<?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>2306-4102</journal-id>
<journal-title><![CDATA[Acta ortopédica mexicana]]></journal-title>
<abbrev-journal-title><![CDATA[Acta ortop. mex]]></abbrev-journal-title>
<issn>2306-4102</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Ortopedia y Traumatología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2306-41022016000400185</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Evolución clínica de la cirugía descompresiva en el tratamiento del canal lumbar estrecho degenerativo]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical results of decompressive surgery in degenerative lumbar spinal stenosis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cano-Rodríguez]]></surname>
<given-names><![CDATA[AI]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Moga]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,ISSEMYM Ecatepec Hospital Centro Médico ]]></institution>
<addr-line><![CDATA[Ecatepec Estado de México]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,ISSEMYM Ecatepec Hospital Centro Médico ]]></institution>
<addr-line><![CDATA[Ecatepec Estado de México]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2016</year>
</pub-date>
<volume>30</volume>
<numero>4</numero>
<fpage>185</fpage>
<lpage>190</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2306-41022016000400185&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2306-41022016000400185&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2306-41022016000400185&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Antecedentes:  Diversos autores y publicaciones se han enfocado en comparar la evolución clínica de la cirugía descompresiva de las raíces, ya sea con o sin fusión, para el tratamiento del canal lumbar estrecho degenerativo. Sin embargo, no existen muchos reportes que analicen la evolución clínica tras la cirugía descompresiva de una sola raíz nerviosa (la más sintomática) contra la descompresión de todas las raíces de un segmento. El presente estudio pretende comparar la evolución clínica de la liberación radicular lumbar de la raíz más sintomática con respecto a la liberación de múltiples raíces lumbares para el alivio del dolor neuropático en el canal lumbar estrecho degenerativo.  Material y métodos:  Se realizó un estudio prospectivo observacional, descriptivo, longitudinal con 38 pacientes divididos en dos grupos de 19 casos a quienes se les practicó recalibraje de una sola raíz o de múltiples raíces de un segmento; se obtuvieron porcentajes, t de Student y coeficiente de correlación de Pearson.  Resultados:  En el grupo A, se evidenció una disminución de 46.63 puntos en la escala de Oswestry, lo que traduce una mejoría del dolor de 66.73%. En el grupo B, en cambio, se observó una disminución promedio de 34.54 puntos en la escala de Oswestry, equivalente al 47.23%, con una t de Student donde p = 0.11 y el coeficiente de correlación de Pearson, 0.08.  Conclusiones:  No se encontraron diferencias estadísticamente significativas entre ambos grupos de estudio.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Background:  Several authors and publications have focused on comparing the clinical course of nerve root decompressive surgery, with or without fusion, to treat degenerative lumbar stenosis. However, there are not many reports analyzing the clinical course after decompressive surgery of a single nerve root (the most symptomatic one) comparing it with decompression of all the roots in a segment. This study intends to compare the clinical course after decompressing the most symptomatic lumbar nerve root with the release of multiple lumbar nerve roots to relieve neuropathic pain resulting from degenerative lumbar stenosis.  Material and methods:  A prospective, observational, descriptive longitudinal study was performed. A total of 38 patients were divided into two groups that included each 19 cases. Patients underwent recalibration of either a single nerve root or multiple nerve roots of a segment. Percentages were calculated as well as the Student t test and the Pearson correlation.  Results: In group A, a decrease of 46.63 points was seen in the Oswestry scale, representing a 66.73% improvement in pain. In group B, in turn, a mean decrease of 34.54 points was seen in the Oswestry scale, equivalent to a 47.23% improvement in pain, with a Student t in which p = 0.11 and a Pearson correlation coefficient of 0.08.  Conclusions:  No statistically significant differences were found between both study groups.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Columna]]></kwd>
<kwd lng="es"><![CDATA[descompresión]]></kwd>
<kwd lng="es"><![CDATA[canal]]></kwd>
<kwd lng="es"><![CDATA[raíz]]></kwd>
<kwd lng="es"><![CDATA[laminectomía]]></kwd>
<kwd lng="es"><![CDATA[estenosis]]></kwd>
<kwd lng="en"><![CDATA[Spine]]></kwd>
<kwd lng="en"><![CDATA[decompression]]></kwd>
<kwd lng="en"><![CDATA[canal]]></kwd>
<kwd lng="en"><![CDATA[root]]></kwd>
<kwd lng="en"><![CDATA[laminectomy]]></kwd>
<kwd lng="en"><![CDATA[stenosis]]></kwd>
</kwd-group>
</article-meta>
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<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Storheim]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Brox]]></surname>
<given-names><![CDATA[JI]]></given-names>
</name>
</person-group>
<source><![CDATA[Spine (Phila Pa 1976)]]></source>
<year>2003</year>
<volume>28</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>828-33</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
