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2008, Número 2

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Acta Ortop Mex 2008; 22 (2)


Estabilización facetaria lumbosacra: Técnica de Mc Bride

León ME, Vázquez GJA, Atlitec CP

Idioma: Español
Referencias bibliográficas: 47
Paginas: 107-114
Archivo PDF: 186.35 Kb.


RESUMEN

Se realiza una evaluación y análisis de los resultados de descompresión lumbosacra y estabilización facetaria con técnica de Mc Bride para el tratamiento de la enfermedad lumbar degenerativa con inestabilidad en 340 pacientes (180 hombres y 160 mujeres) que fueron tratados durante el período de Mayo de 1996 a Mayo del 2003. El promedio de edad al momento de la operación fue de 47 años (rango de 22 a 85 años) con rango de seguimiento de 3 a 8 años. Todos cumplieron los criterios clínicos y de gabinete para lumbalgia crónica secundaria a enfermedad lumbar degenerativa e inestabilidad segmentaria que no remitieron su sintomatología con tratamiento conservador. Se obtuvieron muy buenos resultados en 114 pacientes (33.6%), buenos resultados en 203 pacientes (59.7%), regulares resultados en 16 pacientes (4.7%), pobres y malos resultados en 7 pacientes (2%). La técnica de Mc Bride permite simultáneamente manejar la enfermedad degenerativa discal, la estenosis lumbar, la inestabilidad segmentaria y la artrodesis del segmento inestable mediante el principio de la distracción interlaminar disminuyendo la compresión del foramen manteniendo una postura de extensión corrigiendo la subluxación articular y eliminando el punto estratégico de la movilidad facetaria intervertebral, colocando un bloque óseo circular a contrapresión exacta dando un soporte y estabilización inmediata y una buena fusión.


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