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2014, Número 2

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Rev Mex Anest 2014; 37 (2)


El dolor cervical en el enfermo con artritis reumatoide

Covarrubias-Gómez A, González-García JL, Betancourt-Sandoval JA, Rodríguez-Miranda R

Idioma: Español
Referencias bibliográficas: 39
Paginas: 101-108
Archivo PDF: 289.47 Kb.


RESUMEN

Antecedentes: El dolor de la columna cervical es un problema frecuente y está conformado por un grupo heterogéneo de enfermedades. Se ha estimado que presenta una prevalencia en la población general de los países industrializados del 20% y que es más común en mujeres que en hombres. Objetivo: Presentar al lector una información actual respecto a los mecanismos involucrados en la generación de este síndrome doloroso en el paciente con artritis reumatoide. Resultados: Entre las enfermedades asociadas al dolor de la columna cervical se encuentra la artritis reumatoide, generando alteraciones en este segmento del axis en el 10 al 86% de los individuos que la padecen. La inestabilidad de este segmento en el paciente con artritis reumatoide es potencialmente letal y promueve modificaciones biomecánicas capaces de producir manifestaciones neurológicas como: (i) radiculopatía, (ii) mielopatía y (iii) compromiso de los nervios craneales. Se han utilizado diversos abordajes terapéuticos para el alivio del dolor, entre los que se encuentran abordajes como: (i) farmacológicos, (ii) no farmacológicos, (iii) intervencionistas y (iv) quirúrgicos. Conclusiones: El dolor de la columna cervical requiere de una evaluación acuciosa que permita identificar su etiología y en consecuencia proporcionar un abordaje terapéutico óptimo.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Merskey H. Classification of chronic pain: Descriptions of chronic pain syndromes and definitions of pain terms. Pain. 1986;S3:345-356.

  2. Wolsko PM, Eisenberg DM, Davis RB, Kessler R, Phillips RS. Patterns and perceptions of care for treatment of back and neck pain: results of a national survey. Spine. 2003;28:292-298.

  3. Webb RMA, Brammah T, Lunt M, Unwin M, Allison T, Symmons D. Prevalence and predictors of intense, chronic and disabling neck and back pain in the UK general population. Spine. 2003;28:1195-1202.

  4. Childs JD, Fritz JM, Piva SR, Whitman JM. Proposal of a classification system for patients with neck pain. J Orthop Sports Phys Ther. 2004;34:686-696.

  5. Anderson G. The epidemiology of spinal disorders. In: Frymoyer JW, et al. The adult spine: principles and practice. New York: Raven Press; 1991:107-146.

  6. Borenstein DG, Wiesel S, Boden SD. Neck pain: medical diagnosis and comprehensive management. WB Saunders Co. EUA. 1996:26.

  7. Guez M, Hildingsson C, Nilsson M, Toolanen G. The prevalence of neck pain: a population-based study from northern Sweden. Acta Orthop Scand. 2002;73:455-459.

  8. Mäkelä M, Heliövaara M, Sievers K, Impivaara O, Knekt P, Aromaa A. Prevalence, determinants and consequences of chronic neck pain in Finland. Am J Epidemiol. 1991;134:1356-1367.

  9. Thomas E, Peat G, Harris L, Wilkie R, Croft PR. The prevalence of pain and pain interference in a general population of older adults: cross-sectional findings from the North Staffordshire Osteoarthritis Project (NorStOP). Pain. 2004;110:361-368.

  10. Nguyen HV, Ludwig SC, Silber J, Gelb DE, Anderson PA, Frank L, Vaccaro AR. Rheumatoid arthritis of the cervical spine. Spine J. 2004;4:329-334.

  11. Kolen RE, Schmidt MH. Rheumatoid arthritis of the cervical spine. Sem Neurol. 2002;22:179-186.

  12. Thonse R, Belthur M. Rheumatoid arthritis and neck pain. Postgrad Med J. 2003;79:711.

  13. Kauppi MJ, Barcelos A, da Silva JAP. Cervical complications of rheumatoid arthritis. Ann Rheum Dis. 2005;64:355-358.

  14. Nakano KK. Neck pain. In: Kelley W, Haris E, Ruddy S, Sledge C, et al. Textbook of rheumatology. 4th. edition. WB Saunders Co. EUA. 1994, p. 397.

  15. Bogduk N, Mercer S. Biomechanics of the cervical spine, part 1: Normal kinematics. Clin Biomechan. 2000;15:633-648.

  16. Nusholtz GS, Di Domenico L, Shi Y, Eagle P. Studies of neck injury criteria based on existing biomechanical test data. Accid Anal Prev. 2003;35:777-786.

