{"id":1958,"date":"2023-04-03T14:44:03","date_gmt":"2023-04-03T12:44:03","guid":{"rendered":"https:\/\/neurocirugialmeria.com\/?p=1958"},"modified":"2023-04-03T14:44:03","modified_gmt":"2023-04-03T12:44:03","slug":"seleccion-del-abordaje-mas-adecuado-en-endoscopia-raquidea","status":"publish","type":"post","link":"https:\/\/neurocirugialmeria.com\/en\/2023\/04\/03\/seleccion-del-abordaje-mas-adecuado-en-endoscopia-raquidea\/","title":{"rendered":"Selecci\u00f3n del abordaje m\u00e1s adecuado en endoscopia raqu\u00eddea"},"content":{"rendered":"<p class=\"has-text-align-center wp-block-paragraph\">La revista <a rel=\"noreferrer noopener\" href=\"https:\/\/journals.lww.com\/spinejournal\/pages\/default.aspx\" target=\"_blank\">Spine<\/a> acaba de publicar un trabajo que analiza c\u00f3mo elegir el abordaje m\u00e1s adecuado en endoscopia raqu\u00eddea dependiendo de la patolog\u00eda a tratar. El trabajo cont\u00f3 con un dise\u00f1o de revisi\u00f3n sistem\u00e1tica y tras ello una propuesta de algoritmo.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Conducido por autores pertenecientes al continente europeo, asi\u00e1tico y latinoamericano el trabajo trata de establecer en qu\u00e9 casos es m\u00e1s adecuado llevar a cabo un abordaje endosc\u00f3pico interlaminar frente aquellos en los que el abordaje ha de ser transforaminal.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">La revisi\u00f3n se centr\u00f3 en 53 publicaciones cient\u00edficas. En ellas se analiz\u00f3 el abordaje empleado, los niveles intervenidos, la aparici\u00f3n de complicaciones y la zona donde se encontraba la hernia.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Los autores concluyeron que el abordaje interlaminar endosc\u00f3pico ha de ser elegido para hernias centrales o subarticulares localizadas en L4-L5 y L5-S1 sobre todo si existe una cresta il\u00edaca elevada o un grado alto de migraci\u00f3n del fragmento herniario. El abordaje transforaminal fue preferido para hernias foraminales o extraforaminales en niveles altos y bajos as\u00ed como para hernias centrales y subarticulares en niveles altos teniendo siempre en cuenta la anatom\u00eda del foramen y el grado de migraci\u00f3n de la hernia.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Fuente: <a href=\"https:\/\/journals.lww.com\/spinejournal\/Abstract\/2023\/04150\/Full_Endoscopic_Lumbar_Discectomy_Approach.4.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">Kotheeranurak, Vit MD<sup>a,b<\/sup>; Liawrungrueang, Wongthawat MD<sup>c<\/sup>; Quillo-Olvera, Javier MD<sup>d<\/sup>; Siepe, Christoph J. MD<sup>e,f<\/sup>; Li, Zhen Zhou MD, PhD<sup>g<\/sup>; Lokhande, Pramod V. MS, DNB, MNAMS<sup>h<\/sup>; Choi, Gun MD, PhD<sup>i<\/sup>; Ahn, Yong MD, PhD<sup>j<\/sup>; Chen, Chien-Min MD, PhD<sup>k<\/sup>; Choi, Kyung-Chul MD, PhD<sup>l<\/sup>; Van Isseldyk, Facundo MD<sup>m<\/sup>; Hagel, Vincent MD<sup>n<\/sup>; Koichi, Sairyo MD, PhD<sup>o<\/sup>; Hofstetter, Christoph P. MD, PhD<sup>p<\/sup>; Del Curto, David MD<sup>q<\/sup>; Zhou, Yue MD, PhD<sup>r<\/sup>; Bolai, Chen MD<sup>s<\/sup>; Bae, Jun seok MD<sup>t<\/sup>; Assous, Muhammed MD<sup>u<\/sup>; Lin, Guang-Xun MD, PhD<sup>v,w<\/sup>; Jitpakdee, Khanathip MD<sup>x<\/sup>; Liu, Yanting MD<sup>y<\/sup>;\u00a0Kim, Jin-Sung MD, PhD<sup>y<\/sup>.\u00a0Full-Endoscopic Lumbar Discectomy Approach Selection: A Systematic Review and Proposed Algorithm. Spine 48(8):p 534-544, April 15, 2023.\u00a0<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>La revista Spine acaba de publicar un trabajo que analiza c\u00f3mo elegir el abordaje m\u00e1s adecuado en endoscopia raqu\u00eddea dependiendo de la patolog\u00eda a tratar. El trabajo cont\u00f3 con un dise\u00f1o de revisi\u00f3n sistem\u00e1tica y tras ello una propuesta de algoritmo. Conducido por autores pertenecientes al continente europeo, asi\u00e1tico y latinoamericano el trabajo trata de&#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_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":[706700519,706700523,706700518,706700521,706700514],"tags":[],"class_list":["post-1958","post","type-post","status-publish","format-standard","hentry","category-almeria","category-bionica","category-cirugia-de-columna","category-futurismo","category-neurocirugia"],"jetpack_publicize_connections":[],"jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pbS7CP-vA","jetpack-related-posts":[],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/1958","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=1958"}],"version-history":[{"count":2,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/1958\/revisions"}],"predecessor-version":[{"id":1960,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/1958\/revisions\/1960"}],"wp:attachment":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/media?parent=1958"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/categories?post=1958"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/tags?post=1958"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}