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"documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Reumatol Clin. 2012;8:100-1" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 21233 "formatos" => array:3 [ "EPUB" => 150 "HTML" => 19167 "PDF" => 1916 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Reumatología clínica en imágenes</span>" "titulo" => "Mielopatía compresiva como forma de presentación de una fractura transdiscal de bloque vertebral en una paciente con espondilitis anquilosante" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "100" "paginaFinal" => "101" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Compressive myelopathy as the presentation form of a transdiscal fracture of the vertebrae in a patient with ankylosing spondylitis" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1651 "Ancho" => 2500 "Tamanyo" => 290999 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A y B: cortes sagitales de columna toracolumbar en secuencias potenciadas en T2 y T1, respectivamente. C: plano sagital de TC de columna toracolumbar. Se objetiva una alteración de la intensidad de señal medular a nivel D11-D12 que corresponde a una mielopatía compresiva. En el TC se observan signos de espondilitis anquilosante (fusión de las carillas articulares interapofisiarias y la osificación del ligamento vertebral común posterior) junto con signos degenerativos. A nivel de D11-D12 se observa como la mielopatía compresiva es secundaria a una fractura transdiscal de bloque vertebral.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Antonio Bueno Palomino, Francisco Bravo Rodríguez, Elisa Roldán Romero, Antonio Cano Sánchez" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Antonio" "apellidos" => "Bueno Palomino" ] 1 => array:2 [ "nombre" => "Francisco" "apellidos" => "Bravo Rodríguez" ] 2 => array:2 [ "nombre" => "Elisa" "apellidos" => "Roldán Romero" ] 3 => array:2 [ "nombre" => "Antonio" "apellidos" => "Cano Sánchez" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2173574311000529" "doi" => "10.1016/j.reumae.2011.05.008" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574311000529?idApp=UINPBA00004M" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1699258X11001860?idApp=UINPBA00004M" "url" => "/1699258X/0000000800000002/v2_201405280955/S1699258X11001860/v2_201405280955/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2173574311000864" "issn" => "21735743" "doi" => "10.1016/j.reumae.2011.07.004" "estado" => "S300" "fechaPublicacion" => "2012-03-01" "aid" => "377" "copyright" => "Elsevier España, S.L." "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "cor" "cita" => "Reumatol Clin. 2012;8:102-3" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2982 "formatos" => array:3 [ "EPUB" => 45 "HTML" => 2406 "PDF" => 531 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Sternoclavicular Septic Arthritis and Empyema" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "102" "paginaFinal" => "103" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Artritis séptica esternoclavicular y empiema" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 505 "Ancho" => 1500 "Tamanyo" => 96015 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest X-ray (left) and CT (right) showing an infiltrate at the right lung base and pleural effusion on the same side.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "María José Moreno Martínez, Manuel José Moreno Ramos, Luis F. 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"documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Reumatol Clin. 2012;8:98-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 3957 "formatos" => array:3 [ "EPUB" => 49 "HTML" => 3375 "PDF" => 533 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Clinical Rheumatology</span>" "titulo" => "Septic Arthritis Due to <span class="elsevierStyleItalic">Fusobacterium nucleatum</span> in an Immunocompetent Patient" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "98" "paginaFinal" => "99" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Artritis séptica por <span class="elsevierStyleItalic">Fusobacterium nucleatum</span> en paciente inmunocompetente" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 747 "Ancho" => 900 "Tamanyo" => 71197 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">CT of the left knee. There is soft tissue inflammation with an adjacent lytic lesion.