{"id":143907,"date":"2026-01-09T10:03:33","date_gmt":"2026-01-09T09:03:33","guid":{"rendered":"https:\/\/institutchiaribcn.com\/evolucao-pos-operatoria-favoravel-de-uma-paciente-pediatrica-com-escoliose-idiopatica-aos-4-anos-da-aplicacao-do-filum-system\/"},"modified":"2026-03-23T11:09:02","modified_gmt":"2026-03-23T10:09:02","slug":"evolucio-post-operatoria-favorable-duna-pacient-pediatrica-amb-escoliosi-idiopatica-als-4-anys-de-laplicacio-del-filum-system","status":"publish","type":"comunicacion","link":"https:\/\/institutchiaribcn.com\/ca\/evolucio-post-operatoria-favorable-duna-pacient-pediatrica-amb-escoliosi-idiopatica-als-4-anys-de-laplicacio-del-filum-system\/","title":{"rendered":"Evoluci\u00f3 post-operat\u00f2ria favorable d\u2019una pacient pedi\u00e0trica amb Escoliosi Idiop\u00e0tica, als 4 anys de l\u2019aplicaci\u00f3 del Filum System\u00ae"},"content":{"rendered":"<p><strong>Cas 14236<\/strong><\/p>\n<p><strong>Diagn\u00f2stic: S\u00edndrome Neuro-Crani-vertebral. Malaltia del Filum. <\/strong><strong>Descens d&#8217;am\u00edgdales cerebel\u00b7loses (DAC &#8211; S\u00edndrome d&#8217;Arnold-Chiari I). Desviaci\u00f3 de la columna vertebral (Escoliosi idiop\u00e0tica)<\/strong><\/p>\n<p><strong>Data de la intervenci\u00f3 <\/strong><strong>de Secci\u00f3 del Filum Terminale (SFT) segons el Filum System\u00ae: juny de 2021.<\/strong><\/p>\n<p><strong>La jove pacient d&#8217;Alemanya, a qui els pares prefereixen mantenir en l&#8217;anonimat, va ser intervinguda en el nostre centre de secci\u00f3 del filum terminale segons el Filum System\u00ae a l&#8217;edat de sis anys.<\/strong><\/p>\n<p>Abans del tractament presentava un quadre ampli de s\u00edmptomes, que inclo\u00efa: mal de cap amb episodis de n\u00e0usea, alteracions visuals i marejos, dificultats d&#8217;expressi\u00f3 i concentraci\u00f3, problemes de son, episodis d&#8217;ansietat, irritabilitat, nerviosisme, mol\u00e8sties en la degluci\u00f3, rigidesa cervical, alteracions sensitives a les mans i peus, dolor freq\u00fcent a la columna dorsal i lumbar, dolor als membres inferiors, limitaci\u00f3 per caminar m\u00e9s de mitja hora a causa dels s\u00edmptomes, a m\u00e9s de restrenyiment cr\u00f2nic.<\/p>\n<p>Despr\u00e9s de la intervenci\u00f3, els pares van referir que <strong>tots aquests s\u00edmptomes van desapar\u00e8ixer de manera immediata, destacant tamb\u00e9 la millora objectiva<\/strong> observada pels terapeutes i l&#8217;entorn escolar: la desaparici\u00f3 de la falta de for\u00e7a per aixecar el cap, la correcci\u00f3 de la postura corporal, major for\u00e7a i energia, aix\u00ed com una clara millora en la concentraci\u00f3n<\/p>\n<p>Aquests progressos van permetre que la nena pass\u00e9s d&#8217;una escola de suport especial a l&#8217;escola prim\u00e0ria regular poc despr\u00e9s de la cirurgia, on actualment, amb deu anys, \u00e9s la millor de la seva classe i es prepara per a ingressar al Gymnasium &#8211; l&#8217;escola secund\u00e0ria de nivell avan\u00e7at a Alemanya -.<\/p>\n<p>Les imatges de resson\u00e0ncia magn\u00e8tica <strong>al control postoperatori despr\u00e9s de 4 anys de la intervenci\u00f3, mostren que s&#8217;ha aconseguit l&#8217;objectiu del tractament, aturant l&#8217;evoluci\u00f3 del descens de les am\u00edgdales cerebel\u00b7loses (Fig.1)<\/strong>. A m\u00e9s, el escoliograma mostra la <strong>correcci\u00f3 de l&#8217;escoliosi despr\u00e9s de la intervenci\u00f3, amb la rectificaci\u00f3 de la curvatura de la columna vertebral (Fig.2).<\/strong><\/p>\n<p><strong> <img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-143802 size-large aligncenter\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2026\/01\/chiari-sin-cambios-sft-1024x548.jpg\" alt=\"\" width=\"800\" height=\"428\" srcset=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2026\/01\/chiari-sin-cambios-sft-1024x548.jpg 1024w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2026\/01\/chiari-sin-cambios-sft-300x161.jpg 300w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2026\/01\/chiari-sin-cambios-sft-768x411.jpg 768w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2026\/01\/chiari-sin-cambios-sft-1536x822.jpg 1536w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2026\/01\/chiari-sin-cambios-sft-2048x1096.jpg 2048w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/strong><\/p>\n<p style=\"text-align: center;\"><em>Fig.1<\/em> <em>Postoperatori del Cas <strong>14236<\/strong>: Comparativa entre la RMN craneal preoperat\u00f2ria del 2021 i la de control del 2025 als 4 anys postoperatoris, que mostra invariat el descens de les am\u00edgdales cerebel.loses.<\/em><\/p>\n<p><img decoding=\"async\" class=\"size-large wp-image-143816 aligncenter\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2026\/01\/escoliosis-icseb-tratamiento-1024x680.jpg\" alt=\"\" width=\"800\" height=\"531\" srcset=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2026\/01\/escoliosis-icseb-tratamiento-1024x680.jpg 1024w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2026\/01\/escoliosis-icseb-tratamiento-300x199.jpg 300w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2026\/01\/escoliosis-icseb-tratamiento-768x510.jpg 768w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2026\/01\/escoliosis-icseb-tratamiento-1536x1020.jpg 1536w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2026\/01\/escoliosis-icseb-tratamiento-2048x1361.jpg 2048w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/p>\n<p style=\"text-align: center;\"><em>Fig.2. Postoperatori del Cas <strong>14236<\/strong>: Comparativa entre l\u2019Escoliograma\u00a0 preoperatori del 2021 i el de control postoperatori del 2025, en el que s\u2019aprecia la rectificaci\u00f3 de la curvatura\u00a0 escoli\u00f2tica an\u00f2mala despr\u00e9s de l\u2019aplicaci\u00f3 del Filum System\u00ae.<\/em><\/p>\n<p><strong>El Filum System\u00ae atura l&#8217;evoluci\u00f3 de la S\u00edndrome d&#8217;Arnold-Chiari I i de l&#8217;Escoliosi idiop\u00e0tica; afavorint la recuperaci\u00f3 cl\u00ednica i millorant la qualitat de vida dels malalts.<\/strong><\/p>\n","protected":false},"featured_media":143831,"template":"","tipos-de-comunicacion":[509],"class_list":["post-143907","comunicacion","type-comunicacion","status-publish","has-post-thumbnail","hentry","tipos-de-comunicacion-noticies"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Evoluci\u00f3 escoliosi pedi\u00e0trica amb Filum 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