Beneficios de la artrodesis lumbar por abordaje anterior vs abordaje posterior

La artrodesis lumbar por vía anterior (ALIF, por sus siglas en inglés) es una técnica quirúrgica empleada para tratar diversas patologías de la columna lumbar, especialmente en casos de degeneración discal, espondilolistesis. Esta revisión sistemática analiza la efectividad, las indicaciones y las c...

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Autores:
Duplat Tissot, Nicolas
Scarpetta Rivas, Camilo
Canal Bautista, Maria Gabriela
Rangel Galván, Ana Gabriela
Benavides Ascuntar, Juan Jose
Tipo de recurso:
https://purl.org/coar/resource_type/c_7a1f
Fecha de publicación:
2025
Institución:
Universidad El Bosque
Repositorio:
Repositorio U. El Bosque
Idioma:
spa
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oai:repositorio.unbosque.edu.co:20.500.12495/18103
Acceso en línea:
https://hdl.handle.net/20.500.12495/18103
Palabra clave:
Artrodesis lumbar anterior
Tratamiento
Enfermedad degenerativa del disco
Artrodesis lumbar posterior
Anterior lumbar arthrodesis
Treatment
Degenerative disc disease
Posterior lumbar arthrodesis
W100
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id UNBOSQUE2_b240607f170cf2d78aa02707331f6fe4
oai_identifier_str oai:repositorio.unbosque.edu.co:20.500.12495/18103
network_acronym_str UNBOSQUE2
network_name_str Repositorio U. El Bosque
repository_id_str
dc.title.none.fl_str_mv Beneficios de la artrodesis lumbar por abordaje anterior vs abordaje posterior
dc.title.translated.none.fl_str_mv Benefits of lumbar arthrodesis via anterior approach vs posterior approach
title Beneficios de la artrodesis lumbar por abordaje anterior vs abordaje posterior
spellingShingle Beneficios de la artrodesis lumbar por abordaje anterior vs abordaje posterior
Artrodesis lumbar anterior
Tratamiento
Enfermedad degenerativa del disco
Artrodesis lumbar posterior
Anterior lumbar arthrodesis
Treatment
Degenerative disc disease
Posterior lumbar arthrodesis
W100
title_short Beneficios de la artrodesis lumbar por abordaje anterior vs abordaje posterior
title_full Beneficios de la artrodesis lumbar por abordaje anterior vs abordaje posterior
title_fullStr Beneficios de la artrodesis lumbar por abordaje anterior vs abordaje posterior
title_full_unstemmed Beneficios de la artrodesis lumbar por abordaje anterior vs abordaje posterior
title_sort Beneficios de la artrodesis lumbar por abordaje anterior vs abordaje posterior
dc.creator.fl_str_mv Duplat Tissot, Nicolas
Scarpetta Rivas, Camilo
Canal Bautista, Maria Gabriela
Rangel Galván, Ana Gabriela
Benavides Ascuntar, Juan Jose
dc.contributor.advisor.none.fl_str_mv Duarte Forero, Ricardo Ari
dc.contributor.author.none.fl_str_mv Duplat Tissot, Nicolas
Scarpetta Rivas, Camilo
Canal Bautista, Maria Gabriela
Rangel Galván, Ana Gabriela
Benavides Ascuntar, Juan Jose
dc.subject.none.fl_str_mv Artrodesis lumbar anterior
Tratamiento
Enfermedad degenerativa del disco
Artrodesis lumbar posterior
topic Artrodesis lumbar anterior
Tratamiento
Enfermedad degenerativa del disco
Artrodesis lumbar posterior
Anterior lumbar arthrodesis
Treatment
Degenerative disc disease
Posterior lumbar arthrodesis
W100
dc.subject.keywords.none.fl_str_mv Anterior lumbar arthrodesis
Treatment
Degenerative disc disease
Posterior lumbar arthrodesis
dc.subject.nlm.none.fl_str_mv W100
description La artrodesis lumbar por vía anterior (ALIF, por sus siglas en inglés) es una técnica quirúrgica empleada para tratar diversas patologías de la columna lumbar, especialmente en casos de degeneración discal, espondilolistesis. Esta revisión sistemática analiza la efectividad, las indicaciones y las complicaciones asociadas con el abordaje anterior en comparación con otras técnicas de artrodesis lumbar. En el marco teórico, se destacan las ventajas del abordaje anterior, que permite una visualización directa del espacio discal y evita la manipulación de las estructuras neurales posteriores. Los resultados indican que el ALIF presenta altos índices de éxito en la fusión ósea y una mejora significativa en el alivio del dolor y la funcionalidad del paciente. Sin embargo, se señalan complicaciones potenciales, como lesiones vasculares, eyaculación retrógrada, entre otras. La discusión sugiere que, aunque el ALIF es una opción eficaz en ciertos pacientes, la selección adecuada de candidatos y la experiencia del cirujano son factores críticos para minimizar riesgos y maximizar los beneficios de esta técnica.
