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Tratamiento de fracturas atlantoaxiales combinadas en el adulto mayor empleando instrumentación posterior tornillo-barra C1-C2
dc.contributor.advisor | Torres, Jorge | |
dc.creator | Vergara-Garcia, David | |
dc.creator | Buriticá, José L. | |
dc.creator | Torres, Jorge | |
dc.creator | Laverde, Leonardo | |
dc.creator.degree | Especialista en Neurocirugía | spa |
dc.creator.degreetype | Full time | spa |
dc.date.accessioned | 2020-07-17T00:54:59Z | |
dc.date.available | 2020-07-17T00:54:59Z | |
dc.date.created | 2020-07-03 | |
dc.description | Introducción: Dado que la instrumentación posterior tornillo-barra C1-C2 ha demostrado tener buenos resultados postoperatorios en diferentes tipos de patologías con inestabilidad atlantoaxial independiente de la edad, es razonable pensar en su potencial aplicabilidad en el escenario de las fracturas atlantoaxiales combinadas en pacientes adultos mayores, para quienes el manejo quirúrgico ha demostrado ser beneficioso. Objetivo: Realizar una descripción retrospectiva de los resultados postoperatorios obtenidos en pacientes adultos mayores con fracturas atlantoaxiales combinadas llevados a manejo quirúrgico con instrumentación posterior tornillo-barra C1-C2. Materiales y Métodos: Se realizó revisión de las historias clínicas de pacientes mayores de 65 años admitidos a dos hospitales de la ciudad de Bogotá DC entre enero de 2016 hasta enero de 2017, diagnosticados con fracturas traumáticas agudas combinadas del atlas y del axis y llevados a instrumentación posterior C1-C2 con constructos tornillo-barra. De la historia clínica se tomaron datos demográficos, clínicos, tipos de fractura, estado neurológico, estado de dolor, estado de fusión ósea, entre otros. Resultados: Se obtuvieron siete pacientes masculinos, con edad promedio 72,3 años. Ninguno presentó complicaciones perioperatorias o deterioro neurológico postoperatorio. Se evidenció fusión ósea y estabilidad del constructo en el 100% de los pacientes al año postoperatorio, con resolución completa del dolor cervical en 5 individuos, y parcial en los dos restantes. Conclusiones: La instrumentación posterior con constructos tornillo-barra C1-C2 es una excelente opción para el manejo quirúrgico de pacientes adultos mayores con fracturas atlantoaxiales combinadas dada su baja tasa de complicaciones y alta tasa de fusión ósea. | spa |
dc.description.abstract | Introduction: Since C1-C2 posterior screw-rod instrumentation has shown good postoperative results in different types of pathologies with atlantoaxial instability independent of age, it is reasonable to think about its potential applicability in the scenario of combined atlantoaxial fractures in elderly patients, for whom surgical management has proven beneficial. Objective: To perform a retrospective description of the postoperative results obtained in elderly patients with combined atlantoaxial fractures brought to surgical management with C1-C2 posterior screw-rod instrumentation. Materials and Methods: Medical records of patients older than 65 years admitted to two hospitals in the city of Bogotá DC from January 2016 to January 2017, diagnosed with combined acute traumatic fractures of the atlas and the axis, taken to later C1-C2 posterior screw-rod instrumentation were reviewed. Demographic and clinical data, type of fractures, neurological status, pain status, bone fusion status, among others, were collected. Results: Seven male patients were obtained, with an average age of 72.3 years. None presented perioperative complications or postoperative neurological deterioration. Bone fusion and stability of the construct were evidenced in 100% of the patients a year after surgery, with complete resolution of cervical pain in 5 individuals, and partial resolution in the remaining two. Conclusions: C1-C2 posterior screw-rod instrumentation is an excellent option for the surgical management of elderly patients with combined atlantoaxial fractures given its low rate of complications and high rate of bone fusion. | spa |
dc.format.mimetype | application/pdf | |
dc.identifier.doi | https://doi.org/10.48713/10336_25464 | |
dc.identifier.uri | https://repository.urosario.edu.co/handle/10336/25464 | |
dc.language.iso | spa | spa |
dc.publisher | Universidad del Rosario | spa |
dc.publisher.department | Facultad de Medicina | spa |
dc.publisher.program | Especialización en Neurología | spa |
dc.rights | Atribución-SinDerivadas 2.5 Colombia | spa |
dc.rights.accesRights | info:eu-repo/semantics/openAccess | |
dc.rights.acceso | Abierto (Texto Completo) | spa |
dc.rights.licencia | EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe. EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización. -------------------------------------- POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos. | spa |
dc.rights.uri | http://creativecommons.org/licenses/by-nd/2.5/co/ | |
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dc.source.instname | instname:Universidad del Rosario | spa |
dc.source.reponame | reponame:Repositorio Institucional EdocUR | spa |
dc.subject | Atlantoaxial | spa |
dc.subject | Atlas | spa |
dc.subject | Axis | spa |
dc.subject | C1 | spa |
dc.subject | C2 | spa |
dc.subject | Fractura | spa |
dc.subject | Cervical | spa |
dc.subject | Combinada | spa |
dc.subject | Adulyo mayor | spa |
dc.subject.ddc | Farmacología & terapéutica | spa |
dc.subject.keyword | Atlantoaxial | spa |
dc.subject.keyword | Atlas | spa |
dc.subject.keyword | Axis | spa |
dc.subject.keyword | C1 | spa |
dc.subject.keyword | C2 | spa |
dc.subject.keyword | Cervical | spa |
dc.subject.keyword | Combined | spa |
dc.subject.keyword | Fracture | spa |
dc.subject.keyword | Elderly | spa |
dc.title | Tratamiento de fracturas atlantoaxiales combinadas en el adulto mayor empleando instrumentación posterior tornillo-barra C1-C2 | spa |
dc.title.TranslatedTitle | Treatment of combined atlantoaxial fractures in the elderly with C1-C2 posterior screw-rod instrumentation | eng |
dc.type | masterThesis | eng |
dc.type.document | Artículo | spa |
dc.type.hasVersion | info:eu-repo/semantics/acceptedVersion | |
dc.type.spa | Trabajo de grado | spa |
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- Vergara-Garcia-et-al.---Tratamiento-de-fracturas-atlantoaxiales-combinadas-en-el-adulto-mayor-empleando-instrumentacion-posteriortornillo-barra-C1-C2.pdf
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- Artículo publicado en la Revista Chilena de Neurocirugía