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34 results on '"Traversari, Matteo"'

2. A reduction in tumor volume exceeding 65% predicts a good histological response to neoadjuvant chemotherapy in patients with Ewing sarcoma

Author

Aso, Ayano, Aiba, Hisaki, Traversari, Matteo, Righi, Alberto, Gambarotti, Marco, Atherley O’Meally, Ahmed, Solou, Konstantina, Cammelli, Silvia, Bordini, Barbara, Cosentino, Monica, Zuccheri, Federica, Dozza, Barbara, Frega, Giorgio, Ibrahim, Toni, Manfrini, Marco, Donati, Davide Maria, and Errani, Costantino

Published
2024
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14. Similar Short-Term Outcomes of Adolescent Idiopathic Scoliosis Surgery with or without Drainage: A Systematic Review of the Literature and Meta-Analysis

Author

Ruffilli, Alberto, primary, Traversari, Matteo, additional, Viroli, Giovanni, additional, Manzetti, Marco, additional, Ialuna, Marco, additional, Morandi Guaitoli, Manuele, additional, Mazzotti, Antonio, additional, Artioli, Elena, additional, Zielli, Simone Ottavio, additional, Arceri, Alberto, additional, and Faldini, Cesare, additional

Published
2024
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15. Frailty Influence on Postoperative Surgical Site Infections After Surgery for Degenerative Spine Disease and Adult Spine Deformity. Can a Frailty Index be a Valuable Summary Risk Indicator? A Systematic Review and Metanalysis of the Current Literature

Author

Manzetti, Marco, primary, Ruffilli, Alberto, additional, Viroli, Giovanni, additional, Traversari, Matteo, additional, Ialuna, Marco, additional, Salamanna, Francesca, additional, Neri, Simona, additional, and Faldini, Cesare, additional

Published
2024
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26. Sarcopenia and osteopenia are independent risk factors for proximal junctional disease after posterior lumbar fusion: Results of a retrospective study

Author

Traversari, Matteo, primary, Ruffilli, Alberto, additional, Barile, Francesca, additional, Cerasoli, Tosca, additional, Manzetti, Marco, additional, Viroli, Giovanni, additional, Ialuna, Marco, additional, Salamanna, Francesca, additional, Mazzotti, Antonio, additional, Fini, Milena, additional, and Faldini, Cesare, additional

Published
2023
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31. Sarcopenia and osteopenia are independent risk factors for proximal junctional disease after posterior lumbar fusion: Results of a retrospective study.

Author

Ruffilli, Alberto, Barile, Francesca, Cerasoli, Tosca, Manzetti, Marco, Viroli, Giovanni, Ialuna, Marco, Traversari, Matteo, Salamanna, Francesca, Mazzotti, Antonio, Fini, Milena, and Faldini, Cesare

Subjects
SPINAL fusion, REOPERATION, SARCOPENIA, OSTEOPENIA, DISEASE risk factors, MAGNETIC resonance imaging, BODY mass index
Abstract

Study Design: This was a retrospective study. Objective: Since a better understanding of modifiable risk factors for proximal junctional disease (PJD) may lead to improved postoperative outcomes and less need of revision surgery, the aim of the present study is to determine whether sarcopenia and osteopenia are independent risk factors for PJD in patients undergoing lumbar fusion. Summary of Background Data: PJD is one of the most frequent complications following posterior instrumented spinal fusion. It is characterized by a spectrum of pathologies ranging from proximal junctional kyphosis (PJK) to proximal junctional failure (PJF). The etiology of PJD is multifactorial and currently not fully understood. Patient-specific factors, such as age, body mass index, osteoporosis, sarcopenia, and the presence of other comorbidities, can represent potential risk factors. Materials and Methods: A retrospective review of patients, aging 50–85 years, who underwent a short (≤3 levels) posterior lumbar fusion for degenerative diseases was performed. Through magnetic resonance imaging (MRI), central sarcopenia and osteopenia were evaluated, measuring the psoas-to-lumbar vertebral index (PLVI) and the M-score. A multivariate analysis was performed to determine the independent risk factors for PJD, PJK, and PJF. Results: A total of 308 patients (mean age at surgery 63.8 ± 6.2 years) were included. Ten patients (3.2%) developed a PJD and all required revision surgery. Multivariate regression identified PLVI (P = 0.02) and M-score (P = 0.04) as independent risk factors for both PJK (P = 0.02 and P = 0.04, respectively) and PJF (P = 0.04 and P = 0.01, respectively). Conclusions: Sarcopenia and osteopenia, as measured by PLVI and M-score, proved to be independent risk factors for PJD in patients who undergo lumbar fusion for degenerative diseases. Clinical Trial Registration: The present study was approved by the Institutional Review Board, CE AVEC 208/2022/OSS/IOR. [ABSTRACT FROM AUTHOR]

