{"id":69313,"date":"2025-10-18T02:16:03","date_gmt":"2025-10-18T02:16:03","guid":{"rendered":"https:\/\/balwindertest.cortho.org\/case-studies\/degenerative-spondylolisthesis\/"},"modified":"2026-01-22T02:39:50","modified_gmt":"2026-01-22T02:39:50","slug":"degenerative-spondylolisthesis","status":"publish","type":"case-studies","link":"https:\/\/balwindertest.cortho.org\/es\/estudios-de-caso\/espondilolistesis-degenerativa\/","title":{"rendered":"Espondilolistesis degenerativa"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Un hombre de 70 a\u00f1os se present\u00f3 a la consulta con quejas de <a href=\"https:\/\/balwindertest.cortho.org\/es\/columna-vertebral\/dolor-de-espalda\/\">dolor de espalda<\/a> y pesadez en ambas extremidades inferiores, que empeoraron con la actividad, incluyendo caminar largas distancias. Su distancia a pie disminuy\u00f3 con el tiempo. <\/p>\n\n<p class=\"wp-block-paragraph\">Se encontr\u00f3 inclin\u00e1ndose hacia delante tras caminar una manzana. Tambi\u00e9n sol\u00eda inclinarse sobre el carrito de la compra mientras hac\u00eda la compra. <\/p>\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><img decoding=\"async\" width=\"147\" height=\"290\" data-src=\"\/wp-content\/uploads\/2018\/09\/17.png\" alt=\"Las radiograf\u00edas y la resonancia magn\u00e9tica de la columna lumbar mostraron espondilolistesis degenerativa L4-5  \" class=\"wp-image-2746 lazyload\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 147px; --smush-placeholder-aspect-ratio: 147\/290;\" \/><\/figure>\n<\/div><div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><img decoding=\"async\" width=\"177\" height=\"291\" data-src=\"\/wp-content\/uploads\/2018\/09\/18.png\" alt=\"Las radiograf\u00edas y la resonancia magn\u00e9tica de la columna lumbar mostraron espondilolistesis degenerativa L4-5  \" class=\"wp-image-2747 lazyload\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 177px; --smush-placeholder-aspect-ratio: 177\/291;\" \/><\/figure>\n<\/div><div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><img decoding=\"async\" width=\"546\" height=\"265\" data-src=\"\/wp-content\/uploads\/2018\/09\/19.png\" alt=\"Las radiograf\u00edas y la resonancia magn\u00e9tica de la columna lumbar mostraron espondilolistesis degenerativa L4-5  \" class=\"wp-image-2748 lazyload\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 546px; --smush-placeholder-aspect-ratio: 546\/265;\" \/><\/figure>\n<\/div>\n<p class=\"has-text-align-center wp-block-paragraph\"><strong>Las radiograf\u00edas y la resonancia magn\u00e9tica de la <a href=\"https:\/\/balwindertest.cortho.org\/es\/columna-vertebral\/\" target=\"_blank\" rel=\"noreferrer noopener\">columna<\/a> lumbar mostraron espondilolistesis degenerativa L4-5<br\/>y estenosis espinal severa.<\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">El paciente se someti\u00f3 a un manejo conservador de los problemas mediante <a href=\"https:\/\/balwindertest.cortho.org\/es\/knee\/inyeccion-de-cortisona\/\">inyecciones para el dolor (inyecciones de cortisona)<\/a> y medicaci\u00f3n, logrando un alivio a corto plazo.<\/p>\n\n<p class=\"wp-block-paragraph\">El paciente experiment\u00f3 un empeoramiento de los s\u00edntomas y decidi\u00f3 optar por el tratamiento quir\u00fargico de la patolog\u00eda.<\/p>\n\n<p class=\"wp-block-paragraph\">El paciente se someti\u00f3 a <a href=\"https:\/\/balwindertest.cortho.org\/videos\/laminectomy-and-minimal-invasive-decompression\/\">laminectom\u00eda por descompresi\u00f3n<\/a> con descompresi\u00f3n de las ra\u00edces nerviosas y fusi\u00f3n transforaminal intersom\u00e1tica utilizando jaula PEEK (poli\u00e9ter \u00e9ter cetona) y fijaci\u00f3n con tornillo pedicular y varilla para la fusi\u00f3n a nivel L4-5.