Publications by authors named "C Brembilla"
Background: Congenital craniovertebral junction anomalies (CCVJAs) encompass a diverse range of conditions characterized by distorted anatomy and significant variation in the pathways of neurovascular structures. This study aims to assess the safety and feasibility of tailoring posterior fixation for CCVJAs through intraoperative CT-based navigation.
Methods: An in-depth retrospective analysis was conducted on eight patients diagnosed with CCVJAs (excluding Arnold-Chiari malformation).
Article Synopsis
- Congenital cervical spondylolytic spondylolisthesis is a rare disorder affecting the cervical spine, typically requiring surgery only for symptomatic patients who don’t respond to conservative treatments.
- A 34-year-old man with symptoms of bilateral C7 radiculopathy was diagnosed with grade II spondylolisthesis and underwent C6-7 anterior fusion surgery, leading to symptom improvement and initial evidence of bony bridging.
- The study emphasizes that even without obvious instability on radiographs, functional compression of neural structures can occur, and dynamic MRI is useful for assessing spinal issues.
Article Synopsis
- Non-contiguous two-level Anterior Cervical Discectomy and Fusion (ACDF) is a surgical option for treating degenerative cervical myelopathy, focusing on patients with spine and radicular compression at two separated cervical levels.
- A study analyzed 32 patients who underwent this procedure, showing significant improvements in clinical scores and some changes in spinal alignment post-surgery, although one patient experienced worsening symptoms later.
- Overall, the findings suggest that this surgical method is both safe and effective, though there is a small risk of worsening conditions in the non-fused segments.
Introduction: Lumbar spine fixation and fusion is currently performed with intraoperative tools such as intraoperative CT scan integrated to navigation system to provide accurate and safe positioning of the screws. The use of microscopic visualization systems enhances visualization and accuracy during decompression of the spinal canal as well.
Methods: We introduce a novel setting in microsurgical decompression and fusion of lumbar spine using an exoscope with robotized arm (RoboticScope) interfaced with navigation and head mounted displays.
Background: Degenerative cervical myelopathy (DCM) is a leading cause of nontraumatic spinal cord injury. Surgery aims to arrest neurological decline and improve conditions, but controversies surround risks and benefits in elderly patients, outcomes in mild myelopathy, and the risk of adjacent segment disease (ASD).
Methods: Retrospective data of patients who underwent anterior cervical discectomy and fusion for DCM in our hospital were collected.