MARC details
000 -LEADER |
fixed length control field |
04223nas a22003137a 4500 |
003 - CONTROL NUMBER IDENTIFIER |
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OSt |
005 - DATE AND TIME OF LATEST TRANSACTION |
control field |
20210326153150.0 |
006 - FIXED-LENGTH DATA ELEMENTS--ADDITIONAL MATERIAL CHARACTERISTICS |
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007 - PHYSICAL DESCRIPTION FIXED FIELD--GENERAL INFORMATION |
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ta |
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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171219t2009 sp ||||| |||| 00| 0 spa | |
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
International Standard Serial Number |
1888-6116 |
040 ## - CATALOGING SOURCE |
Transcribing agency |
Salus Infirmorum |
245 00 - TITLE STATEMENT |
Title |
Resultados clínicos y laborales de los implantes interespinosos frente a la artrodesis posterolateral instrumentada en el tratamiento de la enfermedad discal lumbar. Evolución de dos años = |
Remainder of title |
Clinical and occupational outcomes of interspinous implants versus instrumented posterolateral arthrodesis in the treatment of lumbar disc disease. Two years of follow-up / |
Statement of responsibility, etc. |
López-Oliva Muñoz F, Rodríguez Macías M, Fabregat Sancho J, Forriol Campos F |
500 ## - GENERAL NOTE |
General note |
Este artículo se encuentra disponible en su edición impresa. |
504 ## - BIBLIOGRAPHY, ETC. NOTE |
Bibliography, etc. note |
Bibliografía: p. 149-150 |
520 3# - SUMMARY, ETC. |
Summary, etc. |
Objetivo: comparar los resultados de la aplicación de dos técnicas quirúrgicas, artrodesis instrumentada y dispositivo interespinoso en pacientes laborales con lumbalgia por enfermedad discal degenerativa leve y moderada.<br/>Material y métodos: se estudiaron 65 pacientes tratados quirúrgicamente, en 34 se realizó una artrodesis posterolateral instrumentada y en 31 se implantó un dispositivo interespinoso tipo ISS® (Biomet). Fueron revisados retrospectivamente a los dos años de evolución analizando resultados clínicos, laborales y de imagen.<br/>Resultados: No se encontraron diferencias estadísticamente significativas en el resultado clínico entre ambas técnicas, alcanzando una tasa de éxito de 61,7% en artrodesis y 64,5% en interespinosos. La incapacidad temporal postquirúrgica fue significativa con 212 días de media para el grupo artrodesado y 124 días para los implantes interespinosos, también fue significativa la diferencia de incapacidades temporales, 94,1% y 58% respectivamente. Radiográficamente ambas técnicas limitaron la movilidad segmentaria destacando la artrodesis pero sin que la movilidad residual influya en los resultados clínicos.<br/>Conclusiones. El tratamiento quirúrgico de la lumbalgia laboral mediante espaciadores interespinosos ofrece menor invasividad y morbilidad, mayor rango de movimiento, menor sobrecarga de niveles adyacentes con resultados clínicos comparables y mejores resultados laborales que la artrodesis |
520 8# - SUMMARY, ETC. |
Summary, etc. |
Objective: To compare the outcomes of two surgical techniques, instrumented arthrodesis and interspinous implants, in working patients with low back pain attributable to mild and moderate degenerative disc disease.<br/>Material and methods: A total of 65 patients underwent surgery: 34 were subjected to instrumented posterolateral arthrodesis and 31 received an ISS® (Biomet) type interspinous implant. A retrospective evaluation was made after two years of follow-up, analyzing the clinical, occupational and imaging outcomes.<br/>Results: There were no statistically significant differences in clinical outcome between the two techniques – the success rate being 61.7% for arthrodesis and 64.5% for the interspinous implants. Temporary postoperative disability proved significant, with an average of 212 days for arthrodesis and 124 days for the interspinous implants. The difference in temporary disability was also significant (94.1% and 58%, respectively). Radiologically, both techniques limited segmental mobility (particularly arthrodesis), though the residual mobility did not influence the clinical outcome.<br/>Conclusions: The surgical management of occupational back pain using interspinous spacers involves less invasiveness and morbidity, an increased movement range, less overloading of adjacent levels, comparable clinical results and superior occupational outcome versus arthrodesis. |
653 14 - INDEX TERM--UNCONTROLLED |
Uncontrolled term |
dolor lumbar |
653 14 - INDEX TERM--UNCONTROLLED |
Uncontrolled term |
dispositivo interespinoso |
653 14 - INDEX TERM--UNCONTROLLED |
Uncontrolled term |
estabilización dinámica |
653 14 - INDEX TERM--UNCONTROLLED |
Uncontrolled term |
artrodesis lumbar |
653 14 - INDEX TERM--UNCONTROLLED |
Uncontrolled term |
back pain |
653 14 - INDEX TERM--UNCONTROLLED |
Uncontrolled term |
interspinous implant |
653 14 - INDEX TERM--UNCONTROLLED |
Uncontrolled term |
dynamic stabilization |
653 14 - INDEX TERM--UNCONTROLLED |
Uncontrolled term |
lumbar arthrodesis |
773 ## - HOST ITEM ENTRY |
Related parts |
-- 2009, v. 20, 3, p.144-150 |
Title |
Trauma |
856 ## - ELECTRONIC LOCATION AND ACCESS |
Uniform Resource Identifier |
<a href="http://www.mapfre.com/fundacion/html/revistas/trauma/v20n3/pdf/02_03.pdf">http://www.mapfre.com/fundacion/html/revistas/trauma/v20n3/pdf/02_03.pdf</a> |
Link text |
Acceso al documento |
942 ## - ADDED ENTRY ELEMENTS (KOHA) |
Source of classification or shelving scheme |
Universal Decimal Classification |
Koha item type |
Artículo de revista |