{"id":84752,"date":"2018-03-10T00:09:08","date_gmt":"2018-03-10T00:09:08","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-comparativo-de-la-evolucion-de-las-curvas-compensadoras-en-escoliosis-idiopaticas-tratadas-con-tecnicas-de-cotrel-dubousset-y-harrington\/"},"modified":"2018-03-10T00:09:08","modified_gmt":"2018-03-10T00:09:08","slug":"estudio-comparativo-de-la-evolucion-de-las-curvas-compensadoras-en-escoliosis-idiopaticas-tratadas-con-tecnicas-de-cotrel-dubousset-y-harrington","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-comparativo-de-la-evolucion-de-las-curvas-compensadoras-en-escoliosis-idiopaticas-tratadas-con-tecnicas-de-cotrel-dubousset-y-harrington\/","title":{"rendered":"Estudio comparativo de la evolucion de las curvas compensadoras en escoliosis idiopaticas tratadas con tecnicas de cotrel-dubousset y harrington."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Heras Sotos Jorge  De Las <\/strong><\/h2>\n<p>Introducci\u00f3n: la escoliosis idiop\u00e1tica se caracteriza por un desalineamiento de la columna vertebral en los tres planos del espacio, y cuya etiolog\u00eda permanece desconocida. Progresa en la adolescencia y en algunos casos precisa correcici\u00f3n quir\u00fargica. Las t\u00e9cnicas de cotrel-dubousset y de harrington constituyen los representantes de dos distintos principios de tratamiento quir\u00fargico. Al emplear fijaciones cortas con el fin de preservar niveles lumbares libres se ejerce tambi\u00e9n influencia sobre los segmentos no instrumentados, las curvas compensadoras, y sobre el equilibrio del tronco.  objetivo: comparar las correcciones obtenidas con ambas t\u00e9cnicas quir\u00fargicas analizando el comportamiento y la evoluci\u00f3n de las curvas compensadoras y su repercusi\u00f3n en el equilibrio del tronco.  material y m\u00e9todo: se estudian 32 pacientes intervenidos con t\u00e9cnica de harrington. Se analizan los par\u00e1metros radiol\u00f3gicos generales (\u00e1ngulo de cobb, test de flexibilidad, perdriolle, cifosis, lordosis) y par\u00e1metros radiol\u00f3gicos espec\u00edficos (\u00e1ngulo lumbo-sacro, \u00e1ngulo lumbar, \u00e1ngulo l4-lh, \u00e1ngulo tor\u00e1cico, distancia lumbar, distancia tor\u00e1cica, equilibrio del tronco, distancia cervical, \u00e1ngulo c7-lh, \u00e1ngulo bicleidocostal-lh e inclinaci\u00f3n de pelvis). Se procesan los datos mediante test de an\u00e1lisis de la varianza, de correlaci\u00f3n de pearson, de regresi\u00f3n l\u00edneal m\u00faltiple y de regresi\u00f3n log\u00edstica.  resultados: se observa mayor correcci\u00f3n de la curva compensadora inferior con la t\u00e9cnica de cotrel-dubousset (66% frente a 52%) si bien no se observan diferencias entre ambas t\u00e9cnicas sobre la curva compensadora superior. el efecto corrector sobre la curva compensadora lumbar se realiza sobre la hemicurva superior, permaneciendo la hemicurva lumbar inferior inalterada. esto condiciona un desequilibrio postoperatorio del tronco similar con ambas t\u00e9cnicas quir\u00fargicas que se recupera parcialmente durante el seguimiento.  conclusi\u00f3n:<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio comparativo de la evolucion de las curvas compensadoras en escoliosis idiopaticas tratadas con tecnicas de cotrel-dubousset y harrington.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio comparativo de la evolucion de las curvas compensadoras en escoliosis idiopaticas tratadas con tecnicas de cotrel-dubousset y harrington. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Heras Sotos Jorge  De Las <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 30\/05\/2000<\/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>Luis Munuera Martinez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Antonio L\u00f3pez alonso <\/li>\n<li>Carlos Resines erasun (vocal)<\/li>\n<li>enrique Martinez moreno (vocal)<\/li>\n<li>enrique Gil garay (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Heras Sotos Jorge De Las Introducci\u00f3n: la escoliosis idiop\u00e1tica se caracteriza por un desalineamiento de la columna [&hellip;]<\/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 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