2014, Número 4
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An Med Asoc Med Hosp ABC 2014; 59 (4)
Fusión e injertos en artrodesis espinal
Navarro-Ramírez R, Ogando-Rivas E, Galván EE, Muñoz-Romero I, Téllez-Gutiérrez M, De Leo-Vargas R
Idioma: Español
Referencias bibliográficas: 34
Paginas: 271-278
Archivo PDF: 226.29 Kb.
FRAGMENTO
El término «artrodesis» se le da a la fijación quirúrgica de una articulación mediante la fusión de las superficies móviles o articulares a través de la proliferación de células óseas, de acuerdo con el Centro Nacional para la Información Biotecnológica (
National Center for Biotoechnology Information), y tiene por objeto estabilizar la articulación, alinear el raquis, mejorar la funcionalidad y disminuir o eliminar el dolor. La cirugía de columna intenta promover la artrodesis para mejorar la calidad de vida de los pacientes con patología espinal a través de diversas técnicas y materiales, basada en las leyes de Hilton, Wolff y el principio de Hueter-Volkmann. La presente revisión pretende conjuntar en un mismo artículo los principios de la artrodesis, la inestabilidad segmentaria y las características de los injertos involucrados en el tratamiento de la patología degenerativa, neoplásica, infecciosa y traumática de la columna vertebral con el objeto de acortar el camino hacia la comprensión de los mecanismos que llevan al éxito a la artrodesis espinal. Por todo lo anterior, este artículo es de interés para todo médico general, ortopedista o neurocirujano.
REFERENCIAS (EN ESTE ARTÍCULO)
Winn HR. Youmans neurological surgery. 6th ed. Philadelphia, PA: Elsevier; 2011. p. 265.
Solano AS. Las leyes de la ortopedia. Rev Col de Or Tra. 2006; 20 (4): 115-118.
Herkowitz HN, Garfin SR, Eismont FJ, Bell GR, Balderston RA. Rothman-Simeone The spine. 6th ed. Philadelphia, PA: Saunders Elsevier; 2011. pp. (1) 29-64.
García LAG. Conceptos básicos de cirugía vertebral. México: Panamericana; 2001. pp. 46-56.
Glassman SD, Howard JM, Sweet A, Carreon LY. Complications and concerns with osteobiologics for spine fusion in clinical practice. Spine. 2010; 35 (17): 1621-1628.
Kirkadly WH, Farfan HF. Instability of the lumbar spine. Clin Orthop Relat Res. 1982; (165): 110-123.
Mulholland RC. The myth of lumbar instability: the importance of abnormal loading as a cause of low back pain. Eur Spine J. 2008; 17 (5): 619-625.
Macnab I. The traction spur. An indicator of segmental instability. J Bone Joint Surg Am. 1971; 53 (4): 663-670.
White AA, Panjabi MM. Clinical biomechanics of the spine. 2nd ed. Philadelphia, PA: Lippincott; 1990. pp. 120-136.
Dupuis PR, Yong K, Cassidy JD, Kirkaldy WH. Radiologic diagnosis of degenerative lumbar spinal instability. Spine (Phila Pa 1976). 1985; 10 (3): 262-276.
Iguchi T, Kanemura A, Kasahara K, Sato K, Kurihara A, Yoshiya S et al. Lumbar instability and clinical symptoms: which is the more critical factor for symptoms: sagittal translation or segment angulation? J Spinal Disord Tech. 2004; 17 (4): 284-290.
Harmon PH. Indications for spinal fusion in lumbar diskopathy, instability and arthrosis. 2. Surgical results from various types of operations on the lumbarspine in the presence of spinal arthrosis. Clin Orthop Relat Res. 1964; 34: 92-107.
Murata M, Morio Y, Kuranobu K. Lumbar disc degeneration and segmental instability: a comparison of magnetic resonance images and plain radiographs of patients with low back pain. Arch Orthop Trauma Surg. 1994; 113 (6): 297-301.
White AH. Lumbar spine surgery: the history of lumbar spine tabilization. St. Louis, USA: C.V. Mosby; 1987. pp. 220-247.
Luque ER, Cassis N, Ramírez G. Segmental spinal instrumentation in the treatment of fractures of the thoracolumbar spine. Spine (Phila Pa 1976). 1982; 7 (3): 312-317.
