A5089212376- Spine and Intervertebral Disc Pathology
- Spinal Fractures and Fixation Techniques
- Cervical and Thoracic Myelopathy
- Spinal Hematomas and Complications
- Medical Imaging and Analysis
- Musculoskeletal pain and rehabilitation
- Spinal Cord Injury Research
- Scoliosis diagnosis and treatment
- Pelvic and Acetabular Injuries
- Streptococcal Infections and Treatments
- Cerebrospinal fluid and hydrocephalus
- Anesthesia and Pain Management
- Delphi Technique in Research
- Cervical Cancer and HPV Research
- Meningioma and schwannoma management
- Orthopaedic implants and arthroplasty
- Cardiac, Anesthesia and Surgical Outcomes
- Neurosurgical Procedures and Complications
- Hip and Femur Fractures
- Spinal Dysraphism and Malformations
- Pain Management and Treatment
- Head and Neck Surgical Oncology
- Bone health and osteoporosis research
- Hemostasis and retained surgical items
- Endometrial and Cervical Cancer Treatments
IRCCS Humanitas Research Hospital
2018-2025
Humanitas University
2016-2024
Istituti di Ricovero e Cura a Carattere Scientifico
2020-2024
University of Pisa
2011
Scientific knowledge today is being generated more rapidly than we can assimilate thus requiring continuous review of gold-standards for diagnosis and treatment specific pathologies. The aim this paper to provide an update on the best early management spinal cord injury (SCI), in order produce acceptable worldwide recommendations standardize clinical practice as much possible.The WFNS Spine Committee voted regarding SCI based literature last 10 years. committee stated 9 3 main topics: (1)...
Thoracic disc herniations (TDHs) are rare, and surgery is typically reserved for patients with radiculopathy, myelopathy, or intractable back pain. Despite established algorithms, the optimal surgical strategy remains debated. What clinical, surgical, radiological outcomes of anterior posterior approaches TDHs over a 10-year period? A retrospective analysis 54 who underwent (2013-2022) was performed. Patients were grouped by approach: (34 patients) (20 patients). Data included preoperative...
Lumbar spinal stenosis (LSS) is defined as a degenerative disorder showing narrowing of the canal. The diagnosis straightforward in cases with typical neurogenic claudication symptoms and unequivocal imaging findings. However, not all patients present symptoms, there obviously no correlation between severity clinical complaint. radiologic LSS widely discussed literature. best diagnostic test for magnetic resonance (MRI). canal diameter measurements have gained much consensus from...
Intramedullary spinal cord tumors are rare lesions of the central nervous system. Anatomical, molecular and radiological features well defined, but correct management is still matter debate. Pertinent literature has reported conflicting opinions regarding use intraoperative electrophysiological monitoring (IONM) in surgical treatment this kind lesions, recently. We report a retrospective study from two Italian centers, order to highlight usefulness IONM intramedullary lesions.We performed...
Degenerative lumbar spinal stenosis (LSS) is a progressive disease with potentially dangerous consequences that affect quality of life. Despite the detailed literature, natural history unpredictable. This uncertainty presents challenge making correct management decisions, especially in patients mild to moderate symptoms, regarding conservative or surgical treatment. article focused on treatment for degenerative LSS.
Lumbar spine stenosis is a common disease with prevalence progressively increasing due to the aging of population. Despite many papers having been published over last decades, there still remain doubts regarding its natural history and appropriate treatment. To overcome these problems reach some globally accepted recommendations, World Federation Neurosurgical Society Spine Committee organized consensus conference on this topic. This paper describes recommendations about efficacy surgical...
Cervical spondylotic myelopathy (CSM) is a progressively growing pathology to afford by spinal surgeon due the aging of population, associated with better treatment management and best diagnosis solutions are greatly discussed. Nowadays that scientific literature increasing identify gold standard in can be very challenging. This particularly evident surgery many different indications not only countries but also same local reality. In this scenario, neurosurgical societies works some...
Lumbar spinal stenosis (LSS) is a common degenerative disease that every spine surgeon will come across in daily practice. Despite this, the natural history and treatment have not been well established standardized as yet, there few guidelines published on this topic to date. The aim of World Federation Neurosurgical Society Spine Committee Consensus Conference define evidence-based expert-based recommendations for diagnosis LSS, considering different possibilities facilities countries...
