{"id":1742,"date":"2022-10-04T13:53:00","date_gmt":"2022-10-04T11:53:00","guid":{"rendered":"https:\/\/neurocirugialmeria.com\/?p=1742"},"modified":"2022-10-04T13:53:00","modified_gmt":"2022-10-04T11:53:00","slug":"esteroides-epidurales-in-situ-para-el-dolor-postoperatorio-en-la-cirugia-de-fusion-lumbar-posterolateral-resultados-de-un-ensayo-clinico-controlado-con-placebo","status":"publish","type":"post","link":"https:\/\/neurocirugialmeria.com\/en\/2022\/10\/04\/esteroides-epidurales-in-situ-para-el-dolor-postoperatorio-en-la-cirugia-de-fusion-lumbar-posterolateral-resultados-de-un-ensayo-clinico-controlado-con-placebo\/","title":{"rendered":"Esteroides epidurales in situ para el dolor postoperatorio en la cirug\u00eda de fusi\u00f3n lumbar posterolateral: Resultados de un ensayo cl\u00ednico controlado con placebo"},"content":{"rendered":"<p class=\"has-text-align-center wp-block-paragraph\">El <a href=\"https:\/\/thejns.org\/spine\/view\/journals\/j-neurosurg-spine\/j-neurosurg-spine-overview.xml\" target=\"_blank\" rel=\"noreferrer noopener\">Journal of Neurosurgery Spine<\/a> ha publicado los resultados de un ensayo cl\u00ednico aleatorizado con dise\u00f1o doble ciego controlado con placebo en el que trata de averiguar si existe un beneficio en la reducci\u00f3n del dolor postoperatorio derivado de la administraci\u00f3n epidural intraquir\u00fargica de corticoides en aquellos pacientes intervenidos de cirug\u00eda de fusi\u00f3n lumbar posterior.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">El trabajo, coducido por autores iran\u00edes, parte de la idea de que la efectividad de este tratamiento en pacientes operados de hernia discal lumbar podr\u00eda ser extrapolable a este tipo de intervenci\u00f3n.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Contaron para ello con un total de 100 pacientes, la mitad de los cuales recib\u00eda esteroides (Triamcinolona) epidurales in situ justo antes de terminar la cirug\u00eda mientras que a la otra mitad, conformada por el grupo que recib\u00eda placebo, se le administraba suero salino. El resultado se determinar\u00eda con la medici\u00f3n del dolor en la Escala Visual Anal\u00f3gica durante la estancia hospitalaria a las 4 y 12 semanas tras la cirug\u00eda.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Los autores no apreciaron diferencias entre ambos grupos ni en la intensidad del dolor comunicada por los pacientes ni en la estancia hospitalaria, complicaciones, desarrollo de infecciones postoperatorias, consumo postoperatorio de morfina o \u00edndice de discapacidad Oswestry (ODI). Derivado de lo cual los autores concluyeron que el beneficio de esta medida observado en cirug\u00eda de hernia discal lumbar no es extrapolable en la cirug\u00eda de fusi\u00f3n lumbar posterior.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><span style=\"text-decoration:underline;\">Fuente: <\/span><\/strong><a href=\"https:\/\/thejns.org\/spine\/view\/journals\/j-neurosurg-spine\/aop\/article-10.3171-2022.1.SPINE211418\/article-10.3171-2022.1.SPINE211418.xml\" target=\"_blank\" rel=\"noreferrer noopener\">Tavanaei R, Ahmadi P, Malekipour B, Herfedoust Biazar B, Keikhaee M, Oraii Yazdani K, Zali A, Oraee-Yazdani S. Effects of local intraoperative epidural use of triamcinolone acetonide-soaked Gelfoam on postoperative outcomes in patients undergoing posterolateral lumbar spinal fusion surgery: a randomized, placebo-controlled, double-blind trial. J Neurosurg Spine. 2022 Apr 15:1-9.<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>El Journal of Neurosurgery Spine ha publicado los resultados de un ensayo cl\u00ednico aleatorizado con dise\u00f1o doble ciego controlado con placebo en el que trata de averiguar si existe un beneficio en la reducci\u00f3n del dolor postoperatorio derivado de la administraci\u00f3n epidural intraquir\u00fargica de corticoides en aquellos pacientes intervenidos de cirug\u00eda de fusi\u00f3n lumbar posterior&#8230;.<\/p>","protected":false},"author":183523340,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","advanced_seo_description":"","jetpack_seo_html_title":"","jetpack_seo_noindex":false,"jetpack_seo_schema_type":"","_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_hide_featured_image":false,"_jetpack_featured_image_duplicate_dismissed":0,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"{title}\n\n{excerpt}\n\n{url}","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[706700519,706700523,706700518,706700514,1771,706700522,706700517],"tags":[],"class_list":["post-1742","post","type-post","status-publish","format-standard","hentry","category-almeria","category-bionica","category-cirugia-de-columna","category-neurocirugia","category-sin-categoria","category-transhumanismo","category-zerotohero"],"jetpack_publicize_connections":[],"jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pbS7CP-s6","jetpack-related-posts":[],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/1742","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/users\/183523340"}],"replies":[{"embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/comments?post=1742"}],"version-history":[{"count":3,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/1742\/revisions"}],"predecessor-version":[{"id":1745,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/1742\/revisions\/1745"}],"wp:attachment":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/media?parent=1742"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/categories?post=1742"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/tags?post=1742"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}