1
|
Petrone S, Ajello M, Marengo N, Bozzaro M, Pesaresi A, Allevi M, Fiumefreddo A, Denegri F, Cogoni M, Garnero A, Tartara F, Di Perna G, Armocida D, Pesce A, Frati A, Zenga F, Garbossa D, Cofano F. Clinical outcomes, MRI evaluation and predictive factors of indirect decompression with lateral transpsoas approach for lumbar interbody fusion: a multicenter experience. Front Surg 2023; 10:1158836. [PMID: 37077862 PMCID: PMC10106706 DOI: 10.3389/fsurg.2023.1158836] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2023] [Accepted: 03/20/2023] [Indexed: 04/05/2023] Open
Abstract
IntroductionEvaluating the effects of indirect decompression obtained through lateral lumbar interbody fusion (LLIF) by clinical improvements and radiological parameters on MRI scans. Identifying predictors of better decompression and clinical outcome.Materials and methodsFrom 2016 to 2019, patients who underwent single- or double-level indirect decompression LLIF were consecutively reviewed. Radiological signs of indirect decompression were evaluated in preoperative and follow-up MRI studies and were subsequently correlated to clinical data, expressed as axial/radicular pain (VAS back/leg), index of disability (Oswestry Disability Index) and clinical severity of lumbar stenosis (Swiss Spinal Stenosis Questionnaire).Results72 patients were enrolled. The mean follow-up was 24 months. Differences in vertebral canal area (p < 0.001), height of the foramina (p < 0.001), thickness of the yellow ligament (p = 0.001) and anterior height of the interbody space (p = 0.02) were observed. Older age (p = 0.042), presence of spondylolisthesis (p = 0.042), presence of intra-articular facet effusion (p = 0.003) and posterior height of the implanted cage (p = 0.020) positively affected the increase of the canal area. Change in root canal area (p < 0.001), height of the implanted cage (p = 0.020) and younger age (p = 0.035) were predictive factors of root pain relief, while increased vertebral canal area (p = 0.020) and height of the interbody fusion cage (p = 0.023) positively affected the severity of clinical stenosis.ConclusionsLLIF indirect decompression showed both clinical and radiological improvements. Presence and degree of spondylolisthesis, presence of intra-articular facet effusion, age of the patient and height of the cage were predictive factors of major clinical improvements.
Collapse
Affiliation(s)
- Salvatore Petrone
- Spine Surgery Unit, Humanitas Gradenigo Turin, Turin, Italy
- Neurosurgery Unit, University of Turin Department of Neurosciences Rita Levi Montalcini, Turin, Italy
- Correspondence: Salvatore Petrone
| | - Marco Ajello
- Neurosurgery Unit, AOU Città della Salute e della Scienza, Turin, Italy
| | - Nicola Marengo
- Neurosurgery Unit, AOU Città della Salute e della Scienza, Turin, Italy
| | - Marco Bozzaro
- Spine Surgery Unit, Humanitas Gradenigo Turin, Turin, Italy
| | - Alessandro Pesaresi
- Neurosurgery Unit, University of Turin Department of Neurosciences Rita Levi Montalcini, Turin, Italy
| | - Mario Allevi
- Neurosurgery Unit, University of Turin Department of Neurosciences Rita Levi Montalcini, Turin, Italy
| | | | - Federica Denegri
- Neuroradiology Unit, AOU Città della Salute e della Scienza, Turin, Italy
| | - Maurizio Cogoni
- Neuroradiology Unit, AOU Città della Salute e della Scienza, Turin, Italy
| | - Andrea Garnero
- Neuroradiology Unit, AOU Città della Salute e della Scienza, Turin, Italy
| | - Fulvio Tartara
- Spine Surgery Unit, Humanitas Gradenigo Turin, Turin, Italy
| | - Giuseppe Di Perna
- Neurosurgery Unit, University of Turin Department of Neurosciences Rita Levi Montalcini, Turin, Italy
- Spine Surgery Unit, Casa di Cura Città di Bra, Bra, Italy
| | - Daniele Armocida
