{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,9]],"date-time":"2023-10-09T12:09:48Z","timestamp":1696853388584},"reference-count":30,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2019,4,15]],"date-time":"2019-04-15T00:00:00Z","timestamp":1555286400000},"content-version":"vor","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Estudo prospectivo controlado em pacientes com discopatia degenerativa submetidos a artrodese intersom\u00e1tica lombar anterior instrumentada combinada com estabiliza\u00e7\u00e3o posterior.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Amostra com 64 pacientes consecutivos operados pelos mesmos cirurgi\u00f5es ao longo de quatro anos. Metade das artrodeses intersom\u00e1tica lombar anterior foi efetuada em dois n\u00edveis, 43,8% em tr\u00eas n\u00edveis e 6,25% em um n\u00edvel. Foram usadas caixas intersom\u00e1ticas com parafusos integrados preenchidas com matriz \u00f3ssea e prote\u00edna morfogen\u00e9tica \u00f3ssea 2.<\/jats:p><jats:p>\n          Resultados\u2003Metade da amostra apresentava cirurgias pr\u00e9vias \u00e0 coluna lombar, 75% listeses degenerativas associadas e 62,5% patologia compressiva posterior da coluna lombar. Aproximadamente 56% da amostra apresentavam pelo menos um fator de risco de n\u00e3o uni\u00e3o da artrodese. O \u00edndice Oswestry passou de 71,81\u2009\u00b1\u20097,22 no pr\u00e9-operat\u00f3rio para 24,75\u2009\u00b1\u20097,82 na avalia\u00e7\u00e3o no fim do tempo de seguimento, enquanto a escala visual anal\u00f3gica da dor passou de 7,88\u2009\u00b1\u20090,70 para 2,44\u2009\u00b1\u20090,87 (p\u2009&lt;\u20090,001). A melhoria cl\u00ednico-funcional foi crescente de acordo com a interven\u00e7\u00e3o num n\u00famero superior de n\u00edveis, o que comprova a efic\u00e1cia da artrodese intersom\u00e1tica lombar anterior multin\u00edvel, aplicada em 93,75% da amostra. A taxa global de complica\u00e7\u00f5es foi de 7,82% e de complica\u00e7\u00f5es major de 0%. N\u00e3o se identificou qualquer caso de n\u00e3o uni\u00e3o.<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003A artrodese intersom\u00e1tica lombar anterior instrumentada combinada com estabiliza\u00e7\u00e3o posterior \u00e9 uma op\u00e7\u00e3o de sucesso na discopatia degenerativa uni ou multin\u00edvel dos segmentos de L3 a S1, mesmo em presen\u00e7a significativa de fatores de risco de n\u00e3o uni\u00e3o e cirurgias pr\u00e9vias da coluna lombar, garante resultados cl\u00ednico-funcionais e radiogr\u00e1ficos muito satisfat\u00f3rios e reduzida taxa de complica\u00e7\u00f5es em m\u00e9dio prazo.<\/jats:p>","DOI":"10.1016\/j.rbo.2017.11.006","type":"journal-article","created":{"date-parts":[[2018,2,9]],"date-time":"2018-02-09T01:18:44Z","timestamp":1518139124000},"page":"140-148","source":"Crossref","is-referenced-by-count":2,"title":["Artrodese lombar intersom\u00e1tica anterior multin\u00edvel combinada com estabiliza\u00e7\u00e3o posterior em discopatia\u2014An\u00e1lise cl\u00ednico-funcional prospectiva"],"prefix":"10.1055","volume":"54","author":[{"given":"Diogo Lino","family":"Moura","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Ortopedia, Centro Hospitalar e Universit\u00e1rio de Coimbra, Coimbra, Portugal"},{"name":"Spine Institute of Ohio, Grant Medical Center, Columbus, Estados Unidos da Am\u00e9rica"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Lawrence","sequence":"additional","affiliation":[{"name":"Spine Institute of Ohio, Grant Medical Center, Columbus, Estados Unidos da Am\u00e9rica"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Josu\u00e9 Pereira","family":"Gabriel","sequence":"additional","affiliation":[{"name":"Spine Institute of Ohio, Grant Medical Center, Columbus, Estados Unidos da 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