<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0138-6557</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina Militar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. cuban. med. mil.]]></abbrev-journal-title>
<issn>0138-6557</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0138-65572024000200008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Efectividad de la ozonoterapia peridural y paravertebral en el tratamiento de las hernias discales lumbares]]></article-title>
<article-title xml:lang="en"><![CDATA[Effectiveness of peridural and paravertebral ozone therapy in the treatment of lumbar discs herniations]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Robert Pozo]]></surname>
<given-names><![CDATA[Luz Mary]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Figueredo Acosta]]></surname>
<given-names><![CDATA[Héctor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Infantil Sur &#8220;Dr. Antonio María Béguez César&#8221;  ]]></institution>
<addr-line><![CDATA[ Santiago de Cuba]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Militar &#8220;Dr. Joaquín Castillo Duany&#8221;  ]]></institution>
<addr-line><![CDATA[ Santiago de Cuba]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<volume>53</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0138-65572024000200008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0138-65572024000200008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0138-65572024000200008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: El dolor lumbosacro es un importante problema de salud pues constituye la segunda causa más frecuente de asistencia al médico. Se debe a cambios osteodegenerativos de la columna vertebral, dentro de los cuales están las hernias discales. La mayor prevalencia es en personas de entre 30 y 50 años de edad; con más frecuencia en el sexo masculino.  Objetivo: Evaluar la efectividad de la ozonoterapia por vía peridural transsacra y paravertebral en pacientes con hernias discales lumbares.  Métodos: Se realizó un estudio cuasiexperimental en 55 pacientes, con el diagnóstico de hernias discales lumbares degenerativas, que acudieron a la consulta de neurocirugía y recibieron tratamiento con ozonoterapia paravertebral y peridural transsacra, durante el período de 1 año. Se estudió la evolución del dolor antes y después del tratamiento.  Resultados: Se detectaron más pacientes con hernias discales múltiples, sobre todo la asociación de discopatías de los espacios intervertebrales L4-L5 y L5-S1 y estenosis del canal raquídeo. Los resultados en el tratamiento según la escala de Macnab fueron bueno o suficiente en la mayoría de los casos. Luego de aplicada la ozonoterapia el 94,5 % tuvo mejoría del dolor según la Escala Visual Analógica.  Conclusiones: El tratamiento es efectivo tanto en las hernias discales lumbares simples como en las múltiples, así como en la estenosis del canal raquídeo lumbar; y la vía de empleo más efectiva y menos inocua es la peridural caudal transacra.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Lumbosacral pain is an important health problem that constitutes the second most frequent cause of medical care. It is due to osteodegenerative changes of the spine, among which are discs herniations. The highest prevalence is found in people between 30 and 50 years of age, more frequently in the male sex.  Objective:  To evaluate the effectiveness of transacral and paravertebral peridural ozone therapy in lumbar disc herniations.  Methods:  A quasi-experimental study was performed in 55 patients with a diagnosis of degenerative lumbar disc herniation who attended the neurosurgery office and received treatment with paravertebral and transacro peridural ozone therapy over a period of one year. The behavior of pain before and after treatment was studied.  Results:  More patients with multiple discs herniations were detected, especially the association of discopathies of the intervertebral spaces L4-L5 and L5-S1 and stenosis of the spinal canal. Treatment results according to the Macnab scale were good or sufficient in most cases. After the application of ozone therapy, the 94.5% of the patients showed improvement in pain according to the Visual Analog Scale.  Conclusions:  The treatment is useful in both single and multiple lumbar disc herniations, as well as in lumbar spinal canal stenosis; and the most effective and least innocuous way of use is the transacro caudal epidural.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[desplazamiento del disco intervertebral]]></kwd>
<kwd lng="es"><![CDATA[dolor de la región lumbar]]></kwd>
<kwd lng="es"><![CDATA[ozonoterapia]]></kwd>
<kwd lng="en"><![CDATA[intervertebral disc displacement]]></kwd>
<kwd lng="en"><![CDATA[low back pain]]></kwd>
<kwd lng="en"><![CDATA[ozone therapy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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