ABSTRACT
Objetivos: evaluar los resultados obtenidos en pacientes con radiculopatía cervical espondilótica o discal operados mediante abordaje cervical posterolateral. Métodos: desde octubre de 1994 a enero de 1998, 30 pacientes consecutivos fueron intervenidos quirúrgicamente mediante foraminotomía posterior por cuadros de radiculopatía cervical. Hubo 23 hombres y 7 mujeres, con un promedio de 41 años. El seguimiento promedio fue de 64 semanas. Los resultados fueron analizados mediante los criterios de Odom y la escala semi-análoga. Resultados: al seguimiento el 90 por ciento de los pacientes tuvieron recuperación completa o habían mejorado considerablemente su condición prequirúrgica. Conclusión: usando estrictos criterios de selección, el abordaje posterolateral permite obtener excelentes resultados en la radiculopatía cervical espondilótica o discal, con escasa morbilidad
Subject(s)
Humans , Male , Female , Adult , Peripheral Nervous System Diseases/surgery , Peripheral Nervous System Diseases/etiology , Foramen Magnum/surgery , Signs and Symptoms , Spinal Osteophytosis/etiology , Spinal Osteophytosis/surgery , Treatment OutcomeABSTRACT
The cervical spine x-rays of a random number of patients with confirmed rheumatoid arthritis were taken. The presence of atlanto-axial subluxation, atlanto-axial impaction, subaxial subluxation and any other associated abnormalities was noted. The spinal canal diameter was also measured which was not significantly altered in rheumatoid arthritis cases. Cervical spine disorders were seen to occur in 16 cases (69.6%) out of 23 patients. Spondylosis was the most frequent disorder ie, in 10 cases (62.5%) out of 16. Obliteration of the normal lordotic curve and disc lesions occurred in 3 cases (18.7%) each out of 16. The mean spinal canal diameter was 16.30 +/- 2 mm with a range of 13-23 mm. Female patients (73.3%) had an increased cervical spine disorder than males (62.5%). Seropositive rheumatoid arthritis cases (87.5%) were mostly involved in occurrence of disorder than those of seronegative arthritis cases (46%).
Subject(s)
Adolescent , Adult , Aged , Arthritis, Rheumatoid/complications , Cervical Vertebrae , Female , Humans , Male , Middle Aged , Sex Distribution , Spinal Diseases/etiology , Spinal Osteophytosis/etiologyABSTRACT
Os autores apresentam um caso com alteraçöes típicas da disostose espôndilo-costal (malformaçäo atingindo a coluna em toda a sua extensäo, sendo toda ela constituída praticamente de hemivértebras e com malformaçäo costal), filho único de pais consangüineos (primos em 2§ grau). Discutem os aspectos etiopatogênicos, a heterogeneidade da doença e as dificuldades do aconselhamento genético