1965" "volumen" => "11" "paginaInicial" => "87" "paginaFinal" => "198" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Studies in cervical spondylotic myelopathy: III. 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