<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032019000200167</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Mielopatía cervical por canal estrecho, ocasionada por hipertrofia del ligamento amarillo de C2 a C7]]></article-title>
<article-title xml:lang="en"><![CDATA[Cervical myelopathy due to narrow spinal channel caused by flavum ligament hypertrophy from C2 to C7]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alcocer Maldonado]]></surname>
<given-names><![CDATA[José Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Domínguez Carrillo]]></surname>
<given-names><![CDATA[Luis Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Ángeles León División de Cirugía ]]></institution>
<addr-line><![CDATA[León Guanajuato]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Guanajuato Facultad de Medicina de León ]]></institution>
<addr-line><![CDATA[ Guanajuato]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>17</volume>
<numero>2</numero>
<fpage>167</fpage>
<lpage>171</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032019000200167&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032019000200167&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032019000200167&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  La hipertrofia del ligamento amarillo puede causar el estrechamiento del canal espinal y la compresión de elementos neurales ocasionando síntomas clínicos de radiculopatía y/o mielopatía, principalmente en pacientes con espondiloartrosis y degeneración discal y facetaria.  Caso clínico:  Femenino de 63 años quien ocho meses atrás sufrió caída de su altura, colisionando el suelo con el mentón, presentando de inmediato cuadriplejía con nivel sensitivo y motor C5 derecha y C6 izquierda, con pérdida de control de esfínteres, efectuando diagnóstico de mielopatía por hipertrofia del ligamento amarillo de C2 a C7. Se efectuó cirugía ocho meses después de la lesión, logrando excelente evolución motora y sensitiva.  Conclusiones:  La hipertrofia del ligamento amarillo está relacionado directamente con degeneración discal, disminución del espacio intervertebral y degeneración facetaria, causando canal espinal estrecho, especialmente en la extensión de columna cervical con predominio en mujeres mayores de 60 años, anotando que la presencia de mielopatía originada por la hipertrofia de dicho ligamento resulta extraordinaria.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction: Flavum ligament hypertrophy can cause the narrowing of the spinal canal and the compression of neural elements causing clinical symptoms of radiculopathy and/or myelopathy, mainly in patients with spondylo-arthrosis, disc disease and articular facet degeneration.  Clinical report:  A 63-year-old female who eight months ago suffered a fall, colliding her chin on the floor, presenting immediately quadriplegia with sensory level and right C5 motor and left C6 and sphincter control lost, diagnosing myelopathy by hypertrophy of the flavum ligament from C2 to C7. Surgery was performed eight months after the injury, achieving excellent motor and sensory evolution.  Conclusions:  Flavum ligament hypertrophy and thickening is directly related to disc degeneration, decreased intervertebral space and facetary degeneration, causing a spinal narrow channel, especially in the extension of the cervical spine, predominantly in women over 60 years of age. Presence of myelopathy caused by the hypertrophy of flavum ligament is extraordinary.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hipertrofia del ligamento amarillo]]></kwd>
<kwd lng="es"><![CDATA[canal estrecho]]></kwd>
<kwd lng="es"><![CDATA[mielopatía cervical]]></kwd>
<kwd lng="en"><![CDATA[Flavum ligament hypertrophy]]></kwd>
<kwd lng="en"><![CDATA[narrow channel]]></kwd>
<kwd lng="en"><![CDATA[cervical myelopathy]]></kwd>
</kwd-group>
</article-meta>
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