- Neurosurgery Unit, Department of Human Neuroscience, University Sapienza of Rome, Rome, Italy
| | | | - Alessandro Frati
- Neurosurgery Unit, Department of Human Neuroscience, University Sapienza of Rome, Rome, Italy
| | - Francesco Zenga
- Skull Base and Pituitary Surgery Unit, AOU Città Della Salute e Della Scienza, Turin, Italy
| | - Diego Garbossa
- Neurosurgery Unit, University of Turin Department of Neurosciences Rita Levi Montalcini, Turin, Italy
- Neurosurgery Unit, AOU Città della Salute e della Scienza, Turin, Italy
| | - Fabio Cofano
- Spine Surgery Unit, Humanitas Gradenigo Turin, Turin, Italy
- Neurosurgery Unit, University of Turin Department of Neurosciences Rita Levi Montalcini, Turin, Italy
| |
Collapse
|
2
|
Cofano F, Perna GD, Bongiovanni D, Roscigno V, Baldassarre BM, Petrone S, Tartara F, Garbossa D, Bozzaro M. Obesity and Spine Surgery: A Qualitative Review About Outcomes and Complications. Is It Time for New Perspectives on Future Researches? Global Spine J 2022; 12:1214-1230. [PMID: 34128419 PMCID: PMC9210241 DOI: 10.1177/21925682211022313] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
STUDY DESIGN Literature review. OBJECTIVES An increasing number of obese patients requires operative care for degenerative spinal disorders. The aim of this review is to analyze the available evidence regarding the role of obesity on outcomes after spine surgery. Peri-operative complications and clinical results are evaluated for both cervical and lumbar surgery. Furthermore, the contribution of MIS techniques for lumbar surgery to play a role in reducing risks has been analyzed. METHODS Only articles published in English in the last 10 years were reviewed. Inclusion criteria of the references were based on the scope of this review, according to PRISMA guidelines. Moreover, only paper analyzing obesity-related complications in spine surgery have been selected and thoroughly reviewed. Each article was classified according to its rating of evidence using the Sacket Grading System. RESULTS A total number of 1636 articles were found, but only 130 of them were considered to be relevant after thorough evaluation and according to PRISMA checklist. The majority of the included papers were classified according to the Sacket Grading System as Level 2 (Retrospective Studies). CONCLUSION Evidence suggest that obese patients could benefit from spine surgery and outcomes be satisfactory. A higher rate of peri-operative complications is reported among obese patients, especially in posterior approaches. The use of MIS techniques plays a key role in order to reduce surgical risks. Further studies should evaluate the role of multidisciplinary counseling between spine surgeons, nutritionists and bariatric surgeons, in order to plan proper weight loss before elective spine surgery.
Collapse
Affiliation(s)
- Fabio Cofano
- Spine Surgery Unit, Humanitas Gradenigo Hospital, Turin, Italy,Department of Neuroscience “Rita Levi Montalcini,” Unit of Neurosurgery, University of Turin, Turin, Italy
| | - Giuseppe Di Perna
- Department of Neuroscience “Rita Levi Montalcini,” Unit of Neurosurgery, University of Turin, Turin, Italy
| | - Daria Bongiovanni
- Division of Endocrinology, Andrology and Metabolism, Humanitas Gradenigo Hospital, Turin, Italy
| | - Vittoria Roscigno
- Division of Endocrinology, Andrology and Metabolism, Humanitas Gradenigo Hospital, Turin, Italy
| | - Bianca Maria Baldassarre
- Department of Neuroscience “Rita Levi Montalcini,” Unit of Neurosurgery, University of Turin, Turin, Italy
| | - Salvatore Petrone
- Department of Neuroscience “Rita Levi Montalcini,” Unit of Neurosurgery, University of Turin, Turin, Italy,Salvatore Petrone, Department of Neuroscience “Rita Levi Montalcini,” Unit of Neurosurgery, University of Turin, Via Cherasco 15, Turin 10126, Italy.
