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Utilización de la cestilla de Moss en el tratamiento de fracturas patológicas vertebrales

The utility of moss's mesh in pathological spinal fractures

F. FERNÁNDEZ MANCILLA, F. J. CARRILLO JULIA, A. JIMÉNEZ GUARDEÑO, J. GARCES CASTILLO y A. VELLOSO LANUZA Unidad de Raquis, Departamento de COT. Hospital Universitario «Virgen del Rocío». Sevilla.
Recepción:
06/11/2008
Aceptación:
06/11/2008
Publicación:
06/11/2008


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Resumen (ES)

Pathological spinal fractures could induce neurological deficit, instability and
deformity. Therefore, the objective of the treatment consists of re-establishing the most quickly
possible the anatomy and normal function. In this sense, the utilization of a cylindrical mesh of
titanium, like the Moss's mesh, provide an immediate stability permiting early loading. We report
a retrospective study of 6 patients with pathological spinal fracture operated by anterior
decompression and spine stabilization using the Moss's mesh padded of bone graft acrylic cement.
Clinical assessment was made subjectively for the presence of pain and neurologic ally according
to pre and postoperatively Frankel's grades. The correction of the kyphosis, lordosis
and vertebral collapse was assessed according to the Cobb's method. The utilization of the
Moss's mesh in pathological spinal fractures provides a complete stability without dependence
of the status of bone fusion.

Palabras clave (ES):

Tumor
Metástasis
Raquis
Operatorio
Vértebra
Quirúrgico

Resumen (EN)

Pathological spinal fractures could induce neurological deficit, instability and
deformity. Therefore, the objective of the treatment consists of re-establishing the most quickly
possible the anatomy and normal function. In this sense, the utilization of a cylindrical mesh of
titanium, like the Moss's mesh, provide an immediate stability permiting early loading. We report
a retrospective study of 6 patients with pathological spinal fracture operated by anterior
decompression and spine stabilization using the Moss's mesh padded of bone graft acrylic cement.
Clinical assessment was made subjectively for the presence of pain and neurologic ally according
to pre and postoperatively Frankel's grades. The correction of the kyphosis, lordosis
and vertebral collapse was assessed according to the Cobb's method. The utilization of the
Moss's mesh in pathological spinal fractures provides a complete stability without dependence
of the status of bone fusion.

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