Publications by authors named "Paolo Mangione"
Background: Robotic spinal surgery may result in better pedicle screw placement accuracy, and reduction in radiation exposure and length of stay, compared to freehand surgery. The purpose of this randomized controlled trial (RCT) is to compare screw placement accuracy of robot-assisted surgery with integrated 3D computer-assisted navigation versus freehand surgery with 2D fluoroscopy for arthrodesis of the thoraco-lumbar spine.
Methods: This is a single-centre evaluator-blinded RCT with a 1:1 allocation ratio.
Article Synopsis
- - Fournier's gangrene (FG) is a serious bacterial infection affecting the genital area, primarily seen in men aged 60 and older, particularly those with conditions like diabetes and bowel diseases, with about 1.6 new cases per 100,000 each year.
- - In a presented case, a 60-year-old man with diabetes and an ileostomy experienced severe symptoms of FG, requiring immediate antibiotic treatment and surgical intervention, leading to a lengthy recovery process that lasted 60 days.
- - FG carries a significant mortality risk, up to 30%, but treatments such as hyperbaric oxygen therapy may enhance healing and recovery in affected patients.
The authors determined current health status of patients who had been included in a long-term survivorship analysis of a lumbar dynamic stabilizer. Among 133 living patients, 107 (average age at surgery, 44.2 +/- 9.
View Article and Find Full Text PDFIn 1986, an interspinous dynamic stabilization system (the prototype of the current Wallis implant) was designed to stiffen unstable operated degenerate lumbar segments with a hard interspinous blocker to limit extension and a tension band around the spinous processes to secure the implant and limit flexion. Restoring physiological mechanical conditions to the treated level(s) while preserving some intervertebral mobility was intended to treat low-back pain related to degenerative instability without increasing stress forces in the adjacent segments. The procedure was easily reversible.
View Article and Find Full Text PDFThe authors retrospectively reviewed a series of 18 hard thoracic herniated discs (HTHD) operated by thoracoscopy. Isolated cases of HTHD have been reported in the literature, but no series describing these lesions has been published. Seventy-two percent of the herniated discs were situated between T8 and T12.
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