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severe kyphoscoliosis adult

I recently made a severe kyphoscoliosis in an adult Pazin.
vertebral deformities of the adult and the elderly are becoming more frequent deal by increasing the average age of life.
It is very debilitating diseases that affect the very lives of people who often are forced to live with intense back pains and difficulty moving.
No less important, especially for women, is the psychological impact that the deformity may have led to too much influence social relationships and social life of people.
From a surgical point of view it is very long and very hard work, which includes the risk, albeit low, serious complications. All
well intervention and as soon as I can and I will make true the result.

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.. out the window at the snow storm .. the warmth and we have prepared the first Christmas tree "aware" with Sofia ... will come a bit 'flashy style than the average of the trees that I like (mono / possibly silver / white lights .. you', I know, they are boring) .. the lights are c or the or r to t i s s the m and but of two different types and make a mess .. there is a spot of about 30cm square shaft to the will of Sofia is able to contain at least 15 red balls .... but we had a world and 'the tree that gave me more' joy of my life (on a par with that of my 3 years)! .. grandparents live on Skype Tuscany followed by work ...

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Management of Osteoporotic Fractures VERTEBRAL - 25/27 November 2010

Management of Osteoporotic Fractures VERTEBRAL - 25/27 November 2010
MADRID - Capio Fundación Jiménez Diaz
www.fjd.es
Return now to a refresher course in spinal surgery for the treatment of osteoporotic vertebral fractures. The course, held in Madrid at the Fundacion Jimenez Diaz, was particularly interesting because next to a theoretical part there was also a practical side of surgery on the body.
The subject is particularly topical because the average life of the population increases and thus also increasing the number diseases related to old age.
These vertebral fractures are among the most frequent and debilitating Besides being often very difficult to treat.
The methods currently most useful for the treatment of these fractures are vertebroplasty and kyphoplasty. The spinal fixation instrumentation are always very difficult to use in osteoporotic patients to the risk of failure for loosening of the screws or hooks used to anchor the bone. The technology now comes to us with the ability to use screws that once inserted into the bone can then be cemented. The screws are now cemented a real help and often a salvation for the patient with fracture porotica but they must be used carefully for the risks associated with cementing. A great
course but also a real possibility of confrontation with spine surgeons abroad, in this case English.

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Kyphoplasty L3

Here's the latest Kyphoplasty spine surgery that I did.
is a pathological fracture of L3, in the sense that the fractured vertebral body in the absence of a significant traumatic event. This means that the vertebral bone structure is so weak that they can break spontaneously or minimal physical exertion. In this case the diagnosis was vertebral fracture in osteoporosis, but during the operation of kyphoplasty have also performed a bone biopsy to rule out other possible causes of pathological fracture (such as secondary metal bone). The surgery is performed percutaneously and then with the least invasive as possible for the patient, which can get up the next day without a brace and without pain caused by vertebral fracture.

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cervicobrachialgia right

Today I worked another massive calcified herniated C5-C6 right because of intense and debilitating pain cervicobrachialgia. The calcified disc herniations
unfortunately have no chance to improve with time and are often accompanied by spinal osteophytes and calcification of the posterior longitudinal ligament.
This condition, when highly symptomatic, has little chance of improvement from conservative treatment and therefore it is often necessary pass surgery.
The slab, which I show is the fact that in the control in the operating room before finishing the surgery and is done to check that the plant is positioned correctly. In this case the cage is in the right position at the level C5-C6, where I removed the calcified hernia.
All right.

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CONTROL "severe right thoracic scoliosis"

Here is the post-operative radiographs of severe right thoracic scoliosis that I have presented a few days ago.
Scoliosis is almost clinically canceled and the hump has disappeared due to vertebral rotation.
Modern surgical techniques for the treatment of scoliosis make it possible to obtain excellent correction of the deformity with derotation of the individual vertebrae.
E 'Everything went very well and the patient is very happy.

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Microerniectomia C5-C6

monster you control post-operative x-ray of a patient who I worked last week to calcified herniated disc C5-C6.
cervical disc herniations in the vast majority of cases (almost all) is working to anterior. The surgical access
I used is from the left anterolateral through a transverse incision. Access from the left reduces the risk of injury against the recurrent laryngeal nerve and the transverse skin incision is to be aesthetically advantageous. Arriving at the spinal level
in my opinion is very important to use the microscope that allows for optimum illumination of the field combined with the magnification of the anatomical structures. Removed the intervertebral disc and removed the calcified hernia compressing the spinal cord is necessary to proceed with the reconstruction of the disc space which in this case was made with arthrodesis using PEEK cage. It was not possible to use a prosthetic disc as the presence of calcification of the posterior longitudinal ligament and posterior facet joint osteoarthritis are a contraindication to arthroplasty.