BACKGROUND: To date, no shared algorithms with the aim of guiding surgical strategy in complex cases degenerative cervical myelopathy (DCM) exist. Our purpose is to present Cervical Surgical Score (CSS) which could help identifying DCM cases, suggesting a strategy.METHODS: We created CSS based on multidisciplinary and literature-focused discussions, eight parameters including number levels pathology myelopathy, type predominance compression grade clinical myelopathy. prospectively enrolled...
Abstract BACKGROUND: Image-guided surgery techniques in spinal are usually based upon fluoroscopy or computed tomography (CT) scan, which allow for a real-time navigation of bony structures, though not neural structures and soft tissue remains. OBJECTIVE: To verify the effectiveness efficacy novel technique imaging merging between preoperative magnetic resonance (MRI) intraoperative CT scan during removal intramedullary lesions. METHODS: Ten consecutive patients were treated lesions using...
In the modern era evidence-based medicine, guidelines and recommendations represent a key-point of daily activity. The Spinal Section Italian Society Neurosurgery introduced some regarding Degenerative Lumbar Spine Stenosis based on those Committee World Federation Neurosurgical Societies, revising them basis common practice. June 2019, 21 spine surgeons met in Rome to validate WFNS. Furthermore, they decided review ones that did not reach consensus create Recommendations Stenosis. A...
Tension pneumocephalus complicating ventriculoperitoneal shunt is extremely rare. We report an elderly male who developed delayed tension 12 months after for hydrocephalus aneurysmal subarachnoid hemorrhage. Fine-cut reformatted computer tomography scan revealed a large pneumatocele on the petrous apex associated with tegmen tympani defect. The valve pressure was temporarily raised from 120 mm H 2 O to 200 O, and patient underwent successful subtemporal extradural repair of bony defect in...
Although decompression is the basis of surgical treatment for lumbar spinal stenosis (LSS), under various circumstances instrumented fusion performed as well. The rationale mobility-preserving operations LSS preventing adjacent segment disease (ASD). We review mobility preservation in ASD and discuss related topics such indications evolving role minimally invasive approaches to spine decompression. Our focus on systematic consensus discussion methods surgery LSS.Groups surgeons (members...
To obtain a list of recommendations about clinical and radiological factors affecting outcome in thoraco-lumbar fractures with the aim helping spine surgeons daily practice. A systematic literature search PubMed Google Scholar database was done from 2010 to 2020 on topic "thoracolumbar fracture AND radiology surgical outcomes" outcomes." total 58 papers were analyzed WFNS (World Federation Neurosurgical Societies) Spine Committee organized 2 consensus meetings formulate specific first...
Image-guided navigation systems are well established technologies; their use in clinical practice is constantly growing. To date many publications have demonstrated accuracy and safety. However, the acquisition maintenance costs high. In an era which health expenditures rising exponentially, analyses of economic impact new technologies mandatory to assess sustainability.This a retrospective analysis overall series patients admitted our Department Neurosurgery for spinal instrumentation. We...
We evaluate the feasibility of a single-stage posterior corpectomy and circumferential arthrodesis with aid spinal navigation for treatment traumatic thoracolumbar burst fractures. This was single-center, retrospective study. Demographics, clinical, radiologic data 19 patients who underwent surgery at our institution fractures between 2016 2019 were collected. All enrolled in present study by means fixation transpedicular an intraoperative image-guided neuronavigation system. Postoperative...
Background/Objectives: Postoperative cerebrospinal fluid (CSF) fistulas remain a significant concern in spinal neurosurgery, particularly following dural closure. The incidence of tears during surgery is estimated between 1.6% and 10%. While direct suturing remains the gold standard, it has failure rate 5-10%. Various materials techniques have been used to enhance This study aims assess effectiveness non-penetrating titanium clips (AnastoClip®) for closure intradural lesion surgeries....
The development of specific clinical and neurological symptoms radiological degeneration affecting the segment adjacent to a spinal arthrodesis comprise framework adjacent-level syndrome. Through analysis large surgical series, this study aimed identify possible demographic, clinical, radiological, risk factors involved in syndrome.A single-center retrospective adult patients undergoing lumbar fusion procedures between January 2014 December 2018 was performed. Clinical, data were collected....
BACKGROUND: In surgery, the learning process represents one of critical topics in development a young surgeon where there is often no standardized program. The curve defined by plotting proficiency as function time, or number repetitions. this study, we analyzed for rare and surgically demanding pathology such thoracic disc herniations (TDHs) treated with an antero-lateral trans-thoracic approach.METHODS: We consecutive series patients admitted diagnosis TDHs. All underwent surgery using...