{"id":4033,"date":"2015-08-31T10:35:33","date_gmt":"2015-08-31T10:35:33","guid":{"rendered":"https:\/\/jurmed.ro\/pacienti\/?p=4033"},"modified":"2015-08-31T10:39:54","modified_gmt":"2015-08-31T10:39:54","slug":"premiera-medicala-caz-rar-de-scolioza","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/pacienti\/premiera-medicala-caz-rar-de-scolioza\/","title":{"rendered":"Premier\u0103 medical\u0103: caz rar de scolioz\u0103"},"content":{"rendered":"

Caz rar de scolioz\u0103 dubl\u0103 operat neurochirurgical \u0219i ortopedic<\/p>\n

\"monza\"<\/a><\/p>\n

Spitalul Monza<\/a>, parte din grupul interna\u021bional \u201ePoliclinico di Monza\u201d, a anun\u021bat realizarea unei interven\u021bii \u00een premier\u0103 \u00een Rom\u00e2nia: tratamentul hibrid (ortopedic \u0219i neurochirurgical) al unei paciente de 14 ani cu \u201escolioz\u0103 dubl\u0103 toraco-lombar\u0103 \u0219i m\u0103duv\u0103 ata\u0219at\u0103 prin lipom sacrat\u201d. Opera\u021bia a fost realizat\u0103 de c\u0103tre o echip\u0103 mixt\u0103 ortopedic\u0103 \u0219i neurochirurgical\u0103: dr. Alexandru Thiery, medic primar ortopedie pediatric\u0103; dr. Mihai M\u0103gurean, medic primar ortopedie-traumatologie; dr. Sergiu Stoica, medic primar neurochirurgie; dr. Mihai Cr\u0103ciun, medic specialist neurochirurgie; \u0219i dr. Anca Vi\u0219an, medic primar anestezie-terapie intensiv\u0103.<\/p>\n

Particularitatea acestui caz a constat \u00een asocierea malforma\u021biei m\u0103duvei (lipomul sacrat) care ata\u0219a m\u0103duva de pere\u021bii canalului spinal, cresc\u00e2nd astfel riscul de paralizie \u00een momentul manevrelor de corec\u021bie a scoliozei. Pentru a sc\u0103dea c\u00e2t mai mult acest risc, s-a stabilit ca \u00eent\u00e2i s\u0103 fie eliberat\u0103 m\u0103duva prin excizia lipomului, \u0219i apoi s\u0103 se opereze\u00a0\u00a0\u00a0\u00a0\u00a0 scolioza \u2014 totul \u00een cadrul unei singure \u0219edin\u021be operatorii.<\/p>\n

\u201e\u00cen primul timp operator, neurochirurgii au excizat lipomul sacrat, eliber\u00e2nd astfel r\u0103d\u0103cinile nervoase \u0219i conul medular, lucru ce a permis un oarecare grad de mobilitate a m\u0103duvei spin\u0103rii \u00een canalul spinal \u0219i a f\u0103cut astfel posibil\u0103 corec\u021bia scoliozei, realizat\u0103 \u00een al doilea timp operator\u201d<\/em>, a spus dr. Alexandru Thiery, ortoped pediatru la Spitalul Monza.<\/p>\n

Pe tot parcursul interven\u021biei chirurgicale, care a durat 12 ore, pacienta a fost monitorizat\u0103 din punct de vedere neurologic (neuromonitorizare multi-modal\u0103), astfel \u00eenc\u00e2t echipa\u00a0\u00a0 operatorie a \u0219tiut \u00een fiecare moment care este starea m\u0103duvei \u0219i a r\u0103d\u0103cinilor nervoase, evit\u00e2nd astfel riscul paraliziei. Astfel, s-a putut realiza corec\u021bia complet\u0103 a deform\u0103rii cu un rezultat estetic \u0219i func\u021bional foarte bun.<\/p>\n

\u201e\u00cen anumite opera\u021bii, exist\u0103 riscul de a produce leziuni ireversibile ale unor structuri\u00a0\u00a0\u00a0 nervoase sensibile. Neuromonitorizarea intra-operatorie ne ajut\u0103 s\u0103 identific\u0103m corect aceste structuri, atunci c\u00e2nd sim\u021bul vizual nu este suficient, nici m\u0103car sub cel mai performant microscop. Asemenea marilor centre de neuro\u0219tiin\u021be din lume, noi utiliz\u0103m aceast\u0103 tehnic\u0103 \u00een mod curent\u201d<\/em>, a spus dr. Mihai Cr\u0103ciun, neurochirurg la BRAIN Institute din cadrul Spitalului Monza.<\/p>\n

Evolu\u021bia postoperatorie a pacientei a fost normal\u0103 pentru o interven\u021bie de asemenea amploare, f\u0103r\u0103 deficite motorii \u00een afara celui preexistent, \u0219i reluarea mersului \u00een a patra zi postoperator.<\/p>\n

