Publications by authors named "Aldo Sinigaglia"

Article Synopsis
  • The eXtreme Lateral Interbody Fusion (XLIF) approach has become more prominent in spinal surgery, and this study examines the occurrence of major complications linked to it.
  • Nine Italian surgeons were surveyed about their experiences with complications in XLIF procedures, which were classified as major if they required reoperation or resulted in long-term functional limitations for patients.
  • The findings revealed a low major complication rate of 0.7722%, with no significant correlation between the surgeons' experience and complication rates, indicating that XLIF is a safe procedure when conducted by skilled surgeons.
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Introduction: Adult deformity combined with sagittal malalignment is a pathology that decreases patient's quality of life and that requires surgical correction to achieve clinical improvement. Spine osteotomies are usually performed to restore alignment of the spine, even if these techniques are associated with high intraoperative risks, revision rates and relevant mortality rates. Anterior column realignment (ACR) is a new technique that allows large corrections through a minimally invasive lateral approach to the spine after release of the anterior longitudinal ligament.

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Purpose: To present in a single source the relevant information needed to assess spinopelvic balance and alignment, and to estimate the amount of correction needed in a patient during surgical treatment.

Methods: Narrative literature review

Results: Sagittal balance can be evaluated by global balance estimates (sagittal vertical axis and T1 tilt). Other important parameters are the relationship between pelvic incidence and lumbar lordosis (spinopelvic harmony), between pelvic incidence and difference of thoracic kyphosis and lumbar lordosis (spinopelvic balance), excess of pelvic tilt, knee flexion and thoracic compensatory hypokyphosis.

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