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2024, Número 1

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Cir Columna 2024; 2 (1)


Instrumentación en enfermedad de Parkinson, crónica de una muerte anunciada

Rodas MFJ, Moreno VCA, Ramírez AL, Sánchez GFJ, De HEJA, Tejera MA, Cruz LF, Dittmar JHM

Idioma: Ingles.
Referencias bibliográficas: 20
Paginas: 54-59
Archivo PDF: 926.12 Kb.


RESUMEN

Paciente masculino con escoliosis lumbar degenerativa acompañado de enfermedad de Parkinson (EP). Se instrumenta únicamente los niveles necesarios para corrección de la deformidad coronal, como descompresión de los niveles con estenosis. A pesar de un control radiológico inmediato satisfactorio, en los días posteriores el paciente se aqueja de dolor a nivel de la columna torácica. Rayos X de seguimiento evidencian fractura de la vértebra más cefálica instrumentada. Debido a múltiples comorbilidades, se decide manejo conservador, esperando consolidación del segmento lesionado. Sin embargo, a pesar del tratamiento médico, es llevado cinco meses postoperatorio a sala de operaciones para prolongación de la instrumentación, realizando una transición de una fijación rígida a una semirrígida. El objetivo de la publicación es poner en contexto acerca de la dificultad que conlleva el manejo de un paciente que padezca EP combinado con algún padecimiento degenerativo de la columna.


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