DISCARTROSIS CERVICAL EPUB
Aug 28, Please, help me to find this inervacion de la columna vertebral pdf converter. I'll be really very grateful. Anatomía de la Columna. ; Ligamentos. espondilosis cervical pdf file. Quote. Postby Just» Tue Apr 16, am. Looking for espondilosis cervical pdf file. Will be grateful for any help! Top. in the Treatment of Disc Herniation and Discartrosis Lumbar Spine Introduction .. Arch Orthop Trauma Surg Mar;(3): doi: /s Epub Aug Eduardo Anitua, Nonoperative Management of Herniated Cervical Intervertebral Disc With.
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Suggestion on how to quote this paper: Schwartz, A. Only in more than 1 million operations on the spine were performed in the U. Recent observations about the weaknesses of these operations are reason for alarm and a need for reconsideration of these procedures Dr.
Charles V. Taking into account the above, it is not surprising that the current trend in the treatment of this pathology is toward minimally invasive percutaneous techniques which are characterized by high efficiency and are well tolerated. The European Guidelines for the management of chronic lumbar pain, show how there is strong evidence that the complex and demanding surgery of the lumbar spine in which various forms of spinal instrumentation are used, is not more effective than a simple, safer and cheaper posterolateral fusion without instrumentation.
Other recent studies show that there is a trend toward the use of minimally invasive techniques, and the abandonment of transpedicular fusions.
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This clearly indicates that we must properly apply the knowledge based on scientific evidence accumulated over at least two decades. All this allows us to recommend the abandonment of the instrumented pathway in many current indications, and find other ways in the field of conservative rehabilitation treatment properly applied. Thus we need to use all the interventionist resources currently offering the modern treatment of chronic pain intervention, before resorting to decompressive surgery and spinal fusion.
Treating discolysis and paravertebral facet with ozone and growth factors is a minimally invasive technique that avoids or diminishes considerably the complications of surgery with excellent results. It is a percutaneous technique, implemented under fluoroscopic guidance, on an outpatient basis, under sedation and local anesthesia. In recent years more and more randomized, controlled, large samples, with adequate scientific evidence II are published in journals with a high impact factor.
Two recent studies in meta-analysis with the maximum level of scientific evidence prove that ozone therapy is as effective or better than surgery without adverse effects thereof. Moreover, the University of Sao Paulo in Brazil is conducting research on ozone implementation in the epidural area in patients where the surgical method has failed.
In , Dr. Eduardo Anitua began to work in Spain with growth factors in collaboration with the orthopedist, Dr.
The purpose of this paper is to demonstrate the effectiveness and safety of ozone on the herniated disc and the healing and restorative effect of ozonated growth factors on degenerated or damaged spinal disc herniation,. Materials and Methods We conducted a clinical study performing a monocentric, prospective, nonrandomized intervention with ozone and ozonated Platelet Rich Plasma PRPO3. Sixty patients at an age range of 35 to 82 years who attended the consultation of Fiorela Clinical Institute San Pedro Sula, Honduras from July to January were treated for severe lumbo-sciatica with an intensity of , according to the Visual Analogue Scale VAS.
Patients diagnosed with lumbar disc herniation and degenerative disc syndrome, according to recent magnetic resonance not more than six months were selected.
In these 60 patients were performed PRPO3 discolysis. Patients received a detailed explanation about the research and they gave their consent verbally and in writing. Clinical criteria for inclusion: Lumbosciatic with signs of nerve root involvement resistant to conservative treatment for at least three months. Preserved disc. Interfacetaria osteoarthritis.
All discolysis were performed in the operating room, under full aseptic, fluoroscopic control, sedation and local anesthesia.
espondilosis cervical pdf file
Ceftriaxone was administered 1g. Discolysis: The patient was placed prone with abdomin upward to compensate for lumbar lordosis. Under fluoroscopic control with tunnel vision in anteroposterior projection and the help of a gauge needle Chiva G, crossed the annulus fibrosus, placed the tip of the needle into the center of the disc and his lateral position was checked.
Immediately infiltrating intradiscal PRPO3 and in the epidural space specially in diagnosed cases with advanced osteophytes interfascetaria osteoarthritic and narrow channel. Post-discolysis: It proceeded with: 1 Six lumbar paravertebral facet sessions.
The effectiveness of the method was based on the control of pain according to VAS scale from 0 to 10; on clinical examination according to Lasegue and Bragard maneuvers, at 15 days, 1 month, 4 and 6 months; and through MRI magnetic resonance imaging in 35 patients at 4 and 6 months.
All patients were questioned about the possible side effects that may be related to the technique. The degree of patient satisfaction at the end of the study, according to the criteria: good, fair or poor was also recorded. Results The basic demographic data of patients studied are shown in Table percutaneous discolysis with ozonated growth factors were performed in 60 patients, of whom 41 were males Characterization of the patients studied.
