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dc.rights.licenseAtribución-NoComercial-SinDerivadas 4.0 Internacional
dc.contributor.advisorTorres Romero, Fernando
dc.contributor.authorNarváez Scalante, Jorge Andrés
dc.date.accessioned2021-02-15T14:14:09Z
dc.date.available2021-02-15T14:14:09Z
dc.date.issued2021-02-12
dc.identifier.citationNarváez Scalante, J. A. (2021). Evaluación de los desenlaces clínicos de la cirugía endoscópica biportal de columna en pacientes con canal lumbar estrecho: cohorte colombiana 2017 a 2020 [Tesis de especialidad, Universidad Nacional de Colombia]. Repositorio Institucional.
dc.identifier.urihttps://repositorio.unal.edu.co/handle/unal/79236
dc.description.abstractLumbar spinal stenosis is a common pathology in the ageing population, it generates a significant deterioration in patient functionality. The most common treatment is surgical decompression by laminectomy, foraminoplasty, and vertebral fusion. Biportal endoscopic spine surgery (BESS) is a minimally invasive surgical technique, which can be used as an alternative resource for the treatment of lumbar spinal stenosis. The following study compiles the clinical results of the Colombian population with a diagnosis of lumbar spinal stenosis, intervention whit a biportal endoscopic spine surgery technique, from 2017 to 2020. Sixty-three patients with an average age of 58 years old were evaluated, an improvement was found in pain scale evaluated through the visual analog scale from: 9.36 preoperative to 4.98 postoperative. Improvement in patients' functionality as measured by the Oswestry disability index: 36.26 preoperative to 19.20 postoperative. Along with a patient satisfaction measured through the MacNab criteria between excellent and good in 88.8% patients. Biportal endoscopic spine surgery is an effective tool for treatment of patients with lumbar spinal stenosis symptoms.
dc.description.abstractEl canal lumbar estrecho es una patología común en la población adulta, la cual genera un deterioro importante en la funcionalidad del individuo. La opción de tratamiento quirúrgico más común es la descompresión mediante laminectomía, foraminoplastia y fusión de segmentos vertebrales. La cirugía endoscópica biportal de columna, es una técnica quirúrgica de mínima invasión, la cual puede usarse como recurso alterno para el tratamiento de la patología de canal lumbar estrecho. El siguiente estudio recopila los resultados clínicos de la población colombiana con diagnóstico de canal lumbar estrecho, los cuales han sido intervenidos mediante una técnica quirúrgica endoscópica biportal desde el 2017 hasta el 2020. Se evaluaron 63 pacientes con una edad promedio de 58 años, se encontró una mejoría en la escala de dolor evaluada a través de la escala análoga del dolor de: 9,36 preoperatorio a 4,98 postoperatorio. Mejoría en la funcionalidad de los pacientes medido a través de la escala de funcionalidad de Oswestry: 36,26 preoperatorio a 19.20 postoperatorio. Junto a una satisfacción de los pacientes medido a través de los criterios de MacNab entre excelente a bueno en un 88,8%. La cirugía endoscópica biportal es una herramienta eficaz para el tratamiento de los pacientes que padecen los síntomas del canal lumbar estrecho.
dc.format.extent1 recurso en línea (57 páginas)
dc.format.mimetypeapplication/pdf
dc.language.isospa
dc.rightsDerechos reservados - Universidad Nacional de Colombia
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject.ddc610 - Medicina y salud
dc.titleEvaluación de los desenlaces clínicos de la cirugía endoscópica biportal de columna en pacientes con canal lumbar estrecho: cohorte colombiana 2017 a 2020
dc.typeOtro
dc.rights.spaAcceso abierto
dc.description.additionalLínea de investigación: Especialidad de cirugía de columna, pelvis y acetábulo.
dc.type.driverinfo:eu-repo/semantics/other
dc.type.versioninfo:eu-repo/semantics/acceptedVersion
dc.publisher.programBogotá - Medicina - Especialidad en Ortopedia y Traumatología
dc.description.degreelevelEspecialidades Médicas
dc.publisher.branchUniversidad Nacional de Colombia - Sede Bogotá
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dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.subject.proposalLumbar spinal stenosis
dc.subject.proposalCanal lumbar estrecho
dc.subject.proposalCirugía endoscópica
dc.subject.proposalBiportal endoscopic
dc.subject.proposalBiportal de columna
dc.subject.proposalSpine surgery
dc.type.coarhttp://purl.org/coar/resource_type/c_1843
dc.type.coarversionhttp://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.contentText
oaire.accessrightshttp://purl.org/coar/access_right/c_abf2


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Atribución-NoComercial-SinDerivadas 4.0 InternacionalThis work is licensed under a Creative Commons Reconocimiento-NoComercial 4.0.This document has been deposited by the author (s) under the following certificate of deposit