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ISSN 1405-8790 (Impreso)

2015, Número 3-4

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Rev Mex Med Fis Rehab 2015; 27 (3-4)


Hernia discal masiva: rehabilitación. Revisión a propósito de un caso

Domínguez-Carrillo LG, Alcocer-Maldonado JL, Domínguez-Gasca LG

Idioma: Español
Referencias bibliográficas: 50
Paginas: 86-93
Archivo PDF: 329.95 Kb.


RESUMEN

Antecedentes: La hernia discal masiva (ocupando 50% o más del canal vertebral) a la vista del neurocirujano y del ortopedista tienen indicación quirúrgica. No obstante en varios estudios a lo largo del tiempo se ha demostrado que a mayor volumen de la hernia discal, existe mayor posibilidad de que ésta disminuya su tamaño con tratamiento conservador. Caso clínico: Femenino de 24 años con datos clínicos lumbalgia con compresión radicular L5, postesfuerzo, con resonancia magnética nuclear demostrando hernia discal masiva, manejada conservadoramente en rehabilitación, con resolución completa a los seis meses del evento. Conclusiones: a) A mayor volumen de la hernia discal existe mayor posibilidad de resorción, no estando incrementado el riesgo de síndrome de cauda equina o daño radicular; b) el tratamiento conservador con rehabilitación de la hernia discal masiva resuelve más del 80% de los casos.


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