<?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>2444-054X</journal-id>
<journal-title><![CDATA[Cirugía y cirujanos]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. cir.]]></abbrev-journal-title>
<issn>2444-054X</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Cirugía A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-054X2021000500595</article-id>
<article-id pub-id-type="doi">10.24875/ciru.20000784</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Instrumentación dorso-lumbar asistida con neuronavegación O-arm y cirugía mínimamente invasiva: resultados clínico-quirúrgicos]]></article-title>
<article-title xml:lang="en"><![CDATA[Assisted dorso-lumbar instrumentation with O-arm neuronavegation and minimally invasive surgery: clinical-surgical outcome]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Daneri-Allis]]></surname>
<given-names><![CDATA[Georgy M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Violante-Mejía]]></surname>
<given-names><![CDATA[Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villa-Benites]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Anaya-Prado]]></surname>
<given-names><![CDATA[Roberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zepeda-Ochoa]]></surname>
<given-names><![CDATA[José D.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Médico Puerta de Hierro Servicio de Neurocirugía ]]></institution>
<addr-line><![CDATA[Zapopan Jalisco]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Médico Puerta de Hierro Servicio de Anestesiología ]]></institution>
<addr-line><![CDATA[Zapopan Jalisco]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro Médico Puerta de Hierro Dirección de Educación e Investigación ]]></institution>
<addr-line><![CDATA[Zapopan Jalisco]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2021</year>
</pub-date>
<volume>89</volume>
<numero>5</numero>
<fpage>595</fpage>
<lpage>602</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2021000500595&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2021000500595&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2021000500595&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: Evaluar los resultados clínico-quirúrgicos de la instrumentación dorso-lumbar mediante neuronavegación asistida con O-arm y cirugía mínimamente invasiva.  Método: En esta cohorte retrospectiva se estudiaron 104 pacientes sometidos a instrumentación dorso-lumbar con uso de O-arm, operados entre septiembre de 2013 y mayo de 2020. Las variables investigadas fueron sintomatología, cantidad de tornillos, niveles abordados, sangrado, tiempo quirúrgico, estancia hospitalaria, complicaciones y mejoría clínica posterior al procedimiento quirúrgico.  Resultados: La sintomatología más frecuente fue radiculopatía unilateral o bilateral de extremidades pélvicas, parestesias, lumbalgia mecánica y disminución progresiva de la fuerza. Se utilizaron en total 542 tornillos, siendo la columna lumbar el sitio de mayor prevalencia. Los promedios de sangrado, tiempo quirúrgico y estancia hospitalaria fueron de 50 ml, 160 minutos y 24 horas, respectivamente. Las complicaciones más frecuentes fueron neuropatía residual, rasgadura de la duramadre e infección del sitio quirúrgico. La mejoría clínica a las 24 horas, 4 semanas y 6 meses se logró en el 77.3%, el 86.5% y el 94.8% de los pacientes, respectivamente.  Conclusiones: La neuronavegación con O-arm junto con el abordaje quirúrgico de tipo mini-open permite buenos resultados clínico-quirúrgicos en la corrección de los trastornos complejos de la columna dorso-lumbar.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: To evaluate the clinical-surgical outcomes after dorso-lumbar instrumentation using O-arm assisted neuronavigation and minimally invasive surgery.  Method: In this retrospective cohort, 104 patients who underwent dorso-lumbar instrumentation with the use of O-arm from September 2013 to May 2020 were studied. Variables investigated included: symptoms, number of screws, levels approached, bleeding, surgical time, hospital stay, complications and clinical improvement after the surgical procedure.  Results: The most frequent symptoms were: unilateral or bilateral radiculopathy of the pelvic extremities, paresthesia, mechanical low back pain and progressive decrease in strength. A total of 542 screws were placed, with the lumbar spine being the site with the highest prevalence. The average bleeding, surgical time, and hospital stay was: 50 ml, 160 minutes, and 24 hours, respectively. The most frequent complications were: Residual neuropathy, dura mater tear and surgical site infection. Clinical improvement at 24 hours, 4 weeks and 6 months was achieved in: 77.3%, 86.5% y 94.8% of the patients, respectively.  Conclusions: Neuronavigation with the use of O-arm along with mini-open surgery approach results in good clinical-surgical outcomes in the correction of complex disorders of the dorso-lumbar spine.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Neuronavegación]]></kwd>
<kwd lng="es"><![CDATA[Cirugía mínimamente invasiva]]></kwd>
<kwd lng="es"><![CDATA[O-arm]]></kwd>
<kwd lng="es"><![CDATA[Instrumentación]]></kwd>
<kwd lng="es"><![CDATA[Dorso-lumbar]]></kwd>
<kwd lng="en"><![CDATA[Neuronavigation]]></kwd>
<kwd lng="en"><![CDATA[Minimally invasive surgery]]></kwd>
<kwd lng="en"><![CDATA[O-arm]]></kwd>
<kwd lng="en"><![CDATA[Instrumentation]]></kwd>
<kwd lng="en"><![CDATA[Dorso-lumbar]]></kwd>
</kwd-group>
</article-meta>
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