{"id":15069,"date":"2019-03-06T00:00:53","date_gmt":"2019-03-05T23:00:53","guid":{"rendered":"https:\/\/dev.institutchiaribcn.com\/enfermedades\/sindrome-neuro-cranio-vertebral-per-luxacio-sacrococcigia\/"},"modified":"2026-01-15T11:14:36","modified_gmt":"2026-01-15T10:14:36","slug":"sindrome-neuro-cranio-vertebral-luxacio-sacrococcigia","status":"publish","type":"enfermedades","link":"https:\/\/institutchiaribcn.com\/ca\/sindrome-neuro-cranio-vertebral-luxacio-sacrococcigia\/","title":{"rendered":"SNCV per Luxaci\u00f3 sacrococc\u00edgia"},"content":{"rendered":"<p><strong>\u00daltima actualizaci\u00f3n: 06\/03\/2019, <\/strong><a href=\"https:\/\/institutchiaribcn.com\/commons\/pdf\/cv\/CV_Dr_Royo_ES_Europass.pdf\" target=\"_blank\" rel=\"noopener\"><strong>Dr. Miguel B. Royo Salvador<\/strong><\/a>, <strong>Numero colegiado 10389.<\/strong> <strong>Neurocirujano y Neur\u00f3logo.<\/strong><\/p>\n<h2><strong>Diagn\u00f2stic<\/strong><\/h2>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\">La part final de la columna vertebral es compon de 5 v\u00e8rtebres fusionades a nivell del sacre i de 5 a 3 tamb\u00e9 fusionades a nivell coccigi. Entre tots dos conjunts de v\u00e8rtebres fusionades que es comporten com a ossos independents, existeix l&#8217;articulaci\u00f3 sacrococc\u00edgia que es pot fracturar i luxar, despla\u00e7ant-se el c\u00f2ccix, principalment per una acci\u00f3 traum\u00e0tica.<\/p>\n<p>Perqu\u00e8 aquest \u00faltim es desplaci, ha de ser sotm\u00e8s a una for\u00e7a important, com per exemple <strong>a causa<\/strong> d&#8217;una caiguda o un fort cop sobre la rabada amb caiguda de natges, un part amb molta desproporci\u00f3 entre la grand\u00e0ria del nen i la pelvis de la mare, etc.<\/p>\n<p>El <strong>s\u00edmptoma<\/strong> principal que pot provocar una luxaci\u00f3 sacrococc\u00edgia \u00e9s el dolor localitzat a la zona de l&#8217;os sacre o <strong>coxigod\u00ednia (coccigod\u00ednia<\/strong>). Com que els lligaments del c\u00f2ccix reben moltes fibres nervioses, el seu esquin\u00e7ament pot ser intensament dolor\u00f3s. A m\u00e9s, una vegada activada, la transmissi\u00f3 del dolor pot provocar una inflamaci\u00f3 important a la zona.<\/p>\n<p>El diagn\u00f2stic normalment \u00e9s cl\u00ednic, pel dolor caracter\u00edstic i la hist\u00f2ria cl\u00ednica de les circumst\u00e0ncies t\u00edpiques que provoquen la luxaci\u00f3.<\/p>\n<p>Es tracta de la luxaci\u00f3 que menys s\u2019acostuma a diagnosticar mitjan\u00e7ant proves complement\u00e0ries, perqu\u00e8 les RX i RMN que es realitzen en la columna completa o fins i tot a la zona lumbosacra per altres quadres o sospites, no arriben a visualitzar el c\u00f2ccix a partir de la v\u00e8rtebra S2 cap avall, i encara que s&#8217;efectu\u00efn fins al final del c\u00f2ccix, a aquest nivell pot ser dif\u00edcil detectar la separaci\u00f3 mitjan\u00e7ant la imatge radiol\u00f2gica, i sigui necessari un TAC o una RM.<\/p>\n<p>&nbsp;<\/p>\n<div align=\"center\"><a href=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2019\/05\/lux-sacro.jpg\"><img decoding=\"async\" class=\"img-responsive\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2019\/05\/lux-sacro.jpg\" alt=\"\" width=\"280\" height=\"auto\" \/><\/a><br \/>\n<em>Fig 1. Luxaci\u00f3 sacrococc\u00edgia<\/em><\/div>\n<p>&nbsp;<\/p>\n<hr \/>\n<h2><strong>Complicacions<\/strong><\/h2>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\">El risc principal d&#8217;una luxaci\u00f3 sacrococc\u00edgia \u00e9s que la lesi\u00f3 tardi molt a guarir-se i, mentre persisteix, el dolor pot arribar a ser <strong>molt limitant per a la qualitat de vida<\/strong> del malalt.