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167 results on '"Viroli, Giovanni"'

11. Multilevel non-contiguous thoracic pedicle subtraction osteotomy for fixed rounded hyperkyphotic deformity of the thoraco-lumbar junction with anterior bony fusion: technical note

Author

Faldini Cesare, Barile Francesca, Viroli Giovanni, Manzetti Marco, Geraci Giuseppe, and Ruffilli Alberto

Subjects
Kyphosis, Thoracolumbar junction, Pedicle substraction osteotomy, Sagittal imbalance, Orthopedic surgery, RD701-811
Abstract

Abstract Background Fixed severe hyperkyphotic deformities spread over more than five vertebral levels represent a therapeutic challenge, especially when the deformity apex is located at the thoraco-lumbar junction, thus requiring a huge amount of correction. The aim of this article is to describe an innovative all-posterior corrective technique based on multilevel non-contiguous thoracic pedicle subtraction ostoeotomy (PSO). Materials and methods A retrospective review of three patients with fixed severe thoracic hyperkyphosis (a deformity angle of over 70°) with a thoraco-lumbar apex (between T11 and L1) treated by simultaneous two-level thoracic PSO and thoraco-lumbar posterior fusion was performed. Radiographic and clinical records were evaluated pre-operatively, post-operatively and at last follow-up (after a minimum of 2 years). Each variable was presented as mean ± SD (standard deviation). Statistical analyses were performed using paired t-tests (P value

Published
2022
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19. Simultaneous Selective Thoracic Fusion of Lenke-1C Scoliosis and Reduction of Symptomatic Spondylolisthesis: A Case Report

Author

Ruffilli Alberto, Fiore Michele, Barile Francesca, Pasini Stefano, Viroli Giovanni, Manzetti Marco, and Faldini Cesare

Subjects
lenke-1c scoliosis, spondylolisthesis, spine deformity, selective thoracic vertebral arthrodesis, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571, Diseases of the musculoskeletal system, RC925-935
Abstract

The combined treatment of unrelated Lenke-1C curves and spondylolisthesis represents a challenge: The two arthrodesis areas must achieve corrections while preserving mobility as much as possible. We reported a case of 20-year-old girl with Lenke-1C scoliosis and Meyerding grade-2 symptomatic L5-S1 isthmic spondylolisthesis. She was treated with one-stage correction with T3-T12 posterior selective thoracic fusion (STF) associated to reduction and fusion of the spondylolisthesis. Pre-op Cobb angle of the main thoracic (MT) curve was 62°. The non-structural lumbar (L) curve was 52°. Coronal imbalance was 39 mm. 1-month post-op X-ray showed a reduction of MT-curve to 32° and L-curve to 24°. The coronal imbalance was 13 mm. A satisfactory sagittal alignment and olisthesis reduction were achieved. At 24-months follow-up, L-curve increased to 30°. Coronal imbalance was 24 mm. Loss of correction appeared stable at 36-months final follow-up. Although the evidence cautiously suggests STF to treat also Lenke-1C scoliosis, this case confirmed that the risk of worsening coronal decompensation exists, and it is possibly increased by a distal lumbar arthrodesis to treat spondylolisthesis. However, we believe that STF is justified as worsening L-curve does not balance the possibility of preserving motility of the lumbar tract, also because the need for revision is an uncommon event.

Published
2021
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22. 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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23. 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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29. Complications after Posterior Lumbar Fusion for Degenerative Disc Disease: Sarcopenia and Osteopenia as Independent Risk Factors for Infection and Proximal Junctional Disease

Author

Ruffilli, Alberto, primary, Manzetti, Marco, additional, Barile, Francesca, additional, Ialuna, Marco, additional, Cerasoli, Tosca, additional, Viroli, Giovanni, additional, Salamanna, Francesca, additional, Contartese, Deyanira, additional, Giavaresi, Gianluca, additional, and Faldini, Cesare, additional

Published
2023
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33. 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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34. Allogenic bone grafts and postoperative surgical site infection: are positive intraoperative swab cultures predictive for a higher infectious risk?

Author

Ruffilli, Alberto, primary, Barile, Francesca, additional, Fiore, Michele, additional, Manzetti, Marco, additional, Viroli, Giovanni, additional, Mazzotti, Antonio, additional, Govoni, Marco, additional, De Franceschi, Lucia, additional, Dallari, Dante, additional, and Faldini, Cesare, additional

Published
2022
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35. 5.5-mm Cobalt-Chrome vs 6-mm Titanium Alloy Rods in Surgical Treatment of Lenke 1 Adolescent Idiopathic Scoliosis With High-Density Pedicle Screws and Direct Vertebral Rotation on Differently Shaped Rods: A Retrospective Comparative Cohort Study

