38-213
Resultados del tratamiento de la inestabilidad postdisectomia mediante artrodesis posterolateral lumbar
Results of posterolateral lumbar arthrodesis in patients with inestability who had undergone previous lumbar discectomy
J.A. DELGADO RAMÍREZ*, J.L. RUIZ ARRANZ*, Y. SERRANO CONTRERAS** HOSPITAL ALTO GUADALQUIVIR. ANDUJAR. JAÉN*. HOSPITAL COSTA DEL SOL MARBELLA. MÁLAGA**.
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008
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Resumen (ES)
The present study has the aime, the evaluation of
results of posterolateral lumbar arthrodesis in patients who
had undergone lumbar discal surgery failed because of apearance
of inestability. Retrospective study in 15 patients with
diagnosis inestabilidad postdiskectomy made by: clinical, static
and dinamic x-ray and MRI,treated with posterolateral
lumbar arthrodesis using pedicular screw. Ten male and five
female of 27-64 years and average 46, we used the life cuality
scale Oswestry and Scott scale. The shortest follow up 3
years and longest 6years. Our results were: time between diskectomy
and arthrodesis variated from 1 to 10 years, average
5 years, about: pain intensity, patients need analgesic because
pain, help for activities, deambulation, sexual activity all of
them improve. We had 3 cases with complication: 2
Pseudoarthrosis; one of them with clinical symptons, the
other one pain free. One case of deep infection of wound
where surgical debridement was necesary. Finally Scott´s
scale prior to surgery puntuation was between 1-4. After between
8-10. Excepting 1 case with bad evolution. Conclusion:
posterolateral lumbar arthrodesis with pedicular screew can
be a good option of treatment in inestabilirty postdiskectomy.
results of posterolateral lumbar arthrodesis in patients who
had undergone lumbar discal surgery failed because of apearance
of inestability. Retrospective study in 15 patients with
diagnosis inestabilidad postdiskectomy made by: clinical, static
and dinamic x-ray and MRI,treated with posterolateral
lumbar arthrodesis using pedicular screw. Ten male and five
female of 27-64 years and average 46, we used the life cuality
scale Oswestry and Scott scale. The shortest follow up 3
years and longest 6years. Our results were: time between diskectomy
and arthrodesis variated from 1 to 10 years, average
5 years, about: pain intensity, patients need analgesic because
pain, help for activities, deambulation, sexual activity all of
them improve. We had 3 cases with complication: 2
Pseudoarthrosis; one of them with clinical symptons, the
other one pain free. One case of deep infection of wound
where surgical debridement was necesary. Finally Scott´s
scale prior to surgery puntuation was between 1-4. After between
8-10. Excepting 1 case with bad evolution. Conclusion:
posterolateral lumbar arthrodesis with pedicular screew can
be a good option of treatment in inestabilirty postdiskectomy.
Palabras clave (ES):
Lumbar
Hernia
Disco
Discectomia
Inestabilidad
Postdicectomia
Artrodesis
Posterolateral
Secuela
Raquis
Columna
Resumen (EN)
The present study has the aime, the evaluation of
results of posterolateral lumbar arthrodesis in patients who
had undergone lumbar discal surgery failed because of apearance
of inestability. Retrospective study in 15 patients with
diagnosis inestabilidad postdiskectomy made by: clinical, static
and dinamic x-ray and MRI,treated with posterolateral
lumbar arthrodesis using pedicular screw. Ten male and five
female of 27-64 years and average 46, we used the life cuality
scale Oswestry and Scott scale. The shortest follow up 3
years and longest 6years. Our results were: time between diskectomy
and arthrodesis variated from 1 to 10 years, average
5 years, about: pain intensity, patients need analgesic because
pain, help for activities, deambulation, sexual activity all of
them improve. We had 3 cases with complication: 2
Pseudoarthrosis; one of them with clinical symptons, the
other one pain free. One case of deep infection of wound
where surgical debridement was necesary. Finally Scott´s
scale prior to surgery puntuation was between 1-4. After between
8-10. Excepting 1 case with bad evolution. Conclusion:
posterolateral lumbar arthrodesis with pedicular screew can
be a good option of treatment in inestabilirty postdiskectomy.
results of posterolateral lumbar arthrodesis in patients who
had undergone lumbar discal surgery failed because of apearance
of inestability. Retrospective study in 15 patients with
diagnosis inestabilidad postdiskectomy made by: clinical, static
and dinamic x-ray and MRI,treated with posterolateral
lumbar arthrodesis using pedicular screw. Ten male and five
female of 27-64 years and average 46, we used the life cuality
scale Oswestry and Scott scale. The shortest follow up 3
years and longest 6years. Our results were: time between diskectomy
and arthrodesis variated from 1 to 10 years, average
5 years, about: pain intensity, patients need analgesic because
pain, help for activities, deambulation, sexual activity all of
them improve. We had 3 cases with complication: 2
Pseudoarthrosis; one of them with clinical symptons, the
other one pain free. One case of deep infection of wound
where surgical debridement was necesary. Finally Scott´s
scale prior to surgery puntuation was between 1-4. After between
8-10. Excepting 1 case with bad evolution. Conclusion:
posterolateral lumbar arthrodesis with pedicular screew can
be a good option of treatment in inestabilirty postdiskectomy.
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