Manejo de la deformidad espinal en el contexto de fracturas por compresión vertebral osteoporóticas
[Translated article] Management of Spinal Deformities Caused by Osteoporotic Vertebral Fractures
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La deformidad resultante puede presentar desafíos significativos para su manejo, tanto desde el punto de vista médico como quirúrgico. La necesidad de una clasificación específica para estas deformidades, incluyendo para su desarrollo el potencial de la inteligencia artificial y el aprendizaje automático en el análisis predictivo, se perfilan como un punto clave en los próximos años. Se abordan aspectos relevantes en la optimización preoperatoria y en el manejo de estos pacientes. Se elabora una clasificación con orientación terapéutica para el manejo de la deformidad espinal secundaria a FVO, pero destacando la importancia del tratamiento personalizado. En ella consideramos la flexibilidad y el equilibrio sagital como aspectos clave. Por otro lado, recomendamos, en especial con estos pacientes frágiles, un manejo con técnicas mínimamente invasivas para promover una recuperación rápida y reducir el número de complicaciones.</p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Osteoporosis and fragility play a significant role in the treatment and planning of patients with deformity secondary to osteoporotic vertebral fracture (OVF). The resulting deformity can present significant challenges for its management, both from a medical and surgical perspective. The need for a specific classification for these deformities, including the potential for the development of artificial intelligence and machine learning in predictive analysis, is emerging as a key point in the coming years. Relevant aspects in preoperative optimization and management of these patients are addressed. A classification with therapeutic guidance for the management of spinal deformity secondary to OVF is developed, emphasizing the importance of personalized treatment. Flexibility and sagittal balance are considered key aspects. On the other hand, we recommend, especially with these fragile patients, management with minimally invasive techniques to promote rapid recovery and reduce the number of complications.</p></span>" ] ] ] "idiomaDefecto" => "es" "url" => "/18884415/unassign/S1888441524001577/v1_202410061004/es/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/18884415/unassign/S1888441524001577/v1_202410061004/es/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1888441524001577?idApp=UINPBA00004N" ]
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