Publications by authors named "G Di Biase"

Objective: We assessed the accuracy of pedicle screws placed during awake minimally invasive surgery (MIS) transforaminal lumbar interbody fusion (TLIF) under spinal anesthesia and analyzed outcomes at the 1-year follow-up.

Methods: We included patients who underwent awake MIS-TLIF under spinal anesthesia at an academic center from February 2020 to February 2022. The Gertzbein-Robbins classification was used for screw accuracy rating.

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Article Synopsis
  • Awake minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is a safe and effective technique that reduces tissue damage and costs for patients undergoing single-level spine surgery.
  • A study reviewed cases from 2020 to 2023, finding that 16 patients, primarily older adults with common comorbidities, successfully underwent multilevel MIS-TLIF procedures with manageable complications and no new neurological deficits.
  • The results suggest that despite the complexity of multilevel surgeries, this approach yields positive outcomes, including a short hospital stay and effective pain management, making it viable even for challenging cases.
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Objective: We describe a novel yet simple training exercise for residents who are being introduced to endoscopic spine surgery.

Methods: Prior to residents training on the endoscopic interlaminar approach, the course faculty performed an endoscopic transforaminal approach and inserted a small piece of a surgical glove into the ventral epidural space of a cadaveric torso. The transforaminal approach did not alter the anatomy of the interlaminar approach, so the residents were able to practice as if it were a de novo situation.

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In gastrointestinal (GI) diseases, lipopolysaccharide (LPS) exacerbates gut-barrier dysfunction and inflammation. Cinnamoyl derivatives show potential in mitigating LPS-induced inflammation. We assessed intestinal epithelial barrier function using -epithelial electrical resistance values and measured inflammatory mediators through real-time PCR and ELISA in Caco-2 cells.

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