| | - Fulvio Tartara
- Spine Surgery Unit, Humanitas Gradenigo Hospital, Turin, Italy
| | - Diego Garbossa
- Department of Neuroscience “Rita Levi Montalcini,” Unit of Neurosurgery, University of Turin, Turin, Italy
| | - Marco Bozzaro
- Spine Surgery Unit, Humanitas Gradenigo Hospital, Turin, Italy
| |
Collapse
|
3
|
Cofano F, Di Perna G, Tartara F, Marengo N, Ajello M, Bozzaro M, Zenga F, Garbossa D. Letter to the Editor Regarding "COVID-19: A Time Like No Other in (the Department of) Neurological Surgery". Should We Broaden Surgical Indications to Preserve the Standard of Care in Spinal Metastases? World Neurosurg 2021; 151:303-304. [PMID: 34243645 PMCID: PMC8256388 DOI: 10.1016/j.wneu.2021.03.154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2021] [Accepted: 03/30/2021] [Indexed: 11/02/2022]
Affiliation(s)
- Fabio Cofano
- Spine Surgery Unit, Humanitas Gradenigo Hospital, Turin, Italy; Department of Neuroscience "Rita Levi Montalcini," Neurosurgery Unit, University of Turin, Turin, Italy.
| | - Giuseppe Di Perna
- Department of Neuroscience "Rita Levi Montalcini," Neurosurgery Unit, University of Turin, Turin, Italy
| | | | - Nicola Marengo
- Department of Neuroscience "Rita Levi Montalcini," Neurosurgery Unit, University of Turin, Turin, Italy
| | - Marco Ajello
- Department of Neuroscience "Rita Levi Montalcini," Neurosurgery Unit, University of Turin, Turin, Italy
| | - Marco Bozzaro
- Spine Surgery Unit, Humanitas Gradenigo Hospital, Turin, Italy
| | - Francesco Zenga
- Department of Neuroscience "Rita Levi Montalcini," Neurosurgery Unit, University of Turin, Turin, Italy
| | - Diego Garbossa
- Department of Neuroscience "Rita Levi Montalcini," Neurosurgery Unit, University of Turin, Turin, Italy
| |
Collapse
|
4
|
Cofano F, Di Perna G, Bozzaro M, Longo A, Marengo N, Zenga F, Zullo N, Cavalieri M, Damiani L, Boges DJ, Agus M, Garbossa D, Calì C. Augmented Reality in Medical Practice: From Spine Surgery to Remote Assistance. Front Surg 2021; 8:657901. [PMID: 33859995 PMCID: PMC8042331 DOI: 10.3389/fsurg.2021.657901] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2021] [Accepted: 03/08/2021] [Indexed: 11/19/2022] Open
Abstract
Background: While performing surgeries in the OR, surgeons and assistants often need to access several information regarding surgical planning and/or procedures related to the surgery itself, or the accessory equipment to perform certain operations. The accessibility of this information often relies on the physical presence of technical and medical specialists in the OR, which is increasingly difficult due to the number of limitations imposed by the COVID emergency to avoid overcrowded environments or external personnel. Here, we analyze several scenarios where we equipped OR personnel with augmented reality (AR) glasses, allowing a remote specialist to guide OR operations through voice and ad-hoc visuals, superimposed to the field of view of the operator wearing them. Methods: This study is a preliminary case series of prospective collected data about the use of AR-assistance in spine surgery from January to July 2020. The technology has been used on a cohort of 12 patients affected by degenerative lumbar spine disease with lumbar sciatica co-morbidities. Surgeons and OR specialists were equipped with AR devices, customized with P2P videoconference commercial apps, or customized holographic apps. The devices were tested during surgeries for lumbar arthrodesis in a multicenter experience involving author's Institutions. Findings: A total number of 12 lumbar arthrodesis have been performed while using the described AR technology, with application spanning from telementoring (3), teaching (2), surgical planning superimposition and interaction with the hologram using a custom application for Microsoft hololens (1). Surgeons wearing the AR goggles reported a positive feedback as for the ergonomy, wearability and comfort during the procedure; being able to visualize a 3D reconstruction during surgery was perceived as a straightforward benefit, allowing to speed-up procedures, thus limiting post-operational complications. The possibility of remotely interacting with a specialist on the glasses was a potent added value during COVID emergency, due to limited access of non-resident personnel in the OR. Interpretation: By allowing surgeons to overlay digital medical content on actual surroundings, augmented reality surgery can be exploited easily in multiple scenarios by adapting commercially available or custom-made apps to several use cases. The possibility to observe directly the operatory theater through the eyes of the surgeon might be a game-changer, giving the chance to unexperienced surgeons to be virtually at the site of the operation, or allowing a remote experienced operator to guide wisely the unexperienced surgeon during a procedure.
