出版社:Centro Provincial de Información de Ciencias Médicas de Camagüey
摘要:Se presenta el caso de un paciente con una fractura espinal a nivel de LI inestable con compromiso neurológico grado C en la escala de la ASIA. La compresión del canal vertebral fue diagnosticada clínica y radiológicamente y tratada quirúrgicamente en las primeras seis horas de haber sufrido el accidente, asociada al uso de metilprednisolona. El paciente en el postoperatorio inmediato presentó un grado D de esta escala, y 72 h después un grado E. Se comprobó la eficacia del tratamiento médico con metilprednisolona y quirúrgico en las primeras seis horas del trauma.
其他摘要:A case of a patient with a spinal fracture at a level was presented of unstable L1 with neurologic involvement; grado C in the American Association of Spinal Injury scale was studied. The understanding of the vertebral channel was clinical and radiologically diagnosed and surgically treated in the first six hours of having suffered the accident, associated to the use of methylprednisolone. The patient in the immediate postoperatory presented a grade D in the ASSI's scale; 72 hours later had a grade E in such scale. It was proved the effectiveness of the medical treatment with methylprednisolona and surgical in the first six hours of trauma.
关键词:FRACTURAS ESPINALES; INFORME DE CASO;SPINAL FRACTURES; CASE REPORT