Browsing by Autor "Tania Arancibia Baspineiro"

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    Ozone and PRP Injections for Symptomatic Lumbar Herniated Disc
    (2024) Luis Miguel Duchén Rodríguez; Jorge Felipe Ramírez León; Tania Arancibia Baspineiro; Stephan Knoll; Álvaro Dowling; William Omar Contreas López; Kai‐Uwe Lewandrowski
    Low back pain from arthritic lumbar facet joints and painful degenerative lumbar discs is widespread and one of the world's most disabling diseases, consuming significant health care resources. In this chapter, the authors report using autologous platelet-rich plasma (PRP) and ozone spinal injections into arthritic lumbar facet joints and painful lumbar degenerative discs to treat inflammatory pain. A prospective observational cohort study from January 2016 to March 2020 was performed at an outpatient clinic of a single academic medical center to assess these injections' safety and therapeutic effectiveness in conjunction with epidural transforaminal epidural steroid injections. Results indicated functional improvements measured by Oswestry Disability Index (ODI) and modified MacNab criteria and pain measured by visual analog scale leg pain (VAS) at rest and during flexion. Although our study was limited in scope, and by the observational nature of our research and the lack of randomized and double-blinding, our work suggests that rapid pain reduction and functional gains may materialize in patients with low back pain due to herniated disc after spinal injections with ozone and activated PRP.
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    RAPID PROGRESSION OF SPINAL TUBERCULOSIS: A CASE REPORT AND LITERATURE REVIEW
    (Sociedade Brasileira de Coluna (SBC), 2025) Luis Miguel Duchén Rodríguez; Tania Arancibia Baspineiro; José C. Delgado; Erika Zubieta Cáceres; S Rivero; Cybmarcarl Benjamín Chaupín Mamani; Willy Jhamil Marino Oropeza
    ABSTRACT Of bone tuberculosis cases, 50% correspond to vertebral tuberculosis. It presents with severe kyphosis in the dorsal region and, to a lesser extent, with neurological deficits secondary to bone destruction, due to direct compression from abscesses, inflammatory tissue, or secondary instability from fractures and vertebral wedging. A 33-year-old male was admitted with a one-month history of lumbar pain, initially attributed to disc herniations. The condition progressed with intense radicular lumbar pain. Imaging studies showed L3-L4 spondylodiscitis, which rapidly progressed to vertebral destruction and neurological deficits. A right L2-L3 hemilaminectomy and epidural abscess drainage were performed. The patient continued to experience lumbar pain. Postoperative CT showed significant vertebral bone destruction, prompting a new surgery: L2-L3 laminectomy, transpedicular fixation, and autograft arthrodesis, achieving extensive decompression and vertebral stabilization. The real-time PCR study (Gen Xpert®) and histopathological analysis were consistent with vertebral tuberculosis. Hypoalbuminemia was identified as a risk factor for the rapid progression of vertebral tuberculosis. Vertebral tuberculosis can progress rapidly, especially in patients with risk factors that compromise their immune and nutritional response, such as in children, hypoalbuminemia, vitamin D and B12 deficiencies, resistance to antitubercular drugs, and HIV coinfection. Spinal tuberculosis has various risk factors that contribute to its rapid progression and bone destruction. Level of Evidence IV; Cases Series.