Unidad lumbosacrococcígea. Desarrollo conceptual

Juan Carlos Acevedo González; Juan Carlos Pérez Rodríguez

doi:10.1016/j.rccot.2017.03.002

Autores/as

Juan Carlos Acevedo González Hospital Universitario San Ignacio. Bogotá, Colombia
Juan Carlos Pérez Rodríguez Hospital Universitario San Ignacio. Bogotá, Colombia

DOI:

https://doi.org/10.1016/j.rccot.2017.03.002

Palabras clave:

dolor lumbar, biomecánica, inclinación espinopélvica, equilibrio sagital, síndrome del segmento adyacente, enfermedad facetaria, sacroilitis posfusión

Resumen

El dolor lumbar es una patología frecuente. Aunque la evolución de la medicina ha permitido encontrar nuevos analgésicos, nuevas técnicas de diagnóstico radiológico y nuevos procedimientos neuroquirúrgicos, los resultados clínicos no son siempre satisfactorios y aún son muchos los pacientes con mejoría parcial y dolor crónico. Nosotros planteamos que la columna lumbar es una unidad funcional que incluye no solo la región estrictamente lumbar sino también las regiones sacra, coccígea y pélvica. Igualmente, dentro de esa unidad funcional lumbosacrococcígea (UFLSC) se incluyen no solo las estructuras óseas (vértebras) y cartilaginosas (discos intervertebrales) sino también las musculoligamentarias y neurales. En este artículo presentamos una revisión no sistemática de la bibliografía relacionada con los aspectos teóricos y clínicos que apoyan esta teoría. Estos conceptos servirán para establecer factores pronósticos para el tratamiento neuroquirúrgico del dolor lumbar.
Nivel de evidencia clínica: Nivel IV.

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Biografía del autor/a

Juan Carlos Acevedo González, Hospital Universitario San Ignacio. Bogotá, Colombia

Neurocirujano, Director del Departamento de Neurociencias, Hospital Universitario San Ignacio, Bogotá, Colombia.

Juan Carlos Pérez Rodríguez, Hospital Universitario San Ignacio. Bogotá, Colombia

Residente de neurocirugía, Pontificia Universidad Javeriana, Hospital Universitario San Ignacio, Bogotá, Colombia.

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