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Carmen Carrasco Cubero, Priscila Zamora Red, José Javier Salaberri Maestrojuan, M. Dolores López Prieto" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Carmen" "apellidos" => "Carrasco Cubero" ] 1 => array:2 [ "nombre" => "Priscila" "apellidos" => "Zamora Red" ] 2 => array:2 [ "nombre" => "José Javier" "apellidos" => "Salaberri Maestrojuan" ] 3 => array:2 [ "nombre" => "M. Dolores" "apellidos" => "López Prieto" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S1699258X1100177X" "doi" => "10.1016/j.reuma.2011.05.007" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1699258X1100177X?idApp=UINPBA00004M" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574311000785?idApp=UINPBA00004M" "url" => "/21735743/0000000800000002/v1_201305061636/S2173574311000785/v1_201305061636/en/main.assets" ] "en" => array:17 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Clinical Rheumatology</span>" "titulo" => "Compressive Myelopathy as the Presentation Form of a Transdiscal Fracture of the Vertebrae in a Patient With Ankylosing Spondylitis" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "100" "paginaFinal" => "101" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Antonio Bueno Palomino, Francisco Bravo Rodríguez, Elisa Roldán Romero, Antonio Cano Sánchez" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Antonio" "apellidos" => "Bueno Palomino" "email" => array:1 [ 0 => "antoniogueno@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Francisco" "apellidos" => "Bravo Rodríguez" ] 2 => array:2 [ "nombre" => "Elisa" "apellidos" => "Roldán Romero" ] 3 => array:2 [ "nombre" => "Antonio" "apellidos" => "Cano Sánchez" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Radiología, Hospital Universitario Reina Sofía, Córdoba, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Mielopatía compresiva como forma de presentación de una fractura transdiscal de bloque vertebral en una paciente con espondilitis anquilosante" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1653 "Ancho" => 2500 "Tamanyo" => 291677 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A and B) Sagittal images of the thoracolumbar spine in T2 and T1 potentiated sequences, respectively. (C) Sagittal CT scan of the thoracolumbar spine. An alteration in the signal intensity at the D11–D12 level can be seen, corresponding with compressive myelopathy. The CT shows signs of ankylosing spondylitis (fusion of the interapophyseal facets and ossification of the common posterior vertebral ligament) along with signs of degeneration. At the level of D11–D12 the compressive myelopathy's secondary nature can be seen, as the vertebral fracture is evident.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Clinical Case</span><p id="par0005" class="elsevierStylePara elsevierViewall">A 37-year-old woman with a history of undergoing bariatric surgery and a tummy tuck was diagnosed at age 32 as HLA B27 positive and with ankylosing spondylitis and stage IV bilateral sacroiliitis according to the modified New York criteria. She currently showed no signs of arthritis or enthesitis. She was initially treated with Etanercept<span class="elsevierStyleSup">®</span> and Abdalimumab<span class="elsevierStyleSup">®</span>, but presented symptoms of peripheral polyneuropathy that were probably secondary to the use of these drugs and which had to be replaced by Abatacept<span class="elsevierStyleSup">®</span>, with a compassionate care indication in this case.</p><p id="par0010" class="elsevierStylePara elsevierViewall">In March 2010, with the patient undergoing follow-up by the rheumatology department, she began with episodes of acute back pain radiating to the ribs, of a mechanical nature and which intensified during the last week appearing even at rest. She had no neurological deficits or any other symptoms. On physical examination the patient had a modified Schober test of 12.5<span class="elsevierStyleHsp" style=""></span>cm, a Bath Ankylosing Spondylitis Functional Index Index (BASFI) of 1 and a Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) of 2.8. Bone densitometry showed femoral osteopenia (<span class="elsevierStyleItalic">T</span>-score −2.2, <span class="elsevierStyleItalic">Z</span>-score −2.9) but there was no lumbar osteopenia or osteoporosis (<span class="elsevierStyleItalic">T</span>-score 0.2, <span class="elsevierStyleItalic">Z</span>-score −0.8). She had not received prior glucocorticoid treatment or had other risk factors for osteoporosis.</p><p id="par0015" class="elsevierStylePara elsevierViewall">On the last visit, the patient presented mechanical pain so intense that she was hospitalized in the unit of spinal trauma for pain management and complementary testing:<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">-</span><p id="par0020" class="elsevierStylePara elsevierViewall">Laboratory tests showed: hemoglobin 10.6<span class="elsevierStyleHsp" style=""></span>g/dl (12–15), mean corpuscular volume, 74<span class="elsevierStyleHsp" style=""></span>fl (78–100), ESR 35 (0–20). The biochemistry, protein profile, and urinalysis were normal. PPD was negative and blood cultures were negative.