<\/p>\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><img alt=\"\" decoding=\"async\" width=\"191\" height=\"348\" data-src=\"\/wp-content\/uploads\/2018\/09\/20.png\" alt=\"\" class=\"wp-image-2749 lazyload\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 191px; --smush-placeholder-aspect-ratio: 191\/348;\" \/><\/figure>\n<\/div><div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><img alt=\"\" decoding=\"async\" width=\"405\" height=\"273\" data-src=\"\/wp-content\/uploads\/2018\/09\/21.png\" alt=\"\" class=\"wp-image-2750 lazyload\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 405px; --smush-placeholder-aspect-ratio: 405\/273;\" \/><\/figure>\n<\/div>\n<p class=\"has-text-align-center wp-block-paragraph\"><strong>La fusi\u00f3n se logr\u00f3 en unos 3 meses y el paciente estaba asintom\u00e1tico.<\/strong><\/p>\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><img alt=\"\" decoding=\"async\" width=\"167\" height=\"333\" data-src=\"\/wp-content\/uploads\/2018\/09\/22.png\" alt=\"\" class=\"wp-image-2751 lazyload\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 167px; --smush-placeholder-aspect-ratio: 167\/333;\" \/><\/figure>\n<\/div><div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><img alt=\"\" decoding=\"async\" width=\"166\" height=\"324\" data-src=\"\/wp-content\/uploads\/2018\/09\/23.png\" alt=\"\" class=\"wp-image-2752 lazyload\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 166px; --smush-placeholder-aspect-ratio: 166\/324;\" \/><\/figure>\n<\/div><div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><img alt=\"\" decoding=\"async\" width=\"230\" height=\"287\" data-src=\"\/wp-content\/uploads\/2018\/09\/24.png\" alt=\"\" class=\"wp-image-2753 lazyload\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 230px; --smush-placeholder-aspect-ratio: 230\/287;\" \/><\/figure>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Un hombre de 70 a\u00f1os se present\u00f3 a la consulta con quejas de dolor de espalda y pesadez en ambas extremidades inferiores, que empeoraron con la actividad, incluyendo caminar largas distancias. Su distancia a pie disminuy\u00f3 con el tiempo. Se encontr\u00f3 inclin\u00e1ndose hacia delante tras caminar una manzana. Tambi\u00e9n sol\u00eda inclinarse sobre el carrito de [&hellip;]<\/p>\n","protected":false},"featured_media":67927,"parent":0,"menu_order":0,"template":"","meta":{"_acf_changed":false,"_seopress_robots_primary_cat":"","_seopress_titles_title":"Estudio de caso: Manejo del dolor por espondilolistesis degenerativa","_seopress_titles_desc":"Este es un caso real de estudio de un paciente aqu\u00ed en Complete Orthopedics. Espondilolistesis degenerativa","_seopress_robots_index":""},"case-study-categories":[178],"case-study-tags":[],"class_list":["post-69313","case-studies","type-case-studies","status-publish","has-post-thumbnail","hentry","case-study-categories-columna-vertebral"],"acf":[],"_links":{"self":[{"href":"https:\/\/balwindertest.cortho.org\/es\/wp-json\/wp\/v2\/case-studies\/69313","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/balwindertest.cortho.org\/es\/wp-json\/wp\/v2\/case-studies"}],"about":[{"href":"https:\/\/balwindertest.cortho.org\/es\/wp-json\/wp\/v2\/types\/case-studies"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/balwindertest.cortho.org\/es\/wp-json\/wp\/v2\/media\/67927"}],"wp:attachment":[{"href":"https:\/\/balwindertest.cortho.org\/es\/wp-json\/wp\/v2\/media?parent=69313"}],"wp:term":[{"taxonomy":"case-study-categories","embeddable":true,"href":"https:\/\/balwindertest.cortho.org\/es\/wp-json\/wp\/v2\/case-study-categories?post=69313"},{"taxonomy":"case-study-tags","embeddable":true,"href":"https:\/\/balwindertest.cortho.org\/es\/wp-json\/wp\/v2\/case-study-tags?post=69313"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}<script>
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