At 15 days 58 patients reported points VAS Visual Analog Scale responding primarily to local pain originating from the puncture site; negative Lasegue and Bragard; no pain at palpation over the spinous processes. Patients returned to their normal activities. One month after surgery 54 patients had points VAS; negative Lasegue and Bragard; no pain at palpation over spinous processes. At 4 months 54 patients had a point VAS. Figure 1. Evolution of pain perception after treatment based on the visual analog scale VAS.
Ten represents excruciating pain and zero presence of non- pain. At 6 months, only 6 patients had complaints of low back pain, qualified with a VAS responsive to nonsteroidal anti-inflammatory drugs and physiotherapy, confronted with an initial VAS Only one patient required a second discolysis within 15 days of the first operation because his response was partial.
After the second operation the symptomatology was completely resolved. It should be noted that the patient was a regular user of cocaine and had not informed the researchers of the fact. Two patients female had mild transient headaches, and one of them presented pneumocephalus with dizziness and vomiting disabled for 4 days, which forced her to rest in bed for a week and receive metacloropramida iv.
Within a week the symptoms were completely resolved. MRI control was performed on 35 patients at 4 or 6 months not all patients agreed to the implementation of MRI for lack of money; or not considering it necessary because of not presenting any symptoms , which showed a significant volume reduction of the hernia and rehydration of most treated discs Figure 2.
Representative images of MRI of two patients before and 4 months after treatment.
They clearly show the resolution of the root compression and the start of rehydration of disks L4-L5, L5-S1. The patients are asymptomatic.
Qualitative perception of the degree of satisfaction of patients 6 months after intervention. Discussion The use of platelet concentrated to accelerate the healing process was first described in Dr.
Fernando Kirchner for the first time in , applied Ozonated Growth Factors in the vertebral disc while performing the traditional discolysis with ozone.
The present paper is based on PRP regenerative properties which mimic the events occurring during the physiological process of healing due to the release of various growth factors. Being autologous the safety of the procedure is high and the required amount is obtained from the patient's own blood.
The PRP is a concentrate which contains not only platelets but also consists of plasma, leukocytes, growth factors, protein secretion and all components of the coagulation cascade. The healing mechanism potentiation induced by supra-physiological concentrations of autologous platelets in damaged tissue or surgical site has been demonstrated both in basic and clinical studies.
Due to the high concentration and release of these factors the PRP can potentially increase recruitment and proliferation of stem cells and endothelials. Therefore, the choice of anticoagulant is crucial when we want to obtain a plasma rich in growth factors.
It has been demonstrated that higher concentrations do not increase the effect in terms of wound healing.. Working under these conditions, this study shows that satisfactory results are achieved, maintained over time and evident both from the clinical point of view and from an objective manner as we have documented by magnetic resonance imaging.
To understand the mechanism of the action of ozone in spinal pain is essential to comprehend its pathophysiology. The isolated compression of the root gives deficit symptoms paresthesia, dysesthesia, motor deficit , but no pain.
Ozone and Ozonated Growth Factors in the Treatment of Disc Herniation and Discartrosis Lumbar Spine
To produce pain, there must be chemical irritation and inflammation of the root. The herniated disc nucleus pulposus contains high concentrations of phospholipase A2,which can initiate the inflammatory cascade and other inflammatory mediators such as prostaglandins, leukotrienes, bradykinin and histamine.
When a crack occurs in the annular disk, which is the first phase of disc degeneration, these substances are released by the core and may produce radiculitis even if there is not root compression. Thus, the application of Ozone and Intradiscal Growth Factors acts at different levels.
In this case study, we found that functional reeducation in cases of pain induced deviations of the rachis of the column should be centered on the harmonization of inadequate pressure and position of the complex intervertebral articulations.
Skeletal disorders Vertebral column disorders. Login to enter a peer comment or grade. Not to be confused with SpondylitisSpondylolysisor Spondylolisthesis.
RADICULOPATIA LUMBAR EBOOK
Spondylosis From Wikipedia, the free encyclopedia. Login or register free and only takes a few minutes to participate in this question. Commonly, osteophytes and portions of intervertebral disc are removed.
Llumbar patient may experience shocks paresthesia in hands and legs because of nerve compression and lack of blood flow. Spinal disease M40—M54—, Automatic update in Many of the treatments for cervical spondylosis have not been subjected to rigorous, controlled trials.
Return to KudoZ list. Understanding anatomy is the key to conservative management of spondylosis.The present study aims to demonstrate the efficacy and safety of ozone on the herniated disc and the healing and restorative effect of growth factors on the degenerated or damaged herniated disc.
Reoperation after disc surgery a population based study of regional and interspeciality variations. She was transferred to the national spinal unit author unitwhere she underwent reduction and fixation with rods and screws from T9-S1, using one cross-link.
To understand the mechanism of the action of ozone in spinal pain is essential to comprehend its pathophysiology. These results suggest that apart from the slight early-onset headache, most side effets after lumbar iohexol myelography artrosia related to the puncture per artrowis, not to the contrast agent.
From toconsecutive patients with unstable degenerative attrosis were studied after posterior lumbar interbody fusion PLIF using different types of grafts and pedicle screw systems. Skeletal disorders Vertebral column disorders.