\u201eAceste scolioze particulare se \u00eent\u00e2lnesc rar \u00een practica curent\u0103. \u00cen mod clasic, se f\u0103ceau dou\u0103 opera\u021bii diferite. La nivel mondial, \u00een ultimii ani, exist\u0103 tendin\u021ba de a opera aceste cazuri rare \u00eentr-o singur\u0103 \u0219edin\u021b\u0103 operatorie, din mai multe motive: posibilitatea echipei ortopedice de a vizualiza direct, la microscop, mobilitatea conului medular \u0219i a r\u0103d\u0103cinilor, put\u00e2nd astfel s\u0103-\u0219i planifice manevrele de corec\u021bie; rata mai mic\u0103 de complica\u021bii; \u0219i, nu \u00een ultimul r\u00e2nd, confortul pacientului\u201d<\/em>, a spus dr. Thiery.<\/p>\n

Spitalul Monza<\/p>\n

Spitalul Monza, parte din grupul interna\u0163ional \u201ePoliclinico di Monza\u201d ce \u00eensumeaz\u0103 zece spitale \u00een Italia, este specializat \u00een efectuarea de interven\u0163ii chirurgicale complexe \u0219i \u00een asigurarea de servicii medicale integrate de \u00eenalt\u0103 performan\u0163\u0103. Datorit\u0103 experien\u0163ei grupului \u00een dezvoltarea centrelor dedicate afec\u021biunilor inimii, Spitalul Monza din Bucure\u0219ti a fost inaugurat, \u00een iulie 2012, ca centru de excelen\u0163a\u0306 \u00een chirurgie cardiovasculara\u0306.Pe ma\u0306sura\u0306 ce s-au dezvoltat s\u0326i alte sec\u021bii, specialita\u0306\u021bile inimii au fost integrate \u00een Cardiac Center: cardiologie, cardiologie interven\u021bional\u0103, electrofiziologie \u0219i aritmologie, chirurgie cardiovascular\u0103, chirurgie vascular\u0103 \u0219i reabilitare cardiovascular\u0103.<\/p>\n

\u00cen octombrie 2013, a fost deschis Cardiopediatric Center, singurul centru din Rom\u00e2nia cu servicii integrate pentru tratamentul afec\u021biunilor inimii la copii \u0219i adolescen\u021bi, iar \u00een februarie 2014 a fost lansat BRAIN Institute, centrul specializat \u00een neurochirurgie dezvoltat \u00een parteneriat cu Spitalul Monza. La \u00eenceputul anului 2015, a fost lansat Cardiostructural Clinic \u00een cadrul c\u0103ruia se realizeaz\u0103 interven\u021bii minim-invazive, f\u0103r\u0103 deschiderea toracelui \u0219i oprirea inimii. Woman\u2019s Health Academy, lansat la \u00eenceputul anului 2015, este programul de preven\u021bie \u0219i tratament a celor mai frecvente tipuri de cancer \u00eent\u00e2lnite \u00een r\u00e2ndurile femeilor: cancerul de s\u00e2n \u0219i cancerul de col uterin.<\/p>\n

Toate centrele beneficiaza\u0306 de suportul urma\u0306toarelor departamente: Ambulatoriul de Specialitate, Departamentul de Radiologie s\u0326i Imagistica\u0306 Medicala\u0306, Laboratoarele de Analize Medicale, \u0219i Departamentul de Reabilitare Medical\u0103. La acestea se adaug\u0103 specialit\u0103\u021bile medicale (medicin\u0103 intern\u0103, pneumologie, gastro-enterologie \u0219i endoscopie, nefrologie, diabetologie, pediatrie, endocrinologie), cele chirurgicale (chirurgie general\u0103 \u0219i bariatric\u0103, chirurgie toracic\u0103, chirurgie proctologic\u0103 avansat\u0103, ortopedie \u0219i traumatologie, ortopedie pediatric\u0103, chirurgie urologic\u0103, flebologie, ORL, chirurgie urologic\u0103, chirurgie estetic\u0103 \u0219i reparatorie) \u0219i serviciile medicale conexe (ATI \u2013 Anestezie \u0219i Terapie Intensiv\u0103, Unitate Transfuzie Sanguin\u0103, stomatologie \u0219i implantologie, camer\u0103 de gard\u0103, compartiment primiri urgen\u021be \u0219i spitalizare de zi).<\/p>\n","protected":false},"excerpt":{"rendered":"

Caz rar de scolioz\u0103 dubl\u0103 operat neurochirurgical \u0219i ortopedic Spitalul Monza, parte din grupul interna\u021bional \u201ePoliclinico di Monza\u201d, a anun\u021bat realizarea unei interven\u021bii \u00een premier\u0103 \u00een Rom\u00e2nia: tratamentul hibrid (ortopedic […]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[1],"tags":[304],"class_list":["post-4033","post","type-post","status-publish","format-standard","category-stiri-noutati","tag-scolioza"],"yoast_head":"\nscolioz\u0103<\/title>\n<meta name=\"description\" content=\"Caz rar de scolioz\u0103 dubl\u0103 operat neurochirurgical \u0219i ortopedic\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jurmed.ro\/pacienti\/premiera-medicala-caz-rar-de-scolioza\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"scolioz\u0103\" \/>\n<meta property=\"og:description\" content=\"Caz rar de scolioz\u0103 dubl\u0103 operat neurochirurgical \u0219i ortopedic\" \/>\n<meta property=\"og:url\" content=\"https:\/\/jurmed.ro\/pacienti\/premiera-medicala-caz-rar-de-scolioza\/\" \/>\n<meta property=\"og:site_name\" content=\"Jurmed - 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