Evolución de las complicaciones neurológicas en la cirugía de deformidades vertebrales en la infancia. [Outcome of neurological complications in spinal deformity in children]

Contenido principal del artículo

Miguel A. Godoy
Carlos A. Tello
Ida A. Francheri
Mariano Noel
Eduardo Galaretto
Rodrigo Remondino
Ernesto S. Bersusky

Resumen

Introducción: Se llevó a cabo un estudio retrospectivo descriptivo con el propósito de evaluar cómo evolucionaron los pacientes que sufrieron trastornos neurológicos a causa de una cirugía de las cifoescoliosis en la infancia.Materiales y Métodos: Se evaluó a 9 pacientes sin alteraciones neurológicas previas, que presentaron complicaciones neurológicas luego de un procedimiento quirúrgico por escoliosis o cifosis, operados en nuestra institución, durante un período de 10 años. Resultados: las etiologías de las deformidades fueron: 4 escoliosis idiopáticas, 2 escoliosis congénitas, una secundaria a neurofibromatosis de tipo 1, una cifosis idiopática y una poslaminectomía por miofibrosarcomatosis. Cinco pacientes tuvieron episodios neurofisiológicos intraquirúrgicos. Todos requirieron, al menos, una segunda intervención quirúrgica para solucionar su patología de base. La lesión neurológica fue: lesión radicular (un caso) y lesión del cordón medular (8 casos); 6 sufrieron una lesión medular completa (75%) que se manifestó como una paresia bilateral y 2 (25%), una lesión medular incompleta con monoparesia, sólo 2 quedaron con vejiga neurogénica.Conclusión: la detección temprana de una complicación neurológica, su diagnóstico etiológico y la resolución quirúrgica mejoran la evolución neurológica del paciente, y evitan la secuela o disminuyen su gravedad. 

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Godoy, M. A., Tello, C. A., Francheri, I. A., Noel, M., Galaretto, E., Remondino, R., & Bersusky, E. S. (2015). Evolución de las complicaciones neurológicas en la cirugía de deformidades vertebrales en la infancia. [Outcome of neurological complications in spinal deformity in children]. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 80(1), 43-52. https://doi.org/10.15417/412
Sección
Investigación Clínica
Biografía del autor/a

Miguel A. Godoy, Hospital de Pediatría SAMIC "Prof Juan Pedro Garrahan"

Servicio de Patología Espinal

Carlos A. Tello, Hospital de Pediatría SAMIC "Prof Juan Pedro Garrahan"

Servicio de Patología Espinal

Ida A. Francheri, Hospital de Pediatría SAMIC "Prof Juan Pedro Garrahan"

Servicio de Patología Espinal

Mariano Noel, Hospital de Pediatría SAMIC "Prof Juan Pedro Garrahan"

Servicio de Patología Espinal

Eduardo Galaretto, Hospital de Pediatría SAMIC "Prof Juan Pedro Garrahan"

Servicio de Patología Espinal

Rodrigo Remondino, Servicio de Patología Espinal

Servicio de Patología Espinal

Ernesto S. Bersusky, Servicio de Patología Espinal

Servicio de Patología EspinalJefe de Servicio

Citas

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