<\/p>\n<p><strong>-Segons el Filum System<sup>\u00ae<\/sup>:<\/strong><\/p>\n<p>En els casos de luxaci\u00f3 sacre-cocc\u00edgia i en alguns, molt menys freq\u00fcents, de fractura de la zona, en el nostre Institut observem com la majoria dels pacients la presenten associada amb el diagn\u00f2stic de <a href=\"https:\/\/institutchiaribcn.com\/ca\/sindrome-neuro-cranio-vertebral\/\" target=\"_blank\" rel=\"noopener\"><strong>S\u00edndrome Neuro-cranio-vertebral (SNCV)<\/strong><\/a>, que en aquest cas es defineix com <strong>adquirit per traumatisme<\/strong>, ja que implica una tensi\u00f3 an\u00f2mala del lligament del Filum Terminale no cong\u00e8nita, en produir-se un mecanisme de palanca, amb la fractura luxaci\u00f3 en flexi\u00f3 del c\u00f2ccix traccionant la inserci\u00f3 del filum terminale, que s&#8217;insereix en el cos del qual correspon a la primera i segona v\u00e8rtebra cocc\u00edgia.<\/p>\n<p>El SNCV i el seu quadre cl\u00ednic llavors poden representar una complicaci\u00f3 del quadre de la luxaci\u00f3, empitjorant ulteriorment la qualitat de vida dels pacients. Els s\u00edmptomes en aquests casos no consisteixen \u00fanicament en el dolor i en la inflamaci\u00f3 caracter\u00edstics i localitzats a la zona sacrococc\u00edgia, sin\u00f3 que poden apar\u00e8ixer en la resta de la columna vertebral i sistema nervi\u00f3s central, com ocorre amb la Malaltia del Filum.<\/p>\n<p>&nbsp;<\/p>\n<hr \/>\n<h2><strong>Tractament<\/strong><\/h2>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\">&#8211; El <strong>tractament<\/strong> indicat per a les luxacions sacrococc\u00edgies habitualment \u00e9s el <strong>conservador<\/strong>: es recomana no carregar pesos sobre el c\u00f2ccix, evitar o reduir la sedestaci\u00f3, utilitzar coixins o dispositius que redueixin la c\u00e0rrega en estar asseguts i tamb\u00e9 s&#8217;administren analg\u00e8sics i antiinflamatoris, s&#8217;indica fisioter\u00e0pia postural o fins i tot maniobres osteop\u00e0tiques al c\u00f2ccix.<\/p>\n<p>&#8211; En els casos m\u00e9s greus, quan el dolor no disminueix i limita massa l&#8217;activitat normal del pacient, el <strong>tractament <\/strong>pot ser <strong>quir\u00fargic,<\/strong> consistint en la neur\u00f2lisi dels nervis implicats a la zona o fins i tot en l\u2019ex\u00e8resi o extirpaci\u00f3 del mateix c\u00f2ccix.<\/p>\n<p><strong>Segons el Filum System<sup>\u00ae<\/sup>:<\/strong><\/p>\n<p>Amb luxaci\u00f3 o fractura del sacre, del c\u00f2ccix o sacrococc\u00edgia associada amb S\u00edndrome Neuro-Cranio-Vertebral, el lligament del Filum Terminale, que uneix juntament amb altres les v\u00e8rtebres en aquest nivell, es troba excessivament tens, transmetent una for\u00e7a de tracci\u00f3 an\u00f2mala a la medul\u00b7la espinal i conseq\u00fcentment a tot el sistema nervi\u00f3s central. Per aquesta ra\u00f3, despr\u00e9s d&#8217;anys d&#8217;observaci\u00f3 cl\u00ednica en aquests casos, en el nostre Institut proposem el tractament quir\u00fargic mitjan\u00e7ant l&#8217;aplicaci\u00f3 del m\u00e8tode sanitari del Filum System\u00ae que inclou la secci\u00f3 quir\u00fargica del Filum Terminale amb t\u00e8cnica m\u00ednimament invasiva, pr\u00f2pia i exclusiva.