<?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>1608-8921</journal-id>
<journal-title><![CDATA[Gaceta Médica Espirituana]]></journal-title>
<abbrev-journal-title><![CDATA[Gac Méd Espirit]]></abbrev-journal-title>
<issn>1608-8921</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Sancti Spíritus]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1608-89212020000200101</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tratamiento de la hernia discal cervical. Hospital Provincial General Camilo Cienfuegos de Sancti Spíritus]]></article-title>
<article-title xml:lang="en"><![CDATA[Cervical disc herniation treatment at Camilo Cienfuegos General Provincial Hospital in Sancti Spíritus]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lage Barroso]]></surname>
<given-names><![CDATA[Juan Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Conde Fernández]]></surname>
<given-names><![CDATA[Berto Delis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fleites Marrero]]></surname>
<given-names><![CDATA[Ernesto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez Rodríguez]]></surname>
<given-names><![CDATA[Ariel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arévalo Sagué]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Provincial General Camilo Cienfuegos  ]]></institution>
<addr-line><![CDATA[Sancti Spíritus ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Clínica Central "Cira García"  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<volume>22</volume>
<numero>2</numero>
<fpage>101</fpage>
<lpage>110</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1608-89212020000200101&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1608-89212020000200101&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1608-89212020000200101&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento:  La enfermedad degenerativa cervical produce una variedad de síntomas clínicos que pueden ser tratados de forma no quirúrgica, sin embargo en ocasiones la cirugía es necesaria. La técnica quirúrgica más empleada para tratar esta enfermedad es la discectomía con artrodesis. El tratamiento adecuado de la hernia discal cervical depende de una adecuada selección de la técnica quirúrgica y su correcta realización.  Objetivo:  Caracterizar el tratamiento quirúrgico de la hernia discal cervical en el Hospital Provincial General Camilo Cienfuegos de Sancti Spíritus en el período: enero de 2015 a diciembre de 2018.  Metodología: Se realizó un estudio prospectivo en el Hospital Provincial General Camilo Cienfuegos de Sancti Spíritus de enero 2015 a diciembre 2018. La población de estudio: todos los pacientes que acudieron a la consulta externa de neurocirugía del hospital refiriendo cervicalgia o cervicobraquialgia; la muestra: 51 pacientes diagnosticados por resonancia magnética nuclear de hernia discal cervical y que se les realizó al menos una discectomía cervical.  Resultados: De los pacientes el 62.8 % eran mujeres y el 33.3 % tenía una edad comprendida entre 51-60 años. El espacio intervertebral más afectado fue C5-C6 (43.7 %). La técnica quirúrgica que predominó fue la discectomía con colocación de injerto autólogo (79.7 %). La complicación más frecuente fue la expulsión del injerto (3.9 %).  Conclusiones: El comportamiento de la hernia discal en cuanto al sexo, edad y nivel afectado fue similar al descrito en la bibliografía. La técnica quirúrgica más empleada fue la artrodesis con injerto autólogo de cresta ilíaca. Las complicaciones presentadas fueron infrecuentes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background:  Cervical degenerative disease produces a variety of clinical symptoms that can be treated by a non-surgical way, however sometimes surgery is necessary. The most widely used surgical technique to treat this disease is discectomy with arthrodesis. The proper treatment of cervical disc herniation depends on an adequate selection of the surgical technique and its correct performance.  Objective:  To characterize the surgical treatment of cervical disc herniation at Camilo Cienfuegos General Provincial Hospital in Sancti Spíritus in the period: January 2015 to December 2018.  Methodology:  A prospective study was carried out at Camilo Cienfuegos General Provincial Hospital in Sancti Spíritus from January 2015 to December 2018. The study population: all the patients who attended the hospital outpatient neurosurgery consultation referring cervicalgia or cervicobraquialgia; the sample: 51 patients diagnosed with cervical disc herniation and performed at least one cervical discectomy.  Results:  Of the patients, 62.8 % were women and 33.3 % were between 51-60 years old. The most affected intervertebral space was C5-C6 (43.7 %). The predominant surgical technique was discectomy with autologous graft placement (79.7 %). The most frequent complication was the expulsion of the graft (3.9 %).  Conclusions:  The behavior of the herniation disc concerning sex, age and affected level was similar to that described in the literature. The most widely used surgical technique was arthrodesis with an autologous iliac crest graft. The complications presented were infrequent.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Desplazamiento del disco y cirugía]]></kwd>
<kwd lng="es"><![CDATA[disco intervertebral]]></kwd>
<kwd lng="es"><![CDATA[hernia discal cervical]]></kwd>
<kwd lng="es"><![CDATA[discectomía]]></kwd>
<kwd lng="es"><![CDATA[artrodesis]]></kwd>
<kwd lng="es"><![CDATA[complicación quirúrgica]]></kwd>
<kwd lng="en"><![CDATA[Intervertebral disc displacement and surgery]]></kwd>
<kwd lng="en"><![CDATA[intervertebral disc]]></kwd>
<kwd lng="en"><![CDATA[cervical disc herniation]]></kwd>
<kwd lng="en"><![CDATA[diskectomy]]></kwd>
<kwd lng="en"><![CDATA[arthrodesis]]></kwd>
<kwd lng="en"><![CDATA[surgical complication]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lugo-Pico]]></surname>
<given-names><![CDATA[JG]]></given-names>
</name>
<name>
<surname><![CDATA[Ghasem]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Gjolaj]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Considerations for revision cervical spine surgery]]></article-title>
<source><![CDATA[Seminars in Spine Surgery]]></source>
<year>2019</year>
<volume>31</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>53-60</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Maria]]></surname>
<given-names><![CDATA[PP]]></given-names>
</name>
</person-group>
<source><![CDATA[Cervical Spine]]></source>
<year>2016</year>
<edition>1rst ed</edition>
<publisher-loc><![CDATA[New York ]]></publisher-loc>
<publisher-name><![CDATA[Springer]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[DH]]></given-names>
</name>
<name>
<surname><![CDATA[Sengupta]]></surname>
<given-names><![CDATA[DK]]></given-names>
</name>
<name>
<surname><![CDATA[Cammisa]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Yoon]]></surname>
<given-names><![CDATA[DH]]></given-names>
</name>
<name>
<surname><![CDATA[Fessler]]></surname>
<given-names><![CDATA[RG]]></given-names>
</name>
</person-group>
<source><![CDATA[Dynamic Reconstruction of the Spine]]></source>
<year>2015</year>
<edition>2nd ed</edition>
<publisher-loc><![CDATA[New York ]]></publisher-loc>
