de la Torre GD, Ortiz RF, González FJ, Aguilar AMA

Language: Spanish
References: 10
Page: 36-42
PDF size: 287.19 Kb.

ABSTRACT

Introduction. The evolution in the knowledge of the sufferings that they affect to the thoracolumbar spine as well the creation of systems for the treatment of the same ones and its own evolution has generated a series of changes in the handling as well of benefits toward our patients, we have had the opportunity to know this process and of continuing looking for alternative that influence in the handling of these sufferings contributing this way to improve the quality of the individuals life that they suffer of this entity, in the service of spine Surgery of the Hospital Juarez de Mexico we make an analysis of the sufferings that affect to the lumbar spine as well the results obtained with the handling of the traspedicular instrumentation Objective. To know the evolution of the patients treaties with system of transpedicular screws VSF and intershomatic cages WASPP OXPEKK-IG y ADDER OXPEKK-IG in illnesses like spondylolisthesis, disk hernia, spinal stenosis, traumatisms, infections and tumors that affect to the thoracolumbar spine. Material and methods. It is a retrospective, traverse, descriptive and observational study of 631 patients managed with system of fixation transpedicular VSF and intershomatic cages WASPP OXPEKK-IG y ADDER OXPEKK-IG with pathology it doesn’t specify of the lumbosacra spine they are included patient of 25 to 80 years of age, 280 men and 251 women, in a 16 year-old period valuing the utility of the system of pedicle screws in the pathology of the thoracolumbar spine. Results. It has been studied the patients by more periods to 2 years, in those that observe different changes according to the time of evolution using two types of materials as stainless steel until the year 2000 and titanium up to the 2009, we had 18 patients with rejection to the instrumentation material, the time surgery average is of 3 hrs, the consolidation is variable among one period of 6 to 9 months, we have had to the date 25 patients with pseudoarthrosis, 95% of our patients treaties with this type of systems presents an immediate satisfactory clinical improvement, the neurological commitment it influences in the recovery as well as the entity that affects to the toracolumbar spine that invariably affects the time of recovery prolonging it more than 12 weeks. Conclusions. the pursuit that we have given to our patients has allowed us to see the importance of to thoroughly know who are candidates to the use of the systems of transpedicular screws and intershomatic cages WASPP OXPEKK-IG y ADDER OXPEKK-IG in the illness thoracolumbar spine, to choose the patient correctly, to individualize its treatment and to know the pathology and the use of the systems that were implemented thoroughly helped to obtain satisfactory results.

REFERENCES

1. Glaser J, Stanley M, Sayre H, Woody J, Found E, Spratt K. A 10-Year Follow-up Evaluation of Lumbar Spine Fusion With Pedicle Screw Fixation. SPINE 2003; 28(13): 1390-5.

2. Benz RJ, Garfin SR. Current Techniques of Decompression of the Lumbar Spine. Clinical Orthopaedics and Related Research Number 2001; 384: 75-81.

3. Chen WJ, Lai PL, Niu CC, Chen LH, Fu TS, Wong CB. Surgical Treatment of Adjacent Instability After Lumbar Spine Fusion. SPINE 2001; 26(22): E519-24.

4. Kanayama M, Hashimoto T, Shigenobu K, Oha F, Ishida T, Yamane S. Intraoperative Biomechanical Assessment of Lumbar Spinal Instability: Validation of Radiographic Parameters Indicating Anterior Column Support in Lumbar Spinal Fusion. SPINE 2003; 28(20): 2368-72.

5. Angevine PD, Dickman CA, McCormick PC. Lumbar Fusion With and Without Pedicle Screw Fixation. SPINE 2007; 32(13): 1466-71.

6. Iguchi T, Kanemura A, Kasahara K, Kurihara A, Doita M, Yoshiya S. Age Distribution of Three Radiologic Factors for Lumbar Instability: Probable Aging Process of the Instability With Disc Degeneration. SPINE 2003; 28(23): 2628-33.

7. Mirza SK, Deyo RA. Systematic Review of Randomized Trials Comparing Lumbar Fusion Surgery to Nonoperative Care for Treatment of Chronic Back Pain. SPINE 2007; 32(7): 816-23.

8. Kai Y, Oyama M, Morooka M. Posterior Lumbar Interbody Fusion Using Local Facet Joint Autograft and Pedicle Screw Fixation. SPINE 2003; 29(1): 41-6.

9. Phillips FM, Cunningham B. Lippincott Williams & Wilkins, Inc. Managing Chronic Pain of Spinal Origin After Lumbar Surgery The Role of Decompressive Surgery. SPINE 2002; 27(22): 2547-53.

10. Carreon LY, Puno RM, Dimar IIJR, Glassman SD, Johnson JR. Perioperative Complications of Posterior Lumbar Decompression and Arthrodesis in Older Adults. Investigation performed at Norton Hospital, Louisville, Kentucky. The Journal of Bone and Joint Surgery 2003; 85: 2089-9