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Bibliographic Details
Main Author:	Samuel Romero-Vargas
Format:	Artículo científico
Language:	es
Published:	Academia Mexicana de Cirugía, A.C. 2015
Subjects:	Medicina Lumbalgia Complicaciones Cirugía lumbar fallida Síndrome de columna multioperada
Online Access:	https://www.redalyc.org/articulo.oa?id=66242704006
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Perfil del paciente con síndrome de columna multioperada en el Instituto Nacional de Rehabilitación. Análisis comparativo Samuel Romero-Vargas Claudia Obil-Chavarria Barón Zárate-Kalfopolus Luis Miguel Rosales-Olivares Armando Alpizar-Aguirre Alejandro Antonio Reyes-Sánchez Medicina Lumbalgia Complicaciones Cirugía lumbar fallida Síndrome de columna multioperada Antecedentes: El síndrome de columna multioperada es una complicación de la cirugía de columna vertebral lumbar que resulta en dolor crónico y discapacidad, y tiene consecuencias emocionales para el paciente. Objetivo: Comparar el perfil de pacientes con síndrome de columna multioperada cuya primera cirugía se realizó en nuestro hospital, contra otro grupo operados por primera vez en otros centros. Material y métodos: Estudio retrospectivo de 65 sujetos; 18 conformaron el grupo i (inicialmente operados en nuestra institución) y 47 pacientes el grupo ii (operados en otro hospital). Se comparó su perfil demográfico, antecedentes, características clínicas y estado funcional. En el grupo i la mayoría de los casos fueron diagnosticados como estenosis lumbar (grupo i 44.4% vs. grupo ii 25.5%; p = 0.22), mientras que el diagnóstico de hernia discal fue el principal en el grupo ii (grupo i 22.2% vs. grupo ii 61.7%; p = 0.001). La principal causa del síndrome en el grupo i fue el error técnico (61.1%), mientras que para el grupo ii esta etiología solo estuvo presente en el 6.3% (p = 0.001). En este último grupo la principal causa fue el error diagnóstico (57.4%), contra ningún caso en el grupo de pacientes operados primariamente en nuestro hospital (p = 0.001). El estado funcional preoperatorio entre los grupos y su recuperación en el periodo postoperatorio inmediato fue similar (p = 0.68). Conclusiones: Este estudio sugiere que las prácticas diagnósticas y terapéuticas difieren entre los centros hospitalarios, pero especialmente entre centros académicos respecto al medio privado. 2015 artículo científico 0009-7411 https://www.redalyc.org/articulo.oa?id=66242704006 es http://www.redalyc.org/revista.oa?id=662 Cirugía y Cirujanos application/pdf Academia Mexicana de Cirugía, A.C. Cirugía y Cirujanos (México) Num.2 Vol.83

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