<?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>S2444-054X2021000500657</article-id>
<article-id pub-id-type="doi">10.24875/ciru.20000915</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Asociación de depresión y resultados funcionales en pacientes tratados quirúrgicamente por mielopatía espondilótica cervical mediante abordaje anterior]]></article-title>
<article-title xml:lang="en"><![CDATA[Association of depression and functional outcomes in patients treated surgically for cervical spondylotic myelopathy through an anterior approach]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alcocer]]></surname>
<given-names><![CDATA[Guadalupe F.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moheno-Gallardo]]></surname>
<given-names><![CDATA[Alfredo J.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Elizalde-Martínez]]></surname>
<given-names><![CDATA[Eulalio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rojano-Mejía]]></surname>
<given-names><![CDATA[David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Martínez]]></surname>
<given-names><![CDATA[Estela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Andrade]]></surname>
<given-names><![CDATA[Karen G.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quiroz-Williams]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Departamento de Columna Hospital de Ortopedia]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital de Ortopedia División de Investigación en Salud]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital de Ortopedia Coordinación Clínica de Educación e Investigación en Salud]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></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>657</fpage>
<lpage>663</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2021000500657&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2021000500657&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2021000500657&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: Determinar la asociación de depresión con los resultados clínicos en pacientes tratados quirúrgicamente por mielopatía espondilótica cervical (MEC) mediante abordaje anterior.  Método: Se realizó un estudio observacional en pacientes con MEC. Se utilizaron la escala de Beck, la escala modificada de la Japanese Orthopaedic Association (mJOA), el índice de discapacidad del cuello (NDI) y la escala visual análoga (EVA) de forma prequirúrgica, al mes y 3 meses posterior a la cirugía.  Resultados: La EVA inicial mostró mayor gravedad en los pacientes con depresión. Al mes y al tercer mes posteriores a la cirugía hay una disminución significativa del dolor en el grupo sin depresión (p = 0.03). En la mJOA al mes y a los 3 meses se observó que la gravedad disminuyó en ambos grupos, siendo más notorio en el grupo sin depresión (p = 0.02). El NDI prequirúrgico fue mayor en el grupo con depresión. A los 3 meses, en ambos grupos la mejoría fue notoria con respecto al grado de incapacidad preoperatorio.  Conclusiones: Existe una relación favorable en los pacientes con MEC sometidos a tratamiento quirúrgico entre la ausencia de depresión previa a cirugía y la evolución clínica, con la posibilidad de promover un manejo multidisciplinario previo a la cirugía en los pacientes con depresión.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: To determine the association of Depression with clinical outcomes in patients treated surgically for cervical spondylotic myelopathy (CSM) using an anterior approach.  Method: An observational study was conducted in patients with ECM. The Beck scale, modified scale of the Japanese Orthopedic Association (mJOA), neck disability index (NDI) and the Visual Analogue Scale (VAS) were used preoperatively, one month and 3 months after surgery.  Results: Initial VAS showed more severe degrees in patients with depression. At one month and third month after surgery, there was a significant decrease in pain in the group without depression (p = 0.03). The mJOA at one month and three months was observed that the degree of severity decreased in both groups, being more noticeable in the group without depression (p = 0.02). Presurgical NDI was higher in the group with depression. At three months in both groups the improvement was noticeable with respect to the degree of preoperative disability.  Conclusions: There is a favorable relationship in patients with ECM undergoing surgical treatment in the absence of depression prior to surgery and clinical evolution, with the possibility of promoting multidisciplinary management prior to surgery in patients with depression.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Columna]]></kwd>
<kwd lng="es"><![CDATA[Vértebra cervical]]></kwd>
<kwd lng="es"><![CDATA[Depresión]]></kwd>
<kwd lng="es"><![CDATA[Mielopatía cervical]]></kwd>
<kwd lng="en"><![CDATA[Spine]]></kwd>
<kwd lng="en"><![CDATA[Cervical vertebrae]]></kwd>
<kwd lng="en"><![CDATA[Depression]]></kwd>
<kwd lng="en"><![CDATA[Cervical myelopathy]]></kwd>
</kwd-group>
</article-meta>
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