{"id":76417,"date":"2022-08-25T00:00:00","date_gmt":"2022-08-24T22:00:00","guid":{"rendered":"https:\/\/dev.institutchiaribcn.com\/comunicacion\/postoperatori-de-la-seccio-del-filum-terminale-segons-el-filum-system\/"},"modified":"2026-01-21T09:30:38","modified_gmt":"2026-01-21T08:30:38","slug":"postoperatori-seccio-filum-terminale-segons-filum-system","status":"publish","type":"comunicacion","link":"https:\/\/institutchiaribcn.com\/ca\/postoperatori-seccio-filum-terminale-segons-filum-system\/","title":{"rendered":"Postoperatori de la Secci\u00f3 del Filum Terminale segons el Filum System\u00ae"},"content":{"rendered":"<p class=\"text-muted aniview centerTXT\">Publicat per <a title=\"Entrades de ICSEB\" href=\"https:\/\/institutchiaribcn.com\/ca\/author\/chiari\/\" rel=\"author\">ICSEB<\/a> el 22 juliol, 2021<\/p>\n<p style=\"text-align: justify;\">El Dr. M. B. Royo Salvador va comen\u00e7ar a aplicar la seva innovadora t\u00e8cnica m\u00ednimament invasiva de la Secci\u00f3 del Filum Terminale l\u2019any 1993. Fins ara, el seu equip ha operat i realitzar el seguiment amb el m\u00e8tode del Filum System\u00ae a m\u00e9s de 1.850 pacients diagnosticats de la Malaltia del Filum i de la S\u00edndrome Neuro-Cranio-Vertebral amb la S\u00edndrome d\u2019Arnold Chiari I, Siringomi\u00e8lia i Escoliosi idiop\u00e0tiques, i altres malformacions o diagn\u00f2stics associats.<\/p>\n<p style=\"text-align: justify;\">Els nostres metges sempre han insistit als pacients, en el preoperatori, que <strong>la intervenci\u00f3 elimina la causa de la malaltia i atura la seva posterior evoluci\u00f3 o empitjorament;<\/strong> per\u00f2 no actua directament en les conseq\u00fc\u00e8ncies de la patologia \u2013 que s\u00f3n les lesions del sistema nervi\u00f3s-, els s\u00edmptomes i les disfuncionalitats associades.<\/p>\n<p style=\"text-align: justify;\"><strong>En la majoria dels malalts,<\/strong> <u>des del postoperatori immediat,<\/u> es pot constatar la millora o <strong>la desaparici\u00f3 d\u2019alguns dels s\u00edmptomes,<\/strong> mentre d\u2019altres s\u2019alleugen amb el temps en els mesos o anys seg\u00fcents. En els casos de rehabilitaci\u00f3 i fisioter\u00e0pia postoperat\u00f2ries passa el mateix: molts pacients presenten una millora progressiva tamb\u00e9 en l\u2019\u00e0mbit funcional, fins i tot des dels primers mesos.<\/p>\n<p style=\"text-align: justify;\">Existeix una minoria de pacients, en canvi, en els que durant la primera etapa del postoperatori no s\u2019observa una millora del seu quadre cl\u00ednic ni de la seva autonomia, malgrat que aquests quedin estables i no segueixin empitjorant com abans de la intervenci\u00f3. \u00c9s a aquests pacients que desitgem dirigir-nos, per no deixar-los sols amb els temors que els podria provocar comparar-se amb els altres pacients \u2013que s\u00ed han tingut un bon resultat <u>a curt termini-.<\/u><\/p>\n<p style=\"text-align: justify;\">En primer lloc, <strong>cada quadre cl\u00ednic \u00e9s diferent<\/strong> i, malgrat que tinguin els mateixos s\u00edmptomes, aquests no s\u00f3n comparables amb els d\u2019altres pacients. L\u2019\u00fanic a qui poden consultar amb aquest prop\u00f2sit \u00e9s a l\u2019especialista qui, mitjan\u00e7ant els controls cl\u00ednics i d\u2019imatge, avaluar\u00e0 si l\u2019evoluci\u00f3 personal de cada cas \u00e9s correcta.<\/p>\n<p style=\"text-align: justify;\">En segon lloc, <strong>existeixen dos tipus de lesions que determinen els s\u00edmptomes: reversibles i irreversibles.