Published
2023
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33. Osteopenia and Sarcopenia as Potential Risk Factors for Surgical Site Infection after Posterior Lumbar Fusion: A Retrospective Study

Author

Alberto Ruffilli, Marco Manzetti, Tosca Cerasoli, Francesca Barile, Giovanni Viroli, Matteo Traversari, Francesca Salamanna, Milena Fini, Cesare Faldini, Ruffilli, Alberto, Manzetti, Marco, Cerasoli, Tosca, Barile, Francesca, Viroli, Giovanni, Traversari, Matteo, Salamanna, Francesca, Fini, Milena, and Faldini, Cesare

Subjects
sarcopenia, Microbiology (medical), osteopenia, risk factor, Virology, surgical site infection, lumbar spinal fusion, Microbiology, risk factors
Abstract

Surgical site infection (SSI) is a feared complication in spinal surgery, that leads to lower outcomes and increased healthcare costs. Among its risk factors, sarcopenia and osteopenia have recently attracted particular interest. The purpose of this article is to evaluate the influence of sarcopenia and osteopenia on the postoperative infection rate in patients treated with posterior fusion for degenerative diseases of the lumbar spine. This retrospective study included data from 308 patients. Charts were reviewed and central sarcopenia and osteopenia were evaluated through magnetic resonance images (MRI), measuring the psoas to lumbar vertebral index (PLVI) and the M score. Multivariate linear regression was performed to identify independent risk factors for infection. The postoperative SSI rate was 8.4%. Patients with low PLVI scores were not more likely to experience postoperative SSI (p = 0.68), while low M-score patients were at higher risk of developing SSI (p = 0.04). However, they did not generally show low PLVI values (p = 0.5) and were homogeneously distributed between low and high PLVI (p = 0.6). Multivariate analysis confirmed a low M score to be an independent risk factor for SSI (p = 0.01). Our results suggest that osteopenia could have significant impact on spinal surgery, and prospective studies are needed to better investigate its role.

Published
2022

34. Comparison Between Resident and Attending Surgeons as Assistants on Adolescent Idiopathic Scoliosis Surgery: No Differences in Outcomes, Complications Rate, or Pedicle Screw Placement Accuracy.

Author

Barile F, Ruffilli A, Cerasoli T, Manzetti M, Viroli G, Traversari M, Mazzotti A, and Faldini C

Abstract

Study Design: Retrospective cohort study., Objective: The aim of the present study was to determine if the level of training of the first assistant (resident or attending surgeon) has an influence on the radiographic outcome of AIS surgery and on the accuracy rate of the pedicle screws placement., Summary of Background Data: Adolescent idiopathic scoliosis (AIS) surgery is a challenging procedure that requires a dedicated team of skilled professionals. Therefore, understanding the learning curve is of outstanding importance to guarantee the best outcomes and the highest safety to the patients., Methods: A retrospective analysis of patients who underwent surgery for AIS with a minimum follow-up of 2 years was conducted. All patients were operated by an experienced spine surgeon, assisted by and attending surgeon (group A) or a senior resident (group B). Radiographic outcomes were assessed. Through postoperative CT scan, accuracy of pedicle screw placement was measured (using Gertzbein-Robbins classification). Groups were then statistically compared., Results: A total of 120 patients were included (mean age 15.3±3.39 y, major curve Cobb 60.7±11.9 degrees). No difference was found between groups in terms of preoperative characteristics and postoperative radiographic (correction rate, thoracic kyphosis, screw density) outcomes or complications. Operative time and estimated blood loss were significantly higher in Group B (P=0.045 and P=0.024, respectively). Of the 2746 pedicle screws inserted (1319 group A and 1427 group B), 2452 had a perfect intrapedicular trajectory (absolute accuracy of 89.29%) and 2697 had a breach <2 mm (relative accuracy of 97.56%). No difference was found among groups in terms of absolute or relative accuracy (P=0.06 and P=0.23, respectively)., Conclusions: AIS cases assisted by senior residents have longer operative time and higher blood loss, but this does not negatively affect the overall radiographic outcome and does not place the patient at increased risk of complications., Level of Evidence: III., Competing Interests: The authors declare no conflict of interest., (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)

Published
2024
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