Cotrel Y, Dubousset J. A new technic for segmental spinal osteosynthesis using the posterior approach. Rev Chir Orthop Reparatrice Appar Mot. 1984; 70 (6): 489-494.
Hodgson AR, Stock FE. The classic: anterior spinal fusion: a preliminary communication on the radical treatment of Pott’s disease and Pott’s paraplegia. 1956. Clin Orthop Relat Res. 2006; 444: 10-15.
Moe JH. A critical analysis of methods of fusion for scoliosis: an evaluation in two hundred and sixty-six patients. J Bone Joint Surg Am. 1958; 40-A (3): 529-554.
Harrington PR. Treatment of scoliosis: correction and internal fixation by spine instrumentation. June 1962. J Bone Joint Surg Am. 2002; 84-A (2): 316.
Dwyer AF, Newton NC, Sherwood AA. Anterior approach to scoliosis: a preliminary report. Clin Orthop Relat Res. 1969; 62: 192-202.
Zielke K, Stunkat R, Beaujean F. Ventrale derotations-spondylodesis author’s transl. Arch Orthop Unfallchir. 1976; 85 (3): 257-277.
Dove J. Segmental wiring for spinal deformity. A morbidity report. Spine (Phila Pa 1976). 1989; 14 (2): 229-231.
Vaccaro AR, Anderson DG, Patel T, Fischgrund J, Truumees E, Herkowitz HN et al. Comparison of OP-1 putty (rhBMP-7) to iliac crest autograft for posterolateral lumbar arthrodesis: a minimum 2-year follow-up pilot study. Spine (Phila Pa 1976). 2005; 30 (24): 2709-2716.
Hibbs RA. An operation for progressive spinal deformities: a preliminary report of three cases from the service of the orthopaedic hospital. 1911. Clin Orthop Relat Res. 2007; 460: 17-20.
Ito H, Tsuchiya J, Asami G. A new radical operation for Pott’s disease. J Bone Joint Surg Br. 1934; 16 (3): 499-515.
Landriel FA, Hem S, Goldschmidt E, Ajler P, Vecchi E, Carrizo A. Polyetheretherketone interbody cages versus autogenous iliac crest bone grafts with anterior fixation for cervical disc disease. J Spinal Disord Tech. 2013; 26 (2): 61-67.
Hsu WK, Wellingon K, Wang JC, Jeffrey C. Bone graft substitutes: the use of genetically engineered bone morphogenetic proteins for spinal fusion. Curr Opin Orthop. 2004; 15 (3): 167-171.
Barr JS. Low-back and sciatic pain; results of treatment. J Bone Joint Surg Am. 1951; 33-A (3): 633-649.
Epstein NE. Pros, cons, and costs of INFUSE in spinal surgery. Surg Neurol Int. 2011; 2: 10.
Lam FC, Alkalay R, Groff MW. The effects of design and positioning of carbon fiber lumbar interbody cages and their subsidence in vertebral bodies. J Spinal Disord Tech. 2012; 25 (2): 116-122.
Van Djik M, Smit TH, Sugihara S, Burger EH, Wuisman PI. The effect of cage stiffness on the rate of lumbar interbody fusion: an in vivo model using poly (l-lactic acid) and titanium cages. Spine. 2002; 27 (7): 675-788.
Sinclair SK, Konz GJ, Dawson JM, Epperson RT, Bloebaum RD. Host bone response to polyetheretherketone versus porous tantalum implants for cervical spinal fusion in a goat model. Spine. 2011; 37 (10): 571-580.
Boden SD, Kang J, Sandhu H, Heller JG. Use of recombinant human bone morphogenetic protein-2 to achieve posterolateral lumbar spine fusion in humans: a prospective, randomized clinical pilot trial: 2002 Volvo Award in clinical studies. Spine (Phila Pa 1976). 2002; 27 (23): 2662-2673.
Shi Y, Niedzinski JR, Samaniego A, Bogdansky S, Atkinson BL. Adipose-derived stem cells combined with a demineralized cancellous bone substrate for bone regeneration. Tissue Eng Part A. 2012; 18 (13-14): 1313-1321.