<\/strong> Encara que l\u2019aplicaci\u00f3 del tractament elimina la tracci\u00f3 vehiculada pel Filum Terminale a tot el sistema nervi\u00f3s, proporcionant a aquest \u00faltim la possibilitat de recuperar-se tot el possible tamb\u00e9 a mitj\u00e0 i llarg termini; en el que respecta a les lesions irreversibles, el sistema nervi\u00f3s no tindr\u00e0 la possibilitat de regenerar-se i la recuperaci\u00f3 ser\u00e0 m\u00e9s limitada.<\/p>\n<p style=\"text-align: justify;\">Tanmateix, els nostres metges observen que alguns pacients inicialment poden millorar i, en alguns casos, fins i tot desapar\u00e8ixer els s\u00edmptomes, per\u00f2 posteriorment <strong>\u2013a causa de traumes, accidents, estr\u00e8s, ter\u00e0pies farmacol\u00f2giques, alteracions del cicle menstrual en les dones o esfor\u00e7os f\u00edsics- existeix la possibilitat d\u2019una recaiguda,<\/strong> tornant a presentar el quadre cl\u00ednic anterior al tractament. Quan aix\u00f2 succeeix, normalment es triga un temps a tornar a l\u2019estabilitat del postoperatori, per\u00f2 en general, una vegada resolta l\u2019altra condici\u00f3, es torna novament a millorar.<\/p>\n<p style=\"text-align: justify;\">Finalment, en alguns casos, hi ha <strong>un o m\u00e9s diagn\u00f2stics a m\u00e9s de la Malaltia del Filum<\/strong> per la qual s\u2019interv\u00e9, amb el seu propi quadre cl\u00ednic, i aquests <strong>poden tenir s\u00edmptomes comuns als de la Malaltia del Filum.<\/strong><\/p>\n<p style=\"text-align: justify;\">\u00d2bviament, despr\u00e9s de la intervenci\u00f3 d\u2019aquesta \u00faltima, i al llarg de les fases de l\u2019evoluci\u00f3 postoperat\u00f2ria, podria ser dif\u00edcil valorar quins s\u00edmptomes depenen d\u2019una i quins depenen de l\u2019altra, o si alguns s\u00edmptomes no milloren perqu\u00e8 s\u00f3n atribu\u00efbles a l\u2019altra malaltia, o si empitjoren perqu\u00e8 \u00e9s necessari el tractament de l\u2019altre diagn\u00f2stic. En aquests casos, els nostres metges recomanen consultar amb els especialistes pertinents per poder individualitzar i tractar \u2013en el seu cas- tamb\u00e9 l\u2019altra causa activa i com\u00f2rbida.<\/p>\n<p style=\"text-align: justify;\">En conclusi\u00f3, l\u2019equip del Dr. Royo confirma, gr\u00e0cies a la seva experi\u00e8ncia altament especialitzada, que tamb\u00e9 quan la recuperaci\u00f3 pot semblar m\u00e9s lenta i gradual o quan intervenen altres factors que la compliquen; igualment l\u2019eliminaci\u00f3 de la tracci\u00f3 excessiva causada per un Filum Terminale massa tens \u00e9s el m\u00e8tode m\u00e9s efica\u00e7 per a millorar les condicions de salut dels pacients.<\/p>\n<p style=\"text-align: justify;\"><strong>La Secci\u00f3 del Filum Terminale segons el m\u00e8tode Filum System<sup>\u00ae<\/sup> millora \u2013 en general- inequ\u00edvocament la qualitat de vida dels pacients, amb una remissi\u00f3 important dels s\u00edmptomes i una recuperaci\u00f3 funcional molt satisfact\u00f2ria en la majoria dels casos. A m\u00e9s a m\u00e9s, proporciona un bon pron\u00f2stic a les persones m\u00e9s afectades per la patologia,<\/strong> malgrat no actuar directament en les conseq\u00fc\u00e8ncies de la Malaltia del Filum.<\/p>\n","protected":false},"featured_media":76418,"template":"","tipos-de-comunicacion":[],"class_list":["post-76417","comunicacion","type-comunicacion","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>% Postoperatori de la Secci\u00f3 del Filum Terminale | ICSEB<\/title>\n<meta name=\"description\" content=\"El Dr. M. B. Royo Salvador va comen\u00e7ar a aplicar la seva innovadora t\u00e8cnica m\u00ednimament invasiva de la Secci\u00f3 del Filum... 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