Publications by authors named "G B Evangelisti"

: Surgery for adolescent idiopathic deformities is often aimed at improving aesthetic appearance, striving for the best possible correction. However, severe and rigid scoliotic curves not only present aesthetic issues but can also compromise cardiopulmonary health and cause early neurological impairment due to spinal cord compression, posing significant risks of morbidity and mortality if untreated. Conservative treatments are ineffective for severe curves, defined by scoliotic angles over 70° and flexibility below 30% on lateral bending X-rays.

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Background/context: The assessment of disc degeneration remains a significant challenge in clinical research. Pfirrmann grade is a frequently used classification for lumbar disc degeneration on MRI. However, there has been no gold standard for cervical spine disc degeneration.

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Study Design: Retrospective analysis.

Objective: The aim of this study is to evaluate the functional outcomes and the health-related quality of life (HRQOL) in patients undergoing en bloc resection of spinal tumor.

Summary Of Background Data: En bloc resection in the spine is a surgical procedure designed to completely remove a tumor in one piece, with wide margins preserved, in order to reduce the risk of local recurrences.

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Background: Lumbar interbody fusion is a well-established surgical technique for treating various lumbar degenerative pathologies. Expandable cages have been introduced to allow for insertion via the confined access and to improve disc height restoration, although concerns about the stability of the screw-based cages in the expanded state remain a concern. This study aims to evaluate the short-term clinical and radiographic outcomes of a novel nonscrew-based expandable transforaminal lumbar interbody fusion cage.

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Article Synopsis
  • The study analyzed untreated osteoporosis prevalence in patients undergoing lumbar spinal fusion surgery and its effects on bone health.
  • A total of 445 patients participated; 31% had osteoporosis, with about 48% of them untreated, mostly due to being male.
  • Untreated osteoporosis was linked to lower bone mineral density and higher bone turnover markers, highlighting the need for better preoperative screening and treatment strategies.
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