publishDate 2025
dc.date.accessioned.none.fl_str_mv 2025-11-13T15:33:08Z
dc.date.issued.none.fl_str_mv 2025-09
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_7a1f
dc.type.local.spa.fl_str_mv Tesis/Trabajo de grado - Monografía - Pregrado
dc.type.coar.none.fl_str_mv https://purl.org/coar/resource_type/c_7a1f
dc.type.driver.none.fl_str_mv info:eu-repo/semantics/bachelorThesis
dc.type.coarversion.none.fl_str_mv https://purl.org/coar/version/c_ab4af688f83e57aa
format https://purl.org/coar/resource_type/c_7a1f
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/20.500.12495/18103
dc.identifier.instname.spa.fl_str_mv instname:Universidad El Bosque
dc.identifier.reponame.spa.fl_str_mv reponame:Repositorio Institucional Universidad El Bosque
dc.identifier.repourl.none.fl_str_mv repourl:https://repositorio.unbosque.edu.co
url https://hdl.handle.net/20.500.12495/18103
identifier_str_mv instname:Universidad El Bosque
reponame:Repositorio Institucional Universidad El Bosque
repourl:https://repositorio.unbosque.edu.co
dc.language.iso.fl_str_mv spa
language spa
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spelling Duarte Forero, Ricardo AriDuplat Tissot, NicolasScarpetta Rivas, CamiloCanal Bautista, Maria GabrielaRangel Galván, Ana GabrielaBenavides Ascuntar, Juan Jose2025-11-13T15:33:08Z2025-09https://hdl.handle.net/20.500.12495/18103instname:Universidad El Bosquereponame:Repositorio Institucional Universidad El Bosquerepourl:https://repositorio.unbosque.edu.coLa artrodesis lumbar por vía anterior (ALIF, por sus siglas en inglés) es una técnica quirúrgica empleada para tratar diversas patologías de la columna lumbar, especialmente en casos de degeneración discal, espondilolistesis. Esta revisión sistemática analiza la efectividad, las indicaciones y las complicaciones asociadas con el abordaje anterior en comparación con otras técnicas de artrodesis lumbar. En el marco teórico, se destacan las ventajas del abordaje anterior, que permite una visualización directa del espacio discal y evita la manipulación de las estructuras neurales posteriores. Los resultados indican que el ALIF presenta altos índices de éxito en la fusión ósea y una mejora significativa en el alivio del dolor y la funcionalidad del paciente. Sin embargo, se señalan complicaciones potenciales, como lesiones vasculares, eyaculación retrógrada, entre otras. La discusión sugiere que, aunque el ALIF es una opción eficaz en ciertos pacientes, la selección adecuada de candidatos y la experiencia del cirujano son factores críticos para minimizar riesgos y maximizar los beneficios de esta técnica.Médico CirujanoPregradoAnterior lumbar arthrodesis (ALIF) is a surgical technique used to treat various pathologies of the lumbar spine, especially in cases of disc degeneration and spondylolisthesis. This systematic review analyzes the effectiveness, indications and complications associated with the anterior approach in comparison with other lumbar arthrodesis techniques. The theoretical framework highlights the advantages of the anterior approach, which allows direct visualization of the disc space and avoids manipulation of posterior neural structures. The results indicate that ALIF has high success rates in bony fusion and a significant improvement in pain relief and patient function. However, potential complications, such as vascular injury, retrograde ejaculation, among others, are noted. The discussion suggests that, although ALIF is an effective option in certain patients, proper candidate selection and surgeon experience are critical factors to minimize risks and maximize the benefits of this technique.application/pdfAttribution-NonCommercial-ShareAlike 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-sa/4.0/Acceso abiertohttps://purl.org/coar/access_right/c_abf2http://purl.org/coar/access_right/c_abf2Artrodesis lumbar anteriorTratamientoEnfermedad degenerativa del discoArtrodesis lumbar posteriorAnterior lumbar arthrodesisTreatmentDegenerative disc diseasePosterior lumbar arthrodesisW100Beneficios de la artrodesis lumbar por abordaje anterior vs abordaje posteriorBenefits of lumbar arthrodesis via anterior approach vs posterior approachMedicinaUniversidad El BosqueFacultad de MedicinaTesis/Trabajo de grado - Monografía - Pregradohttps://purl.org/coar/resource_type/c_7a1fhttp://purl.org/coar/resource_type/c_7a1finfo:eu-repo/semantics/bachelorThesishttps://purl.org/coar/version/c_ab4af688f83e57aa1. Lindado Pacheco Carlos Alberto, Gutiérrez Santiago, Acevedo González Juan Carlos. Factores pronósticos para artrodesis lumbar. Univ. Med. [Internet]. 2019 Mar [cited 2022 Nov 25] ; 60( 1 ): 78-85. Available from: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S2011-08392019000100078&lng=en. https://doi.org/10.11144/javeriana.umed60-1.artr.2. Mortazavi A, Mualem W, Dowlati E, Alexander H, Rotter J, Withington C, et al. Anterior lumbar interbody fusion: single institutional review of complications and associated variables. Spine J [Internet]. 2022 [citado el 26 de noviembre de 2022];22(3):454–62. Disponible en: https://www.thespinejournalonline.com/article/S1529-9430(21)00926-8/fulltext3. Kapustka B, Kiwic G, Chodakowski P, Miodoński JP, Wysokiński T, Łączyński M, Paruzel K, Kotas A, Marcol W. Anterior lumbar interbody fusion (ALIF): biometrical results and own experiences. Neurosurg Rev. 2020 Apr;43(2):687-693. doi: 10.1007/s10143-019-01108-1. Epub 2019 May 20. 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