  17. Yoganandan N, Kumaresan S, Pintar FA. Biomechanics of the cervical spine part 2. Cervical spine soft tissue responses and biomechanical modeling. Clin Biomechan (Bristol, Avon). 2001;16:1-27.

  18. Yoganandan N, Halliday A, Dickman C, Benzel E. Practical anatomy and fundamental biomechanics. In: Benzel E, et al. Spine surgery: techniques, complication avoidance and management. New York, NY: Churchill Livingstone, 1999, pp. 93-118.

  19. Madsen OR, Sorensen OH, Egsmose C. Bone quality and bone mass as assessed by quantitative ultrasound and dual energy X ray absorptiometry in women with rheumatoid arthritis: relationship with quadriceps strength. Ann Rheum Dis. 2002;61:325-329.

  20. Eyres KS, Gray DH, Robertson P. Posterior surgical treatment for the rheumatoid cervical spine. Br J Rheumatol. 1998;37:756-759.

  21. Heywood AW, Learmonth ID, Thomas M. Internal fixation for occipito-cervical fusion. J Bone Joint Surg Br. 1988;70:708-711.

  22. Devereaux MW. Neck pain. Prim Care Clin Office Pract. 2004;31:19-31.

  23. Brown B ST J, Tatlow WF. Radiographic studies of the vertebral arteries in cadavers. Effects of position and traction on the head. Neuroradiology. 1963;81:80-88.

  24. Andersson HI. The course of non-malignant chronic pain: a 12-year follow-up of a cohort from the general population. Eur J Pain. 2004;8:47-53.

  25. Leong IY, Helme RD. Considerations in the assessment and management of older people with chronic pain. Ann Acad Med Singapore. 2003;32:771-777.

  26. Gagliese L, Melzack R. Age-related differences in the qualities but not the intensity of chronic pain. Pain. 2003;104:597-608.

  27. ten Klooster PM, Vlaar AP, Taal E, Gheith RE, Rasker JJ, El-Garf AK, et al. The validity and reliability of the graphic rating scale and verbal rating scale for measuring pain across cultures: a study in Egyptian and Dutch women with rheumatoid arthritis. Clin J Pain. 2006;22:827-830.

  28. Tsang I. Rheumatology: 12. Pain in the neck. CMAJ. 2001;164:1182-1187.

  29. DeAngelo NA, Gordin V. Treatment of patients with arthritis-related pain. J Am Ostheopath Assoc. 2004;104:S2-S5.

  30. Hylek EM, Heiman H, Skates SJ, Sheehan MA, Singer DE. Acetaminophen and other risk factors for excessive warfarin anticoagulation. JAMA. 1998;279:657-662.

  31. Schiodt FV, Rochling FA, Casey DL, Lee WM. Acetaminophen toxicity in an urban country hospital. N Engl J Med. 1997;337:1112-1117.

  32. Guevara-López U, Covarrubias-Gómez A, Hernández-Ortiz A. Practice guidelines for the management of acute pain. Cir Cir. 2005;73:393-404.

  33. American Academy of Pain Medicine and the American Pain Society. The use of opioids for the treatment of chronic pain. Glenview, IL: American Academy of Pain Medicine and American Pain Society; 1997.

  34. Saturno PJ, Medina F, Valera F, Montilla J, Escolar P, Gascón JJ. Validity and reliability of guidelines for neck pain treatment in primary health care. A nationwide empirical analysis in Spain. Int J Qual Health Care. 2003;15:487-493.

  35. White P, Lewith G, Prescott P, Conway J. Acupuncture versus placebo for the treatment of chronic mechanical neck pain: a randomized, controlled trial. Ann Intern Med. 2004;141:911-919.

  36. Stanton-Hicks M. Nerve blocks in chronic pain therapy-are there any indications left? Acta Anaesthesiol Scand. 2001;45:1100-1107.

  37. Manchikanti L, Singh V, Pampati V, Damron KS, Beyer CD, Barnhill RC. Is there correlation of facet joint pain in lumbar and cervical spine? An evaluation of prevalence in combined chronic low back and neck pain. Pain Physician. 2002;5:365-371.

  38. Manchikanti L, Manchikanti KN, Damron KS, Pampati V. Effectiveness of cervical medial branch blocks in chronic neck pain: a prospective outcome study. Pain Physician. 2004;7:195-201.

  39. Christensson D, Säveland H, Rydholm U. Cervical spine surgery in rheumatoid arthritis. A Swedish nation-wide registration of 83 patients. Scand J Rheumatol. 2000;29:314-319.




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