</p></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">-</span><p id="par0025" class="elsevierStylePara elsevierViewall">Magnetic resonance imaging (MRI) and computed tomography (CT) of the thoracolumbar spine (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) observed: vertebral fracture at D11–D12 with involvement of the disc and interapophyseal joints. Signs of ankylosing spondylitis with ossification of posterior longitudinal ligaments and interapophyseal joint facet fusion. Signs of degenerative sclerosis of the articular surfaces, osteochondrosis, osteophytes, and calcification of yellow ligaments, causing a decrease in spinal canal caliber and resulting in stenosis at that level. Alteration of signal strength of the bone on D11–D12 (hyperintense in T2) was consistent with compressive myelopathy.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></li></ul></p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Diagnosis and Progression</span><p id="par0030" class="elsevierStylePara elsevierViewall">Given these findings, a diagnosis of compressive myelopathy at D11–D12 secondary to vertebral transdiscal fracture was made. Hospital treatment was begun with rest and administration of intravenous analgesia. After 8 weeks the patient improved clinically from her back pain and was discharged with conservative treatment and bracing.</p><p id="par0035" class="elsevierStylePara elsevierViewall">The patient continued to have episodes of exacerbation of pain during the following year, and a control MRI was performed at 11 months showing persistent signs of compressive myelopathy. The persistence of pain and the ineffectiveness of conservative treatment led to opting for bone fusion treatment.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Discussion</span><p id="par0040" class="elsevierStylePara elsevierViewall">Ankylosing spondylitis (AS) is a chronic inflammatory disease characterized by back pain due to involvement of the spine and sacroiliac joints, with syndesmophyte formation leading to vertebral ankylosis, and frequently associated with peripheral arthritis, enthesitis, and a history of acute uveitis.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Osteoporosis, stiffness, and deformity that appear throughout the disease are conditions associated with an increase in the prevalence of fractures (10%–17%).<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">Anderson classified fractures into 3 groups: vertebral fractures that can occur in patients with ankylosing spondylitis: transdiscal (through the intervertebral space), transvertebral (which concerns the vertebral body) or mixed.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3,4</span></a>. Their pathophysiologic mechanism is not entirely clear in the literature<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a>; the most likely causes being inflammatory, infectious, and traumatic. They are more common in patients with longstanding disease and those with syndesmophytes, with more intense lumbar spine bone loss.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a></p><p id="par0050" class="elsevierStylePara elsevierViewall">Clinically it may present as acute pain, usually after a history of trauma, or progressive pain.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3,4</span></a> Sometimes they are asymptomatic, and if there is compressive myelopathy, the symptoms of intermittent claudication or root compression may be present.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> Thumbikat et al.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> conducted a retrospective study in 18 patients with ankylosing spondylitis who had suffered spinal cord injury and found that the most frequent cause was predominantly trauma to the low cervical region.</p><p id="par0055" class="elsevierStylePara elsevierViewall">The diagnosis is based on: radiography (initially determining the location of the lesion), CT (which is useful to determine the exact location and degree of stenosis of the spinal canal) and MRI (which determines the existence of spinal cord injuries or other complications).<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a></p><p id="par0060" class="elsevierStylePara elsevierViewall">The initial treatment is conservative (NSAIDs and immobilization),<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4,6</span></a> reserving surgery for cases in which it fails, or where there are progressive neurologic deficit symptoms.<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4,6</span></a></p><p id="par0065" class="elsevierStylePara elsevierViewall">Other complications that may be associated with these fractures are epidural hematoma and vertebral artery lesions.