{"id":279,"date":"2020-04-12T23:31:00","date_gmt":"2020-04-12T21:31:00","guid":{"rendered":"http:\/\/neurocirugiavargas.com\/?p=279"},"modified":"2020-04-22T23:25:59","modified_gmt":"2020-04-22T21:25:59","slug":"hernia-discal-lumbar-tratamiento-conservador-o-quirurgico","status":"publish","type":"post","link":"https:\/\/neurocirugialmeria.com\/en\/2020\/04\/12\/hernia-discal-lumbar-tratamiento-conservador-o-quirurgico\/","title":{"rendered":"Hernia discal lumbar: \u00bfTratamiento conservador o quir\u00fargico?"},"content":{"rendered":"<p class=\"has-text-align-center\">A finales del pasado mes vio la luz un art\u00edculo que analiza el papel de la cirug\u00eda frente al tratamiento conservador en las hernias de disco lumbares. Publicado en el prestigioso <em>\u00abNew England Journal of Medicine\u00bb<\/em>, se trata de un ensayo cl\u00ednico prospectivo y aleatorizado que ha tenido lugar en Ontario (Canad\u00e1). La novedad del trabajo radica en que est\u00e1 centrado en pacientes que llevan m\u00e1s de cuatro meses padeciendo lumboci\u00e1tica, mientras que estudios previos de similares caracter\u00edsticas se hab\u00edan centrado en pacientes en los que el dolor ten\u00eda una menor duraci\u00f3n. El presente trabajo cont\u00f3 con la participaci\u00f3n de 128 pacientes con hernias discales localizadas en L4-L5 o L5-S1, de los cuales una mitad recibir\u00edan tratamiento quir\u00fargico y la otra mitad tratamiento conservador. El trabajo muestra c\u00f3mo aquellos pacientes en los que se llev\u00f3 a cabo cirug\u00eda de la hernia discal lumbar presentaron mejores resultados en cuanto al control de dolor lumboci\u00e1tico transcurridos 6 y 12 meses desde el tratamiento. Adem\u00e1s un total de 22 pacientes ( una tercera parte) de los asignados inicialmente al grupo de tratamiento conservador, precisaron finalmente intervenci\u00f3n quir\u00fargica debido a la persistencia de dolor intenso. El grupo de pacientes operados mostr\u00f3 tambi\u00e9n mejores resultados en el \u00edndice de discapacidad <em>ODI (Oswestry disability index<\/em>).<\/p>\n\n\n\n<p><strong>Referencia:<\/strong> Bailey CS, Rasoulinejad P, Taylor D, Sequeira K, Miller T, Watson J et al. <a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa1912658\">Surgery versus Conservative Care for Persistent Sciatica Lasting 4 to 12 Months<\/a>. N Eng J Med. 2020 Mar 19;382(12):1093-1102.<\/p>","protected":false},"excerpt":{"rendered":"<p>A finales del pasado mes vio la luz un art\u00edculo que analiza el papel de la cirug\u00eda frente al tratamiento conservador en las hernias de disco lumbares. Publicado en el prestigioso \u00abNew England Journal of Medicine\u00bb, se trata de un ensayo cl\u00ednico prospectivo y aleatorizado que ha tenido lugar en Ontario (Canad\u00e1). La novedad del&#8230;<\/p>","protected":false},"author":183523340,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":true,"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,"_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,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","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":[1771],"tags":[221850,58705884,83143808,2502785,57768764],"class_list":["post-279","post","type-post","status-publish","format-standard","hentry","category-sin-categoria","tag-almeria","tag-cirugia-de-columna","tag-hernia-discal-lumbar","tag-neurocirugia","tag-zerotohero"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pbS7CP-4v","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/279","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=279"}],"version-history":[{"count":1,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/279\/revisions"}],"predecessor-version":[{"id":280,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/279\/revisions\/280"}],"wp:attachment":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/media?parent=279"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/categories?post=279"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/tags?post=279"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}