Discectomía, artrodesis intersomática y estabilización en mielopatía espondilótica cervical. Presentación de un caso / Discectomy, artrodesis and stabilization in cervical spondylotic myelopathy. Presentation of a case

RESUMEN Las alteraciones degenerativas de la columna se engloban en el término de espondilosis cervical. La mielopatía espondilótica cervical (MEC) es la forma más común de disfunción del cordón espinal en mayores de 55 años. Se considera la intervención quirúrgica en la mayoría de los casos de mielopatía cervical espondilótica evidente desde el punto de vista clínico, dado el riesgo de deterioro neurológico. En la mayoría de los casos de mielopatía cervical, la descompresión de la médula espinal genera estabilización o mejoría de la función de los haces largos medulares. La función es mejor cuando se restablecen bien las dimensiones del conducto vertebral después de la descompresión, cuando la descompresión es más precoz y cuando no hay comorbilidad considerable.

ABSTRACT The degenerative alterations of the column are included in the term of cervical espondilosis. The cervical spondylotic myelopathy it is the form more common of disfuntion of the spinal cord in bigger than 55 years. It is considered the surgical intervention in most of the cases of cervical spondylotic myelopathy evident from the clinical, given point of view the risk of neurological deterioration. In most of the cases of cervical myelopathy, the decompression of the spinal marrow generates stabilization or improvement of the function of the medullary long sheaves. The function is better when they recover well the dimensions of the vertebral conduit after the decompression, when the decompression is more precocious and when there is not considerable comorbility.

study on Mehanical Low back pain

Low back pain is a socioeconomic problem of tremendous impact, producing major costs, suffering and in a minority of patients chronic disability. To know the commonest mechanical disorder causing low hack pain. 314 patients attending outpatient clinic of Rheumatology and. Rehabilitation in National Institute of Neuromotor Rehabilitation in two months suffering Mechanical Low back pain are subjected to this study. Careful disease history. Careful clinical examination for lumbo-sacral spine. Plain x-ray for lumbosacral spine A/P and lateral views for all patients. MRI for lumbosacral spine for patients with low hack pain with suspected herniated disc and spinal stenosis. Mechanical disorders causing low back pain: Back strain Herniated disc Lumbar spondylosis-Spondylolithesis Adult scoliosis, The commonest mechanical disorder causing low back pain was as follows: Lumbar spondylosis: 239 cases [76, 114%] Herniated disc: 26 cases, [8, 28%] Back strain 10 cases, [3, 18%] Spondylolithesis: 10 cases, [3, 18%] Spinal stenosis 3 cases, [0, 95%] No cases with Adult scolions. In our study the commonest mechanical disorder causing low back pain was lumbar spondylosis [76,114%] followed by herniated disc [8, 28%]