{"id":881,"date":"2021-05-30T08:59:00","date_gmt":"2021-05-30T06:59:00","guid":{"rendered":"https:\/\/neurocirugialmeria.com\/?p=881"},"modified":"2021-05-30T08:59:00","modified_gmt":"2021-05-30T06:59:00","slug":"asociacion-entre-una-mayor-duracion-de-la-ciatalgia-y-un-peor-resultado-en-la-cirugia-de-la-hernia-discal-lumbar","status":"publish","type":"post","link":"https:\/\/neurocirugialmeria.com\/en\/2021\/05\/30\/asociacion-entre-una-mayor-duracion-de-la-ciatalgia-y-un-peor-resultado-en-la-cirugia-de-la-hernia-discal-lumbar\/","title":{"rendered":"Asociaci\u00f3n entre una mayor duraci\u00f3n de la ciatalgia y un peor resultado en la cirug\u00eda de la hernia discal lumbar"},"content":{"rendered":"<p class=\"has-text-align-center\">La ci\u00e1tica o ciatalgia es el s\u00edntoma por excelencia asociado a la hernia discal lumbar. En m\u00e1s del 90% de los casos tiene lugar la mejor\u00eda en los primeros 3 meses. Sin embargo, si dicha mejor\u00eda no tiene lugar y se mantiene la interferencia del dolor en la calidad de vida, ha de considerarse el tratamiento quir\u00fargico.<\/p>\n\n\n\n<p class=\"has-text-align-center\">Tradicionalmente se ha asociado el retraso en el tratamiento quir\u00fargico en estos casos con un peor resultado. En un art\u00edculo publicado en el <a rel=\"noreferrer noopener\" href=\"https:\/\/thejns.org\/\" target=\"_blank\">Journal of Neurosurgery <\/a>autores suecos tratan de establecer si en efecto existe tal relaci\u00f3n.<\/p>\n\n\n\n<p class=\"has-text-align-center\">Estos autores observaron c\u00f3mo en aquellos pacientes con una duraci\u00f3n de la ci\u00e1tica menor de 3 meses, el beneficio de la cirug\u00eda fue significativamente mayor a la hora de reducir el dolor. A diferencia de esto, en los pacientes con un dolor ci\u00e1tico de m\u00e1s de un a\u00f1o de evoluci\u00f3n los resultados fueron significativamente peores.<\/p>\n\n\n\n<p><strong>Fuente:<\/strong> <a href=\"https:\/\/thejns.org\/spine\/view\/journals\/j-neurosurg-spine\/34\/5\/article-p759.xml\" target=\"_blank\" rel=\"noreferrer noopener\">Beck J, Westin O, Brisby H, Baranto A. Association of extended duration of sciatic leg pain with worse outcome after lumbar disc herniation surgery: a register study in 6216 patients. J Neurosurg Spine. 2021 Feb 12:1-9.\u00a0<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>La ci\u00e1tica o ciatalgia es el s\u00edntoma por excelencia asociado a la hernia discal lumbar. En m\u00e1s del 90% de los casos tiene lugar la mejor\u00eda en los primeros 3 meses. Sin embargo, si dicha mejor\u00eda no tiene lugar y se mantiene la interferencia del dolor en la calidad de vida, ha de considerarse el&#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,"_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":[706700519,706700518,706700514,706700517],"tags":[],"class_list":["post-881","post","type-post","status-publish","format-standard","hentry","category-almeria","category-cirugia-de-columna","category-neurocirugia","category-zerotohero"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pbS7CP-ed","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/881","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=881"}],"version-history":[{"count":2,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/881\/revisions"}],"predecessor-version":[{"id":883,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/881\/revisions\/883"}],"wp:attachment":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/media?parent=881"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/categories?post=881"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/tags?post=881"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}