José Manuel Pérez-Atanasio

FACTORS ASSOCIATED WITH COMPLEX REGIONAL PAIN SYNDROME IN SURGICALLY TREATED DISTAL RADIUS FRACTURE

ABSTRACT Objective: The aim of this study was to identify factors associated with developing complex regional pain syndrome (CRPS) after surgical treatment for distal radius fracture (DRF). Methods: This case-control study analyzed patients seen from January 2014 to January 2016. Results: In our sample of 249 patients, 4% developed CRPS. Associated factors were economic compensation via work disability (odds ratio [OR] 14.3), age (OR 9.38), associated fracture (OR 12.94), and level of impact (OR 6.46), as well as psychiatric history (OR 7.21). Conclusions: Economically-productive aged patients with a history of high-impact trauma and patients with a history of psychiatric disorders have greater risk of developing CRPS after DRF. Level of Evidence III, Case-Control Study.

GUIDELINES FOR TREATMENT OF DEGENERATIVE LUMBAR SPONDYLOLISTHESIS

Objetivos: Conocer el patron de tratamiento de la espondilolistesis lumbar degenerativa en sus diferentes presentaciones clinicas en la UMAE Dr. Victorio de la Fuente Narvaez. Metodos: Se presentaron a 36 medicos expertos en cirugia de columna 6 casos basados en la literatura, junto con las posibilidades de tratamiento, para obtener de este modo un patron de prescripcion para el tratamiento de espondilolistesis lumbar degenerativa. Estudio observacional descriptivo transversal analitico. Resultados: Se encontro que el tratamiento de eleccion para los casos de espondilolistesis lumbar degenerativa con sintomatologia axial es conservador. El tratamiento quirurgico de eleccion para los casos estables o inestables con radiculopatia y/o claudicacion es la descompresion + injerto posterolateral + instrumentacion transpedicular + discectomia (injerto). Conclusiones: Se logro definir la guia de tratamiento de espondilolistesis lumbar degenerativa en nuestra unidad, lo que puede servir como fundamento en la elaboracion de una guia de practica clinica.