<publisher-name><![CDATA[Thieme]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Aroche Lafargue]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Pons Porrata]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
<name>
<surname><![CDATA[De La Cruz De Oña]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Gonzáles Ferro]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Patogenia, cuadro clínico y diagnóstico imagenológico por resonancia magnética de las hernias discales]]></article-title>
<source><![CDATA[Medisan]]></source>
<year>2015</year>
<volume>19</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>391-402</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lacerda Gallardo]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
<name>
<surname><![CDATA[Mazorra Pazos]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Mederos Víctores]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Quintana Zaez]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Concepción Roselló]]></surname>
<given-names><![CDATA[YA]]></given-names>
</name>
<name>
<surname><![CDATA[Valdivieso Caraguay]]></surname>
<given-names><![CDATA[GP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Discectomía simple y discectomía más fusión con discos de polimetilmetacrilato para el tratamiento de la hernia discal cervical]]></article-title>
<source><![CDATA[Rev Cubana Neurol Neurocir]]></source>
<year>2019</year>
<volume>9</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>e292-318</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<collab>Cuba. Ministerio de Salud Pública</collab>
<source><![CDATA[Anuario Estadístico de Cuba 2017]]></source>
<year>2017</year>
<publisher-loc><![CDATA[La Habana ]]></publisher-loc>
<publisher-name><![CDATA[Minsap]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Greenberg]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
</person-group>
<source><![CDATA[Handbook of Neurosurgery]]></source>
<year>2019</year>
<edition>9th ed</edition>
<publisher-loc><![CDATA[New York ]]></publisher-loc>
<publisher-name><![CDATA[Thieme]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schroeder]]></surname>
<given-names><![CDATA[GD]]></given-names>
</name>
<name>
<surname><![CDATA[Coric]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[HJ]]></given-names>
</name>
<name>
<surname><![CDATA[Albert]]></surname>
<given-names><![CDATA[TJ]]></given-names>
</name>
<name>
<surname><![CDATA[Radcliff]]></surname>
<given-names><![CDATA[KE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Are patient-reported outcomes predictive of patient satisfaction 5 years after anterior cervical spine surgery]]></article-title>
<source><![CDATA[Spine J]]></source>
<year>2017</year>
<volume>17</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>943-52</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Burneikiene]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[E Lee]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Mason]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rajpal]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Villavicencio]]></surname>
<given-names><![CDATA[AT]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The duration of symptoms and clinical outcomes in patients undergoing anterior cervical discectomy and fusion for degenerative disc disease and radiculopathy]]></article-title>
<source><![CDATA[Spine J]]></source>
<year>2015</year>
<volume>15</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>427-32</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ramírez Valencia]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Montes Pérez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hernia de disco cervical]]></article-title>
<source><![CDATA[Rev esp cir ortop traumatol]]></source>
<year>2010</year>
<volume>54</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>314-20</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pereira Riveron]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[de Jongh Cobo]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Bermejo Sánchez]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández Benítez]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hidroxiapatita en la estabilización y fusión intervertebral cervical baja]]></article-title>
<source><![CDATA[Rev Cubana Cir]]></source>
<year>1997</year>
<volume>36</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>165-71</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Rubino]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Rivas]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Fleites]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Uso del hueso bovino en la fusión cervical sin instrumentación]]></article-title>
<source><![CDATA[Rev Cubana Ortop Traumatol]]></source>
<year>2011</year>
<volume>25</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>69-79</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Qiang]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Feng]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Yang]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[Changqing]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A meta-analysis comparing total disc arthroplasty with anterior cervical discectomy and fusion for the treatment of cervical degenerative diseases]]></article-title>
<source><![CDATA[Arch Orthop Trauma Surg]]></source>
<year>2016</year>
<volume>136</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>297-304</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bible]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
<name>
<surname><![CDATA[Kang]]></surname>
<given-names><![CDATA[JD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Anterior cervical discectomy and fusion: Surgical indications and outcomes]]></article-title>
<source><![CDATA[Seminars in Spine Surgery]]></source>
<year>2016</year>
<volume>28</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>80-3</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Paziuk]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Rihn]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cervical spine surgery: Complications and considerations]]></article-title>
<source><![CDATA[Seminars in Spine Surgery]]></source>
<year>2019</year>
<volume>31</volume>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Yin Cheung]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Dip-Kei]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Complications of Anterior and Posterior Cervical Spine Surgery]]></article-title>
<source><![CDATA[Asian Spine J]]></source>
<year>2016</year>
<volume>10</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>385-400</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gould]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Sohail]]></surname>
<given-names><![CDATA[OA]]></given-names>
</name>
<name>
<surname><![CDATA[Haines]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Anterior cervical discectomy and fusion: Techniques, complications, and future directives]]></article-title>
<source><![CDATA[Seminars in Spine Surgery]]></source>
<year>2020</year>
<volume>32</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
