{"id":54417,"date":"2018-03-09T22:42:08","date_gmt":"2018-03-09T22:42:08","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/artrodesis-cervical-anterior-resultados-cla%c2%adnicos-y-radiologicos-retrospectivos\/"},"modified":"2018-03-09T22:42:08","modified_gmt":"2018-03-09T22:42:08","slug":"artrodesis-cervical-anterior-resultados-cla%c2%adnicos-y-radiologicos-retrospectivos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/traumatologia\/artrodesis-cervical-anterior-resultados-cla%c2%adnicos-y-radiologicos-retrospectivos\/","title":{"rendered":"Artrodesis cervical anterior: resultados cl\u00ednicos y radiol\u00f3gicos retrospectivos"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Rajab Al-ghanem <\/strong><\/h2>\n<p>Hip\u00f3tesis de trabajo     la fusi\u00f3n (artrodesis) cervical anterior es un procedimiento establecido para descomprimir los elementos neurales y mantener una relaci\u00f3n biomec\u00e1nica favorable entre \u00e9stos y los tejidos \u00f3seos y blandos extr\u00ednsecos circundantes, en la enfermedad cervical degenerativa sintom\u00e1tica con radiculopatia y\/o mielopatia cervical y los traumatismos cervicales subaxiales. Estas patolog\u00edas suponen un elevado coste socio-econ\u00f3mico y gran impacto en la calidad de vida. Sin embargo, la mayor parte de los estudios publican resultados de la fusi\u00f3n \u00f3sea y cl\u00ednicos a corto plazo, a los seis meses y al a\u00f1o. Por lo tanto, es necesario conocer los resultados cl\u00ednicos a lo largo y los efectos de la fusi\u00f3n sobre los espacios discales adyacentes.  objetivos     identificar las variables cl\u00ednicamente relevantes mediante la construcci\u00f3n de modelos predictivos multivariantes: calcularla probabilidad de degeneraci\u00f3n sintom\u00e1tica de niveles adyacentes y valorar los resultados basados en la perspectiva del paciente.  material y m\u00e9todos     se trata de un cohorte retrospectivo de 242 pacientes intervenidos con disectomiaa o d\u00edsectom\u00eda con corporectom\u00eda y fusi\u00f3n cervical anterior, en el periodo que comprende desde el 1 de enero de 1993 hasta el 31 de diciembre de 2002, de los cuales se analizaron los datos cl\u00ednicos y radiol\u00f3gicos de 231 casos (151(65,37%) hombres y 80 (34,63%) mujeres): 130 pacientes con radiculopatia cervical, 55 con mielopatia cervical y 46 pacientes con traumatismos cervicales subaxiales. En el grupo de pacientes con radiculopatia cervical se realiz\u00f3 un an\u00e1lisis multivariante con regresi\u00f3n categ\u00f3rica (catreg) y regresi\u00f3n ordinal (proportional odds model) utilizando el \u00edndice de odom como variable dependiente. en la muestra de mielopat\u00eda cervical se aplicaron las escalas de nurick y la de la asociaci\u00f3n japonesa de cirujanos ortop\u00e9dicos modificada (mjoa) y se construyeron modelos predictivos con regresi\u00f3n linea<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Artrodesis cervical anterior: resultados cl\u00ednicos y radiol\u00f3gicos retrospectivos<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Artrodesis cervical anterior: resultados cl\u00ednicos y radiol\u00f3gicos retrospectivos <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Rajab Al-ghanem <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Zaragoza<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 31\/07\/2006<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li> D\u00edaz Vicente Francisco Javier<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: vicente Calatayud maldonado <\/li>\n<li>enrique \u00farculo bare\u00f1o (vocal)<\/li>\n<li>Mar\u00eda no Arr\u00e1zola schalamilch (vocal)<\/li>\n<li>Miguel Urig\u00ed\u00bcen saiz (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Rajab Al-ghanem Hip\u00f3tesis de trabajo la fusi\u00f3n (artrodesis) cervical anterior es un procedimiento establecido para descomprimir los 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