Author

Ruffilli, Alberto, primary, Fiore, Michele, additional, Viroli, Giovanni, additional, Barile, Francesca, additional, Manzetti, Marco, additional, Martikos, Konstantinos, additional, Greggi, Tiziana, additional, and Faldini, Cesare, additional

Published
2022
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37. Simultaneous Selective Thoracic Fusion of Lenke-1C Scoliosis and Reduction of Symptomatic Spondylolisthesis: A Case Report

Author

Barile Francesca, Fiore Michele, Viroli Giovanni, Pasini Stefano, Ruffilli Alberto, Manzetti Marco, and Faldini Cesare

Subjects
medicine.medical_specialty, business.industry, medicine.medical_treatment, Spine deformity, medicine, Scoliosis, medicine.disease, business, Reduction (orthopedic surgery), Spondylolisthesis, Surgery
Published
2021
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46. 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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49. Return to sport after posterior spinal fusion for adolescent idiopathic scoliosis: what variables actually have an influence? A retrospective study

Author

Alberto Ruffilli, Francesca Barile, Giovanni Viroli, Marco Manzetti, Matteo Traversari, Marco Ialuna, Bartlomiej Dobromir Bulzacki Bogucki, Cesare Faldini, Ruffilli, Alberto, Barile, Francesca, Viroli, Giovanni, Manzetti, Marco, Traversari, Matteo, Ialuna, Marco, Bulzacki Bogucki, Bartlomiej Dobromir, and Faldini, Cesare

Subjects
Posterior spinal fusion, Lumbar Vertebrae, Adolescent, Thoracic Vertebrae, Follow-Up Studie, Return to Sport, Spinal Fusion, Treatment Outcome, Scoliosis, Adolescent idiopathic scoliosi, Retrospective Studie, Humans, Orthopedics and Sports Medicine, Scoliosi, Kyphosis, Sport, Human, Retrospective Studies, Follow-Up Studies
Abstract

Purpose To retrospectively evaluate a cohort of athletically active patients who underwent surgery for adolescent idiopathic scoliosis (AIS), and to determine which clinical, surgical and anthropometric variables influenced their return to sport after surgery. Methods 112 adolescents who underwent high-density posterior fusion for AIS by a single surgeon were analyzed for clinical, surgical and demographic predictors of return to presurgical physical activity levels. Data were retrospectively collected by charts and X-rays analysis and patients interviews. Results Preoperative main curve Cobb was 64.4 ± 14.12° and obtained correction was 70.0 ± 12.5%. Included patients played many different sports (Table 4), most of all ballet (44/112, 39.2%), swimming (40/112, 35.7%) and gymnastics (32/112, 28.6%). At an average of 50.3 months follow-up, 76 (67.8%) patients returned to sports (RTS) at an equal or higher level than preoperatively. Younger age, lower Lenke curve type and lower main curve Cobb were significantly associated with RTS. As for RTS timing, patients who returned within the first 6 months were younger, with a higher Lenke and a less severe main curve, a more distal UIV and a more proximal LIV. No complications related to RTS were registered. Conclusion In conclusion, patients with adolescent idiopathic scoliosis safely returned to physical activity after surgery. Younger age, higher Lenke type and lower main curve severity predicted a quicker return to sport. However, prospective studies are needed to confirm these findings.

Published
2022
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50. One stage correction via the Hi-PoAD technique for the management of severe, stiff, adolescent idiopathic scoliosis curves > 90°

Author

Cesare Faldini, Giovanni Viroli, Francesca Barile, Marco Manzetti, Marco Ialuna, Matteo Traversari, Fabio Vita, Alberto Ruffilli, Faldini, Cesare, Viroli, Giovanni, Barile, Francesca, Manzetti, Marco, Ialuna, Marco, Traversari, Matteo, Vita, Fabio, and Ruffilli, Alberto

Subjects
Scoliosis, Orthopedics and Sports Medicine, Idiopathic adolescent scoliosi, Pedicle screw accuracy, Pre-operative CT, Pedicle screw malpositioning
Abstract

Study design Retrospective cohort study. Purpose to assess the efficacy and safety of Hi-PoAD technique in patients with a major thoracic curve > 90°, Methods retrospective review of AIS patients with a major thoracic curve (Lenke 1–2–3) > 90°, with Results 19 patients were enrolled. A 65.0% correction rate of the main curve was achieved, from 101.9° to 35.7° (p p = 0.013). Trunk Height increased from 31.1 to 37.0 cm (p p = 0.017). SRS-22 increased in all patients, from 2.1 to 3.9 at 1 year of follow-up (p 25; conversely, among patients who had a one-stage procedure, only 1 (6.2%) had a T-DAR > 25 (p = 0.008). Conclusions The Hi-PoAD technique proved to be a valid alternative for the treatment of severe, rigid AIS involving more than 5 vertebral bodies. Study design Retrospective comparative cohort study. Level of evidence III.

Published
2023
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