<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4,5,7</span></a></p><p id="par0070" class="elsevierStylePara elsevierViewall">The interest of the case lies in the role of MRI in assessing the complications that can occur with vertebral fractures in patients with AS and that in many cases may be undetectable with other imaging techniques. In fact, although simple radiography is the initial test to assess spinal lesions in patients with AS, it is of no use in the study of spinal cord involvement which may occur in the vertebral spine.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:4 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Clinical Case" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Diagnosis and Progression" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Discussion" ] 3 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2011-05-11" "fechaAceptado" => "2011-05-18" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Please, cite this article as: Bueno Palomino A, et al. Mielopatía compresiva como forma de presentación de una fractura transdiscal de bloque vertebral en una paciente con espondilitis anquilosante. Reumatol Clin. 2012;<span class="elsevierStyleBold">8(2)</span>:100–101.</p>" ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1653 "Ancho" => 2500 "Tamanyo" => 291677 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A and B) Sagittal images of the thoracolumbar spine in T2 and T1 potentiated sequences, respectively. (C) Sagittal CT scan of the thoracolumbar spine. An alteration in the signal intensity at the D11–D12 level can be seen, corresponding with compressive myelopathy. The CT shows signs of ankylosing spondylitis (fusion of the interapophyseal facets and ossification of the common posterior vertebral ligament) along with signs of degeneration. At the level of D11–D12 the compressive myelopathy's secondary nature can be seen, as the vertebral fracture is evident.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:7 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "ASAS/EULAR recommendations for the management of ankylosing spondylitis" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J. Zochling" 1 => "D. Van der Heijde" 2 => "R. Burgos-Vargas" 3 => "E. Collantes" 4 => "J.C. Davis" 5 => "Dijkmans" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/ard.2005.041137" "Revista" => array:7 [ "tituloSerie" => "Ann Rheum Dis" "fecha" => "2006" "volumen" => "65" "paginaInicial" => "442" "paginaFinal" => "452" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16126791" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0735109707037813" "estado" => "S300" "issn" => "07351097" ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Spinal cord injury in patients with ankylosing spondylitis: a 10-year review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "P. Thumbikat" 1 => "R.P. Hariharan" 2 => "G. Ravichandran" 3 => "M.R. McClelland" 4 => "K.M. Mathew" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/BRS.0b013e31815cddfc" "Revista" => array:6 [ "tituloSerie" => "Spine" "fecha" => "2007" "volumen" => "32" "paginaInicial" => "2989" "paginaFinal" => "2995" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18091492" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Fractures of the ankylosed spine: MDCT and MRI with emphasis on individual anatomic spinal structures" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "R. Campagna" 1 => "E. Pessis" 2 => "A. Feydy" 3 => "H. Guerini" 4 => "F. Thevenin" 5 => "A. Chevrot" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.2214/AJR.08.1616" "Revista" => array:6 [ "tituloSerie" => "AJR" "fecha" => "2009" "volumen" => "192" "paginaInicial" => "987" "paginaFinal" => "995" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19304705" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Discovertebral (Andersson) lesions of the spine in ankylosis spondylitis revisited" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "J.L. Bron" 1 => "M.K. de Vries" 2 => "M. Snieders" 3 => "I. van der Horst Bruinsma" 4 => "B.J. Van Royen" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Clin Rheum" "fecha" => "2009" "volumen" => "28" "paginaInicial" => "883" "paginaFinal" => "892" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Osteoporosis y artritis. Las amistades peligrosas" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J.M. Nolla" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Reumatol Clin" "fecha" => "2007" "volumen" => "3" "paginaInicial" => "9" "paginaFinal" => "12" "itemHostRev" => array:3 [ "pii" => "S0140673605675733" "estado" => "S300" "issn" => "01406736" ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Spinal fractures in patients with ankylosing spinal disorders: a systematic review of the literature on treatment neurological status complications" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "L.A. Westerveld" 1 => "J.J. Verlaan" 2 => "F.C. Oner" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00586-008-0764-0" "Revista" => array:6 [ "tituloSerie" => "Eur Spine J" "fecha" => "2009" "volumen" => "18" "paginaInicial" => "145" "paginaFinal" => "156" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18791749" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Imaging manifestations of spinal fractures in ankylosing spondylitis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "Y.F. Wang" 1 => "M.M. Teng" 2 => "C.Y. Chang" 3 => "H.T. Wu" 4 => "S.T. Wang" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "JNR Am J Neuroradiol" "fecha" => "2005" "volumen" => "26" "paginaInicial" => "2067" "paginaFinal" => "2076" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735743/0000000800000002/v1_201305061636/S2173574311000529/v1_201305061636/en/main.assets" "Apartado" => array:4 [ "identificador" => "5795" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Clinical Rheumatology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735743/0000000800000002/v1_201305061636/S2173574311000529/v1_201305061636/en/main.pdf?idApp=UINPBA00004M&text.app=https://reumatologiaclinica.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574311000529?idApp=UINPBA00004M" ]
Year/Month | Html | Total | |
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2024 October | 74 | 44 | 118 |
2024 September | 77 | 34 | 111 |
2024 August | 99 | 63 | 162 |
2024 July | 90 | 50 | 140 |
2024 June | 86 | 49 | 135 |
2024 May | 65 | 47 | 112 |
2024 April | 66 | 39 | 105 |
2024 March | 58 | 57 | 115 |
2024 February | 40 | 53 | 93 |
2024 January | 58 | 37 | 95 |
2023 December | 26 | 39 | 65 |
2023 November | 74 | 52 | 126 |
2023 October | 54 | 34 | 88 |
2023 September | 90 | 36 | 126 |
2023 August | 39 | 27 | 66 |
2023 July | 44 | 27 | 71 |
2023 June | 36 | 37 | 73 |
2023 May | 39 | 31 | 70 |
2023 April | 25 | 16 | 41 |
2023 March | 59 | 40 | 99 |
2023 February | 96 | 76 | 172 |
2023 January | 28 | 25 | 53 |
2022 December | 59 | 48 | 107 |
2022 November | 85 | 34 | 119 |
2022 October | 52 | 39 | 91 |
2022 September | 46 | 49 | 95 |
2022 August | 38 | 37 | 75 |
2022 July | 40 | 47 | 87 |
2022 June | 53 | 49 | 102 |
2022 May | 39 | 42 | 81 |
2022 April | 56 | 56 | 112 |
2022 March | 101 | 55 | 156 |
2022 February | 51 | 57 | 108 |
2022 January | 64 | 45 | 109 |
2021 December | 39 | 35 | 74 |
2021 November | 38 | 55 | 93 |
2021 October | 64 | 71 | 135 |
2021 September | 56 | 38 | 94 |
2021 August | 27 | 48 | 75 |
2021 July | 34 | 45 | 79 |
2021 June | 39 | 48 | 87 |
2021 May | 56 | 66 | 122 |
2021 April | 75 | 55 | 130 |
2021 March | 65 | 47 | 112 |
2021 February | 57 | 29 | 86 |
2021 January | 56 | 23 | 79 |
2020 December | 63 | 29 | 92 |
2020 November | 39 | 32 | 71 |
2020 October | 27 | 14 | 41 |
2020 September | 53 | 37 | 90 |
2020 August | 28 | 25 | 53 |
2020 July | 18 | 26 | 44 |
2020 June | 39 | 27 | 66 |
2020 May | 27 | 6 | 33 |
2020 April | 26 | 19 | 45 |
2020 March | 18 | 4 | 22 |
2019 January | 1 | 0 | 1 |
2018 December | 3 | 0 | 3 |
2018 May | 7 | 1 | 8 |
2018 April | 56 | 8 | 64 |
2018 March | 85 | 7 | 92 |
2018 February | 30 | 3 | 33 |
2018 January | 32 | 4 | 36 |
2017 December | 47 | 4 | 51 |
2017 November | 59 | 6 | 65 |
2017 October | 40 | 3 | 43 |
2017 September | 52 | 2 | 54 |
2017 August | 61 | 12 | 73 |
2017 July | 58 | 8 | 66 |
2017 June | 84 | 11 | 95 |
2017 May | 90 | 7 | 97 |
2017 April | 80 | 8 | 88 |
2017 March | 78 | 11 | 89 |
2017 February | 56 | 4 | 60 |
2017 January | 68 | 5 | 73 |
2016 December | 89 | 21 | 110 |
2016 November | 130 | 9 | 139 |
2016 October | 124 | 15 | 139 |
2016 September | 142 | 9 | 151 |
2016 August | 100 | 4 | 104 |
2016 July | 53 | 12 | 65 |
2016 April | 1 | 0 | 1 |
2015 December | 2 | 0 | 2 |
2015 October | 0 | 23 | 23 |
2015 September | 2 | 0 | 2 |
2015 August | 1 | 0 | 1 |
2015 July | 62 | 7 | 69 |
2015 June | 67 | 9 | 76 |
2015 May | 72 | 12 | 84 |
2015 April | 96 | 12 | 108 |
2015 March | 81 | 9 | 90 |
2015 February | 106 | 10 | 116 |
2015 January | 87 | 13 | 100 |
2014 December | 92 | 12 | 104 |
2014 November | 71 | 9 | 80 |
2014 October | 61 | 10 | 71 |
2014 September | 64 | 11 | 75 |
2014 August | 53 | 12 | 65 |
2014 July | 74 | 13 | 87 |
2014 June | 93 | 11 | 104 |
2014 May | 93 | 28 | 121 |
2014 April | 83 | 16 | 99 |
2014 March | 83 | 18 | 101 |
2014 February | 91 | 8 | 99 |
2014 January | 73 | 11 | 84 |
2013 December | 59 | 8 | 67 |
2013 November | 64 | 16 | 80 |
2013 October | 74 | 15 | 89 |
2013 September | 60 | 9 | 69 |
2013 August | 61 | 15 | 76 |
2013 July | 55 | 8 | 63 |
2013 June | 55 | 11 | 66 |
2013 May | 49 | 26 | 75 |
2013 April | 48 | 20 | 68 |
2013 March | 49 | 17 | 66 |
2013 February | 42 | 10 | 52 |
2013 January | 42 | 18 | 60 |
2012 December | 38 | 11 | 49 |
2012 November | 29 | 19 | 48 |
2012 October | 36 | 7 | 43 |
2012 September | 22 | 3 | 25 |
2012 July | 5 | 0 | 5 |
2012 June | 19 | 0 | 19 |
2012 May | 14 | 0 | 14 |
2012 April | 6 | 0 | 6 |