<\/p>\n<p>&nbsp;<\/p>\n<hr \/>\n<h2><strong>La Secci\u00f3 del Filum Terminale<\/strong><\/h2>\n<p>&nbsp;<\/p>\n<div class=\"row\">\n<div class=\"col-md-12\">\n<div class=\"boxAdvantages barAdvantages\">\n<h3><strong>Avantatges<\/strong><\/h3>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify; padding-left: 30px;\">1. Elimina la causa de la S\u00edndrome Neuro-cranio-vertebral associada a la luxaci\u00f3 o fractura vertebral sacrococc\u00edgia.<\/p>\n<p style=\"text-align: justify; padding-left: 30px;\">2. Amb la t\u00e8cnica quir\u00fargica m\u00ednimament invasiva pr\u00f2pia de l\u2019ICSEB, el temps quir\u00fargic \u00e9s de 40 minuts. Poques hores d\u2019ingr\u00e9s,<\/p>\n<p>podent ser ambulat\u00f2ria. Anest\u00e8sia local. Postoperatori curt i sense limitacions. Sense transfusions de sang.<\/p>\n<p style=\"text-align: justify; padding-left: 30px;\">3. La seva aplicaci\u00f3 suposa 0% de mortalitat, sense seq\u00fceles i complicacions rellevants.<\/p>\n<p style=\"text-align: justify; padding-left: 30px;\">4. Millora els s\u00edmptomes i det\u00e9 l&#8217;evoluci\u00f3, sempre a pitjor, de les lesions i s\u00edmptomes del sistema nervi\u00f3s i columna vertebral.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<hr \/>\n<h2><strong>Refer\u00e8ncies bibliogr\u00e0fiques:<\/strong><\/h2>\n<p>&nbsp;<\/p>\n<ol>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">M. B. Royo-Salvador, M.V. Fiallos-Rivera, P. Villavicencio (2023), <a href=\"https:\/\/institutchiaribcn.com\/commons\/pdf\/publicaciones\/icseb\/NCVS%20n%20Coccigeal%20Dislocation%202023.pdf\" target=\"_blank\" rel=\"noopener\">&#8220;Neuro-cranio-vertebral syndrome related to coccygeal dislocation: A preliminary study&#8221; (PDF).<\/a><\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Hamoud K, Abbas J (2015) &#8216;Fracture dislocation of the sacro-coccygeal joint in a 12 year-old boy. A case report and literature review.&#8217;, Orthopaedics &amp; Traumatology, Surgery &amp; Research, 101(7), pp. 871-873<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">M. B. Royo-Salvador (2014), <a href=\"https:\/\/institutchiaribcn.com\/commons\/pdf\/publicaciones\/dr-royo\/filum-system-bibliography.pdf\" target=\"_blank\" rel=\"noopener\">&#8220;Filum System<sup><sup>\u00ae<\/sup><\/sup> Bibliography&#8221; (PDF).<\/a><\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">M. B. Royo-Salvador (2014), <a href=\"https:\/\/institutchiaribcn.com\/filum-system-guia-breve\/\" target=\"_blank\" rel=\"noopener\">&#8220;Filum System<sup><sup>\u00ae<\/sup><\/sup> Gu\u00eda Breve&#8221;.<\/a><\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Stuart RM, Song SJ. (2004) \u201cUnilateral lumbosacral facet joint dislocation without associated fracture.\u201d, Australasian Radiology, 42(2), pp. 224-229.<\/li>\n<\/ol>\n<hr \/>\n","protected":false},"featured_media":1478,"template":"","class_list":["post-15069","enfermedades","type-enfermedades","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>SNCV per Luxaci\u00f3 sacrococc\u00edgia | ICSEB<\/title>\n<meta name=\"description\" content=\"\u00daltima actualizaci\u00f3n: 06\/03\/2019, Dr. Miguel B. Royo Salvador, Numero colegiado 10389. 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