ImpactU Versión 3.11.2 Última actualización: Interfaz de Usuario: 16/10/2025 Base de Datos: 29/08/2025 Hecho en Colombia
Cordectomía por sustracción pedicular en la columna dorsal y lumbar en fracturas traumáticas: experiencia en el hospital universitario mayor Mederi y revisión sistemática de la literatura
Objective: To show the experience with the posterior subtraction corpectomy in trauma fractures in the dorsal and lumbar spine in the Mederi Hospital in Bogota and to make a systematic review of the literature of the surgical technic, Materials and Methods: We made a retrospective analysis of the data obtain from the clinic history of the patients that present to Materials and Methods: We realize a retrospective analysis of the clinic history of the patients that went to the Neurosurgical service between 2013 and 2015 with traumatic fractures in the dorsal and lumbar spine. We made an analysis of the pre and postoperative neurological deficit using the ASIA score. We also review surgery times, intraoperative bleeding, and complications. Also we develop a systematic review of the literature about this surgical technique. Results: A total of 32 patients were taken to surgery, with an average of surgical time of 396 minutes; the presurgical ASIA score was B: 50%, C: 47%, E: 3%. The postoperative ASIA score was B: 9%, C: 47%, D: 38%, E, 6%. We obtain a recovery of the previous neurological deficit en 72% of the patients. The average of intraoperative bleeding was 1,233 cc. We have 4 complications: 2 hematomas, which require reintervention, and 2 leakage of cerebrospinal fluid the ones, were managed with compressive vendage. Conclusions: The posterior subtraction corpectomy requires some skills and from a multidisciplinary team including neuroanesthesist and neurosurgeons trained in spine. It shows a lot of benefits comparing with the anterior procedure, which include less surgical time, less intraoperative bleeding, and less morbimotality.