Martínez AR, Tenopala VS, Hernández SJR, Velázquez RV, Torres HJC, Zepeda VTC, Ocampo AL, Núñez QG

Language: Spanish
References: 13
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ABSTRACT

For the patients treatment in the call postlaminectomy syndrome, are used several medicines, put by epidural cateter and response to these medicines depends on the adequate placement on these; for that reason some investigating have proposed the guide fluoroscopic. The quirurgic postlaminectomy patients suffer changes in the anatomy and flat tissues. Based on this problem is outlined to demonstrate that the metameric distribution is different in patient without column surgery, and those treaties with surgery and in this way to determine the site adapted for the medicines administration by epidural route achieving the efficiency in the treatment. Through a prospective study, were included 30 patients split into two groups. The first group without column surgery (15 patients), the second group are postlaminectomy syndrome (15 patients), is a first practiced peridural blockade under fluoroscopic control to know the location of the cateter and distribution of the middle of contrast, evaluating the intensity of the pain through the analogous visual scale (EVA) in basal phase 1 to 2 hours and to 4 weeks. Upon ending of administering the means of contrast is a deposited analgesic and antiinflamatory for epidural route discharging to their domicile. The introduction of the middle of contrast was not metamericly uniform, postlaminectomy patients was bilateral partial (26.7%), lateral partial (16.7%), lateral total (6.6%), in the group of back ache was bilateral partial (23.3%), bilateral total (26.7%). In the postlaminectomy group the EVA average was 8.33, in basal state, 5.26 to 2 hours and 3.2 to 4 weeks, for the pain under of back, EVA average was of 8.99, 3.8 to 2 hours and of 1.93 to 4 weeks. For the metameric distribution with respect to the EVA, was observed that in the patients with metameric distribution partial, lateral or bilateral, the EVA does not descend so important, in comparison with those patients whose metameric distribution was total, lateral or bilateral, however, there were some patients in those which the metameric distribution was lateral partial and presented important improvement of EVA.

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