<?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>1727-897X</journal-id>
<journal-title><![CDATA[MediSur]]></journal-title>
<abbrev-journal-title><![CDATA[Medisur]]></abbrev-journal-title>
<issn>1727-897X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos, Centro Provincial de Ciencias Médicas, Provincia de Cienfuegos.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1727-897X2020000601172</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Sistema híbrido para el tratamiento quirúrgico de la escoliosis idiopática del adolescente. Cienfuegos, 2016-2017 (Estudio preliminar)]]></article-title>
<article-title xml:lang="en"><![CDATA[Hybrid system for the surgical treatment of adolescent idiopathic scoliosis. Cienfuegos 2016-2017 (Preliminary study)]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jerez Labrada]]></surname>
<given-names><![CDATA[Jorge Alberto]]></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[Lores Creagh]]></surname>
<given-names><![CDATA[Zunaimi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zúñiga Estrada]]></surname>
<given-names><![CDATA[Dunia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Universitario Dr. Gustavo Aldereguía Lima  ]]></institution>
<addr-line><![CDATA[Cienfuegos Cienfuegos]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital William Soler Servicio de Cirugía Espinal Clínica Internacional Cira García]]></institution>
<addr-line><![CDATA[La Habana La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>18</volume>
<numero>6</numero>
<fpage>1172</fpage>
<lpage>1178</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1727-897X2020000601172&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1727-897X2020000601172&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1727-897X2020000601172&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento:  la escoliosis idiopática del adolescente es una deformidad tridimensional de la columna vertebral. Su tratamiento quirúrgico es necesario para evitar la progresión de la deformidad, afecciones cardiorrespiratorias y mejorar la estética.  Objetivo:  caracterizar los pacientes operados de escoliosis idiopática del adolescente en la provincia de Cienfuegos, con un sistema hibrido modificado.  Métodos:  estudio de serie de casos sobre 15 pacientes operados de escoliosis idiopática del adolescente con un sistema de instrumentación hibrido modificado por el autor, teniendo en cuenta el ángulo de Cobb preoperatorio, posoperatorio inmediato y al año de la cirugía, así como sus complicaciones.  Resultados:  se estudiaron 14 niñas y un niño, con un promedio de edad de 13,9 años; se usó la clasificación de Lenke con ocho pacientes del tipo 1, dos del tipo 3, cuatro del tipo 5 y uno el tipo 6 (no hubo paciente de los tipos 2 y 4). El promedio de la curva preoperatoria fue de 59.1o, al postoperatorio inmediato, la curva promedio fue de 12,2o, con un promedio de corrección del 79,4 %; la pérdida en grados al año fue de 2,9o. El tiempo quirúrgico promedio fue de 190 minutos y un sagrado de 750ml. Se produjeron dos complicaciones, una radiculopatía y una infección superficial de la herida.  Conclusiones:  el sistema de instrumentación híbrido modificado tiene una muy buena efectividad en la corrección de la curva en la escoliosis idiopática del adolescente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background:  adolescent idiopathic scoliosis is a three-dimensional deformity of the spine. Its surgical treatment is necessary to prevent the progression of the deformity, cardiorespiratory conditions and improve aesthetics.  Objective:  to characterize adolescent idiopathic scoliosis patients operated on Cienfuegos province, with a modified hybrid system.  Methods:  a case series study of 15 patients operated on for adolescent idiopathic scoliosis with a hybrid instrumentation system modified by the author, taking into account the preoperative Cobb angle, immediate postoperative and one year after surgery, as well as its complications.  Results:  14 girls and one boy were studied, with an average age of 13.9 years; Lenke&#8217;s classification was used with eight patients of type 1, two of type 3, four of type 5 and one type 6 (there were no patients of types 2 and 4). The average preoperative curve was 59.1o at the immediate postoperative period, the average curve was 12.2o; with an average correction of 79.4%; the loss in degrees per year was 2.9o. The average surgical time was 190 minutes and a bleeding of 750ml. There were two complications, a radiculopathy and a superficial wound infection.  Conclusions:  the modified hybrid instrumentation system has a very good effectiveness in correcting the curve in adolescent idiopathic scoliosis.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[escoliosis]]></kwd>
<kwd lng="es"><![CDATA[adolescente]]></kwd>
<kwd lng="es"><![CDATA[procedimientos ortopédicos]]></kwd>
<kwd lng="en"><![CDATA[scoliosis]]></kwd>
<kwd lng="en"><![CDATA[adolescent]]></kwd>
<kwd lng="en"><![CDATA[orthopedic procedures]]></kwd>
</kwd-group>
</article-meta>
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<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Han X Zhu]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Superiority of Intraoperative O-arm Navigation-assisted Surgery in Instrumenting Extremely Small Thoracic Pedicles of Adolescent Idiopathic Scoliosis: A Case-Control Study]]></article-title>
<source><![CDATA[Medicine]]></source>
<year>2016</year>
<volume>95</volume>
<numero>18</numero>
<issue>18</issue>
<publisher-loc><![CDATA[Baltimore ]]></publisher-loc>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
