Artrodese lombar percutânea por via endoscópica
complicação pós ferimento por arma de fogo
Keywords:
wounds, gunshot/complications, Spine, minimally invasive surgical proceduresAbstract
The gunshot wounds (GSWs) with spinal impairment are a growing cause of morbidity and mortality, specially in developing countries where they are a public health problem. These lesions are very common in young men and often patients have complete neurological deficit. Social costs are increasing, with high levels of public spending and difficult medical and surgical management. The search for better results has led to minimally invasive, less aggressive treatments, faster results and less impact on patients’ lives, with early hospital discharge and rapid return of patients to their ADLs. Endoscopic Percutaneous Lumbar Arthrodesis is a promising new option for these challenges. This study describes a case conducted by this technique, as well as optional solutions to the challenges found.
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References
Associação das Pioneiras Sociais. Mapa da morbidade por causas externas. rede sarah de hospitais de reabilitação [Internet]. Available at: http://ceres.sarah.br/Cvisual/Sarah/AAPrevencao/p-03_Pesquisas.html Accessed 29 January 2013.
de Barros Filho TEP, Oliveira RP, Barros EK, Von Uhlendorff EF, Iutaka AS, Cristante AF, Marcon RM. Ferimento por projétil de arma de fogo na coluna vertebral: estudo epidemiológico.
Coluna/Columna. 2002;1(2):83-7.
Quigley KJ, Place HM. The role of debridement and antibiotics in gunshot wounds to the spine. J Trauma. 2006;60(4):814-9.
Kim M, Kim HS, Oh SW, Adsul NM, Singh R, Kashlan ON, Noh JH, Jang T, Oh SH. Evolution of Spinal Endoscopic Surgery. Neurospine. 2019;16(1):6-14.
Morgenstern R. Full endoscopic transforaminal lumbar interbody fusion approach with percutaneous posterior transpedicular screw fixation in a case of spondylolisthesis grade I with L4-5 central stenosis. J Crit Spine Cases. 2010;3:115-9.
Denis F. The three column spine and its significance e classification of acute thoracolumbar spinal injuries. Spine (Phila Pa 1976). 1983;8(8):817-31.
Kim HS, Park KH, Ju CI, Kim SW, Lee SM, Shin H. Minimally invasive multi-level posterior lumbar interbody fusion using a percutaneously inserted spinal fixation system: technical tips,
surgical outcomes. J Korean Neurosurg Soc. 2011;50(5):441-5.
Morgenstern R. Endoscopically assisted transforaminal percutaneous lumbar interbody fusion. In: Lewandrowski KU, Lee SH, Iprenburg M, eds. Endoscopic spinal surgery. London:
JP Medical Publishers; 2013, p. 127-34. Chap. 20.
Morgenstern R, Morgenstern C. Percutaneous transforaminal lumbar interbody fusion (pTLIF) with a posterolateral approach for the treatment of denegerative disk disease: feasibility and
preliminary results. Int J Spine Surg. 2015;9:41.
Silva AC, Alcantara T, Nogueira MP. The percutaneous endoscopic lumbar interbody fusion (PELIF): an advanced and innovation
technique. Int J Recent Surg Med Sci. 2019;5(1):31-4.
Lee SH. Percutaneous transforaminal lumbar interbody stabilization. In: Kim DH, Kim KH, Kim YC, eds. Minimally Invasive Percutaneous Spinal Techniques. Philadelphia: Elsevier
Saunders; 2011, p. 367-73. Chap. 29.
Ryan KJ, Ray CG, eds. Sherris medical microbiology. 4th ed. McGraw Hill; 2004.
Whitehouse JD, Friedman ND, Kikland KB, Richardson WJ, Sexton DJ. The impact of surgical-site infections following orthopedic surgery at a community hospital and a university
hospital: adverse quality of life, excess lengtht of stay, and extra cost. Infect Control Hosp Epidemiol. 2002;23(4):183-9.