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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2019, Number 3

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An Med Asoc Med Hosp ABC 2019; 64 (3)

Differences in blood pressure caused by decompression of the posterior longitudinal ligament

Hernández RRE, Guerra MR, Córdoba MME, Serrato ÁJL, Taylor MMA, Hernández VMC

Language: Spanish
References: 20
Page: 178-183
PDF size: 228.41 Kb.


ABSTRACT

Introduction: Cervical spondyloarthrosis is the term used to include degenerative changes in vertebral bodies, intervertebral discs and spinal ligaments. These changes increase with age. The most frequent symptom is pain; the incidence of cervicalgia due to spondyloarthrosis is 25 to 30%. Although there are described sympathetic symptoms such as vertigo, vomiting, headache and nausea. Since 2016 it’s registered a cohort with similar objectives to this study without results. Objectives: To describe if the decompression of the posterior longitudinal ligament causes a decrease in blood pressure figures. Material and methods: Observational, longitudinal study was conducted including patients between 18-69 years operated of anterior cervical decompression between September 2017-April 2018 at the High Specialty Hospital PEMEX. Somatometry, Systolic, diastolic and mean blood pressure in pre-surgical period, immediate post-surgery, six weeks and three months were obtained. We analyzed epidemiology and differences with the SPSS statics 25.0 program, applied ANOVA test with Greenhouse-Geisser correction. Results: 14 patients were studied, showing a prevalence of 10.76%, more frequent in men (57.1%). The only value that showed decrease was the systolic blood pressure starting from presurgical= 121.4 ± 9.23, and at three months = 115.21 ± 10.08 p = 0.079. Conclusions: An average decrease of 6mmHg was observed in the Systolic blood pressure at three months, which was not statistically significant, it has a tendency to decrease, this can classified to the patient in a different clinical stage of hypertension in the current guidelines.


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