{"id":74698,"date":"2018-03-09T23:19:49","date_gmt":"2018-03-09T23:19:49","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/tratamiento-conservador-versus-quirurgico-de-la-paraplejia-traumatica-por-fracturas-vertebrales-toracicas-y-lumbares\/"},"modified":"2018-03-09T23:19:49","modified_gmt":"2018-03-09T23:19:49","slug":"tratamiento-conservador-versus-quirurgico-de-la-paraplejia-traumatica-por-fracturas-vertebrales-toracicas-y-lumbares","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/tratamiento-conservador-versus-quirurgico-de-la-paraplejia-traumatica-por-fracturas-vertebrales-toracicas-y-lumbares\/","title":{"rendered":"Tratamiento conservador versus quir\u00fargico de la paraplejia traum\u00e1tica por fracturas vertebrales tor\u00e1cicas y lumbares."},"content":{"rendered":"

Tesis doctoral de Isabel Forner Cordero <\/strong><\/h2>\n

Objetivos: comparar los resultados del tratamiento conservador y quir\u00fargico de la paraplejia traum\u00e1tica en cuanto a la recuperaci\u00f3n neurol\u00f3gica, frecuencia de complicaciones m\u00e9dicas y postoperatorias, los periodos de hospitalizaci\u00f3n y la cifosis y el dolor a largo plazo. Como objetivos secundarios, intentamos identificar otros factores cl\u00ednicos que pudieran influir en los resultados, as\u00ed como evaluar los beneficios de los corticoides seg\u00fan la pauta nascis. material y m\u00e9todo:estudio de observaci\u00f3n anal\u00edtico retrospectivo transversal de una cohorte de pacientes con paraplejia traum\u00e1tica, ingresados en el hospital la fe de Valencia entre 1988-2002. En una segunda fase prospectiva de seguimiento, los pacientes eran seguidos en el tiempo para valorar la cifosis en el foco de fractura y el dolor a largo plazo. muestra: fueron inclu\u00eddos 223 pacientes con lesi\u00f3n medular, con una mediana de edad de 27 a\u00f1os. Eran 175 varones (78,5%) y 48 mujeres (21,5%). Recibieron tratamiento conservador 115 pacientes (51,8%) y quir\u00fargico 107 (48,2%). resultados: la recuperaci\u00f3n neurol\u00f3gica fue mayor en grados de asia tras el tratamiento conservador (media: 0,45; ic 95%: 0,30-0,60) que en el quir\u00fargico (0,15; ic 95%: 0,00-0,30) (f=8,014; p=0,005). Estas diferencias a favor del conservador se encontraron en las lesiones incompletas.El 85,2% de pacientes presentaron alguna complicaci\u00f3n tras el m\u00e9todo conservador frente al 74,8% de los pacientes intervenidos (p=0,064). No hallamos diferencias en la preValencia de infecci\u00f3n urinaria, upp, flebotrombosis, neumon\u00eda y derrame pleural entre los grupos.No encontramos diferencias en la recuperaci\u00f3n neurol\u00f3gica ni en la frecuencia de complicaciones seg\u00fan la administraci\u00f3n de corticoides. en el raquis tor\u00e1cico y lumbar, el tratamiento quir\u00fargico consigui\u00f3 una mayor correcci\u00f3n de la cifosis del foco de fractura que el tratamiento conservador. A largo plazo, el estudio radiol\u00f3gico realiz<\/p>\n

 <\/p>\n

Datos acad\u00e9micos de la tesis doctoral \u00abTratamiento conservador versus quir\u00fargico de la paraplejia traum\u00e1tica por fracturas vertebrales tor\u00e1cicas y lumbares.<\/strong>\u00ab<\/h3>\n
    \n
  • T\u00edtulo de la tesis:<\/strong>\u00a0 Tratamiento conservador versus quir\u00fargico de la paraplejia traum\u00e1tica por fracturas vertebrales tor\u00e1cicas y lumbares. <\/li>\n
  • Autor:<\/strong>\u00a0 Isabel Forner Cordero <\/li>\n
  • Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n
  • Fecha de lectura de la tesis:<\/strong>\u00a0 17\/06\/2005<\/li>\n<\/ul>\n

     <\/p>\n

    Direcci\u00f3n y tribunal<\/h3>\n
      \n
    • Director de la tesis<\/strong>\n
        \n
      • Adolfo Seligra Ferrer<\/li>\n<\/ul>\n<\/li>\n
      • Tribunal<\/strong>\n
          \n
        • Presidente del tribunal: manuel Vijande v\u00e1zquez <\/li>\n
        • tom\u00e1s Jol\u00edn s\u00e1nchez del campo (vocal)<\/li>\n
        • Juan jacobo Aguilar naranjo (vocal)<\/li>\n
        • T\u00e9llez de peralta guillermo (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

           <\/p>\n","protected":false},"excerpt":{"rendered":"

          Tesis doctoral de Isabel Forner Cordero Objetivos: comparar los resultados del tratamiento conservador y quir\u00fargico de la paraplejia traum\u00e1tica en […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[9,141,4233,2383],"tags":[9350,161717,47352,25362,59441,17068],"class_list":["post-74698","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-cirugia-ortopedica","category-fisioterapia","tag-adolfo-seligra-ferrer","tag-isabel-forner-cordero","tag-juan-jacobo-aguilar-naranjo","tag-manuel-vijande-vazquez","tag-tellez-de-peralta-guillermo","tag-tomas-jolin-sanchez-del-campo"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/74698","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=74698"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/74698\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=74698"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=74698"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=74698"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}