Collapse
Affiliation(s)
- Fabio Cofano
- Neurosurgery Unit, Department of Neuroscience "Rita Levi Montalcini," University of Torino, Turin, Italy.,Spine Surgery Unit, Humanitas Gradenigo, Turin, Italy
| | - Giuseppe Di Perna
- Neurosurgery Unit, Department of Neuroscience "Rita Levi Montalcini," University of Torino, Turin, Italy
| | - Marco Bozzaro
- Spine Surgery Unit, Humanitas Gradenigo, Turin, Italy
| | | | - Nicola Marengo
- Neurosurgery Unit, Department of Neuroscience "Rita Levi Montalcini," University of Torino, Turin, Italy
| | - Francesco Zenga
- Neurosurgery Unit, Department of Neuroscience "Rita Levi Montalcini," University of Torino, Turin, Italy
| | - Nicola Zullo
- Spine Surgery Unit, Casa di Cura Città di Bra, Bra, Italy
| | | | - Luca Damiani
- Intravides SRL, Palazzo degli Istituti Anatomici, Turin, Italy.,LD Consulting, Chiavari, Italy
| | - Daniya J Boges
- Intravides SRL, Palazzo degli Istituti Anatomici, Turin, Italy.,BESE Division, King Abdullah University of Science and Technology, Thuwal, Saudi Arabia
| | - Marco Agus
- College of Science and Engineering, Hamad Bin Khalifa University, Doha, Qatar
| | - Diego Garbossa
- Neurosurgery Unit, Department of Neuroscience "Rita Levi Montalcini," University of Torino, Turin, Italy
| | - Corrado Calì
- Neuroscience Institute Cavalieri Ottolenghi, Orbassano, Italy.,Department of Neuroscience "Rita Levi Montalcini," University of Torino, Turin, Italy
| |
Collapse
|
5
|
Gautschi OP, Garbossa D, Tessitore E, Langella F, Pecoraro MF, Marengo N, Bozzaro M, Beckman J, Berjano P. Maximal access surgery for posterior lumbar interbody fusion with divergent, cortical bone trajectory pedicle screws: a good option to minimize spine access and maximize the field for nerve decompression. J Neurosurg Sci 2015; 61:335-341. [PMID: 26082380 DOI: 10.23736/s0390-5616.16.03230-6] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND First advocated by Santoni et al. in 2009, the cortical bone trajectory pedicle screw technique is an alternative to the traditional, convergent technique that shows comparable biomechanical features and potentially requires less aggressive tissue retraction. Aim of this therapy note is to describe this new technique focusing on main advantages and limitations. METHODS The authors provide a detailed description of the surgically relevant anatomy focusing on the positioning of the cortical trajectory screws. The surgical technique is then described in a precise step-by-step manner, stressing complication avoidance. RESULTS The maximal access surgery posterior lumbar interbody fusion approach is a safe, reproducible procedure allowing for a traditional lumbar spine approach with the benefits of minimal facet joint manipulation and potentially preserving part of their neural innervation and a large part of the paraspinous musculature. CONCLUSIONS A dedicated self-retaining retractor and directional neuromonitoring may guide surgeons during the procedure. Nevertheless, the surgeon's knowledge of anatomical landmarks, response to visual and tactile cues and intraoperative decision-making skills remain of paramount importance.