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disabling outcomes fracture of T7-T8

Vertebral fractures can sometimes result in severe painful deformity of the spine.
The case that I present it has been treated about a year ago to stabilize a severe spinal fracture type C (very unstable) the seventh and eighth thoracic vertebra. Despite the surgery immediately, the fracture has healed and has come to create a severe deformity in kyphosis and scoliosis of the thoracic spine with pain and disability for the patient.
The program now is to do surgical instruments to remove the device, correct the spinal deformity by osteotomy and then replace a new instrument for pedicle fixation combined with a more extensive fusion using homologous bone apposition.

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THE thoracolumbar spine fractures - November 13, 2010

Today Aula Magna in Orthopaedic Institute Gaetano Pini, Milan, we organized a conference on the correct clinical diagnosis, radiographic and surgical options for treatment of fractures of the thoracic and lumbar spine.
Among the many illustrious names in spine surgery and Italian, also participated in a famous surgeon foreigner, Dante Marchesi responsible for spinal surgery at the Hospital of Lausanne. Today Prof. Marquis did a lecture on the advent of spinal instrumentation in trauma.
We have stock of the situation through discussion of several case studies on different methods of treatment of vertebral fractures.
A good conference.

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severe right thoracic scoliosis

Yesterday I made a patient with severe right thoracic scoliosis.
The spinal deformity, in aggravation, it was important due to imbalance of the column back injury and began to affect even the respiratory function.
The surgery performed to correct the deformity arthrodesis and stabilization with titanium instrumentation (pedicle screws, hooks and connecting rods) aims to correct but also halt the progression of spinal deformity.
The clinical and radiographic outcome was excellent but we must not forget that this is a more complex surgery, even at the risk of possible serious complications, and for this reason must in my opinion be done only in highly specialized centers in the management of spinal pathologies. As soon as the results will show available rx.

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control rx C6-C7 fracture-dislocation of the left

resign today, the patient operated a few days ago for a fracture-dislocation of C6-C7 left and I show the post-surgical radiographs. After obtaining a reduction of dislocation I performed a diskectomy fusion C6-C7 by using the posizioanmento front of a cage filled with bone plate stabilization, and a synthetic C6-C7.
E 'Everything went very well and the pain cervicobrachialgia has improved considerably.
Now it should work with a vigorous physical therapy to stimulate the recovery, which alas could also be part of the strength and sensitivity to the upper left. The trauma it caused root injury that may be partly irreversible.
I am very confident.

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INVITATION TO CONFERENCE Saturday, November 13, 2010

Hello,

Saturday, November 13, 2010 in the Aula Magna Gaetano Pini Orthopaedic Institute, Milan organize with my Primary Dr. Bernardo Misaggi a conference on the treatment of fractures thoraco-lumbar vertebrae.
This is a day dedicated to the diagnosis and treatment of thoracic and lumbar vertebral fractures during which there will be some introductory papers on various topics and many surgical techniques and clinical cases to discuss. Speakers
different Italian spine surgeons in the early morning and there will be a lecture by a world-renowned spinal surgeon who works at the Hospital of Lausanne, whose name is Dante Marchesi.
I expect many of the appointment.

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Herniated Disc L4-L5 and L5-

Last Thursday I made a left paretic patients with severe sciatica (nerve root damage with a reduction of strength and sensitivity in the lower) from two herniated lumbar disc at L4-L5 and L5-S1 on the left. Despite the clinical objectivity
indicate nell'ernia L4-L5 left most responsible for the symptoms, the final decision according to the surgical patient has been to make both levels.
Intervention was therefore performed microerniectomia L4-L5 and L5-S1 left with the result that the patient no longer has the sciatic pain and has since started to walk independently.
Both levels were very compromised but at L4-L5 nerve root, there was much suffering in the presence of a massive disc herniation, which of course has been removed.

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S1 disc herniation C5-C6 fracture-dislocation

This afternoon I visited a patient with right cervicobrachialgia walls (lack of strength and sensitivity in the limb upper right) caused by a herniated disc C5-C6 lateralized to the right.
The disc herniation is a medical condition that in most cases did not cause apparent (eg trauma), but that is the evolution of a degenerative condition of the intervertebral disc. In this case, for example, there was no apparent cause in the onset of cervicobrachialgia that was sudden and in the absence of trauma or physical exertion.
In this specific case there is also suffering from the neurological device data compression on the nerve root dall'ernia carried out by that foramen (C6).
There is indication in this case to proceed with an intervention and erniectomia for anterior arthrodesis.

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.. left for Sunday .. despite the small already 'out is a bit' Malatina .. and the little that is still in doing so tired her mom ... I trudge.

.. I need a moment of peace to recover ... and do not have it!