Collapse
Affiliation(s)
- Oliver P Gautschi
- Service of Neurosurgery, Department of Clinical Neurosciences, Faculty of Medicine, University Hospital of Geneva, Geneva, Switzerland
| | - Diego Garbossa
- Division of Neurosurgery, Department of Neurosciences and Mental Health, University of Turin, Turin, Italy
| | - Enrico Tessitore
- Service of Neurosurgery, Department of Clinical Neurosciences, Faculty of Medicine, University Hospital of Geneva, Geneva, Switzerland
| | - Francesco Langella
- Division of Orthopedics, Faculty of Medicine and Surgery, Second University of Naples, Naples, Italy
| | - Michele F Pecoraro
- Division of Neurosurgery, Department of Neurosciences and Mental Health, University of Turin, Turin, Italy
| | - Nicola Marengo
- Division of Neurosurgery, Department of Neurosciences and Mental Health, University of Turin, Turin, Italy -
| | - Marco Bozzaro
- Division of Neurosurgery, Department of Neurosciences and Mental Health, University of Turin, Turin, Italy
| | - Joshua Beckman
- Department of Neurosurgery and Brain Repair, Morsani College of Medicine, University of South Florida, Tampa, FL, USA
| | - Pedro Berjano
- IV Spine Surgery Division, Galeazzi Orthopedic Institute for Scientific Research, Milan, Italy
| |
Collapse
|
6
|
Crobeddu E, Garbossa D, Pilloni G, Bozzaro M, Berjano P, Gontero P, Fiorito C, Panciani PP, Spena G, Zenga F, Tartara F, Fontanella M, Ducati A. Management of vascular and ureteral complications after lumbar discectomy. J Neurosurg Sci 2014; 58:107-112. [PMID: 25371959] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
|
7
|
Bozzaro M, Tartara F, Ajello M, Fiumefreddo A, Marengo N, Pecoraro F, Garbossa D, Zenga F, Ducati A. Surgical challenges of fixed spine: how to restore a fixed imbalance? J Neurosurg Sci 2014; 58:97-100. [PMID: 25371957] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
|
8
|
Ajello M, Garbossa D, Fiumefreddo A, Marengo N, Bozzaro M, Tartara F, Zenga F, Pilloni G, Panciani PP, Spena G, Berjano P, Fontanella M, Ducati A. Do stand alone cervical interbody spacers pose any advantage over plate and screws? J Neurosurg Sci 2014; 58:49-53. [PMID: 25371949] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
|
9
|
Tardivo V, Crobeddu E, Pilloni G, Fontanella M, Spena G, Panciani PP, Berjano P, Ajello M, Bozzaro M, Agnoletti A, Altieri R, Fiumefreddo A, Zenga F, Ducati A, Garbossa D. Say "no" to spinal cord injury: is nitric oxide an option for therapeutic strategies? Int J Neurosci 2014; 125:81-90. [PMID: 24697508 DOI: 10.3109/00207454.2014.908877] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
PURPOSE a literature review was made to investigate the role of nitric oxide (NO) in spinal cord injury, a pathological condition that leads to motor, sensory, and autonomic deficit. Besides, we were interested in potential therapeutic strategies interfering with NO mechanism of secondary damage. MATERIALS A literature search using PubMed Medline database has been performed. RESULTS excessive NO production after spinal cord injury promotes oxidative damage perpetuating the injury causing neuronal loss at the injured site and in the surrounding area. CONCLUSION different therapeutic approaches for contrasting or avoiding NO secondary damage have been studied, these include nitric oxide synthase inhibitors, compounds that interfere with inducible NO synthase expression, and molecules working as antioxidant. Further studies are needed to explain the neuroprotective or cytotoxic role of the different isoforms of NO synthase and the other mediators that take part or influence the NO cascade. In this way, it would be possible to find new therapeutic targets and furthermore to extend the experimentation to humans.
Collapse
Affiliation(s)
- Valentina Tardivo
- 1Division of Neurosurgery, Department of Neuroscience, University of Torino , Torino , Italy
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
10
|
Altieri R, Agnoletti A, Quattrucci F, Garbossa D, Calamo Specchia FM, Bozzaro M, Fornaro R, Mencarani C, Lanotte M, Spaziante R, Ducati A. Molecular biology of gliomas: present and future challenges. Transl Med UniSa 2014; 10:29-37. [PMID: 25147764 PMCID: PMC4140427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Malignant brain tumours are one of the most relevant causes of morbidity and mortality across a wide range of individuals. Malignant glioma is the most common intra axial tumor in the adult. Many researches on this theme brought advances in the knowledge of gliomas biology and pathogenesis and to the development of new agents for targeted molecular therapy. Recent studies focused on either tumor metabolism analysis or epigenetic regulation in the pathogenesis or maintenance of brain tumors. This Review summarizes these developments analyzing molecular pathology and possible further developments for targeted therapies.
Collapse
Affiliation(s)
- R. Altieri
- Department of Neurosurgery, University of Turin,()
| | | | | | - D. Garbossa
- Department of Neurosurgery, University of Turin
| | | | - M. Bozzaro
- Department of Neurosurgery, University of Turin
| | - R. Fornaro
- Department of Neurosurgery, University of Turin
| | | | - M. Lanotte
- Department of Neurosurgery, University of Turin
| | | | - A. Ducati
- Department of Neurosurgery, University of Turin
| |
Collapse
|