NEW AND INNOVATIVE DIAGNOSTIC-SURGICAL PROTOCOL FOR THE OCCULT TETHERED CORD

NEW AND INNOVATIVE DIAGNOSTIC-SURGICAL PROTOCOL FOR THE OCCULT TETHERED CORD - Vanni VERONESI MD

 

Fields of Expertise in

NEUROSURGERY: 

 

VERTEBRO-MEDULLARY SURGERY

 

PERIPHERAL NERVOUS SYSTEM SURGERY

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UNIVERSITY OF MILAN, ACADEMIC YEAR 2015/2016

DOCTORAL THESIS: SECTION OF EXTRADURAL FILUM TERMINALE FOR OCCULT TETHERED CORD SYNDROME BY TRANSHIATAL APPROACH IN LOCAL ANESTHESIA WITH MICROSURGICAL TECHNIQUE

 

The data of our INNOVATIVE DIAGNOSTIC AND SURGICAL PROTOCOL, by diagnosing with prone lumbar MRI and surgery with minimally invasive transhiatal approach for the section of the extradural filum terminale with microsurgical technique under local anesthesia, were the subject of the doctoral thesis at the University of Milan.

The patients were divided into two groups, one with a diagnosis of occult tethered cord in Chiari Malformation I or with LLCT (descent of the tonsils from 1 to 4 mm so as not to configure the presence of Chiari Malformation I) and a group with the diagnosis occult tethered cord is not associated with other diseases of the nervous system.

We evaluated the various types of pre and postoperative symptoms and the indices obtained from MRI lumbar prone. There were no complications. Patients a few hours after they were free to ambulate and were discharged the day after surgery.

To give the overall figure, without going into details of the almost sixty pages of the thesis, we report the assessment of global health situation perceived by the patient after surgery, considering the impact on daily activities and then on quality of life in general, at the follow-up visit at six months was reported improvement in 87% of patients.

FOREIGN PATIENT: SURGICALLY SECTION FILUM TERMINALE

FOREIGN PATIENT: WITNESS 12 MONTHS AFTER SURGERY OF EXTRADURAL FILUM TERMINALE SECTION IN LOCAL ANESTHESIA.

FOREIGN PATIENT: SURGICALLY SECTION FILUM TERMINALE - Vanni VERONESI MD

Press Article

Press Article - Vanni VERONESI MD

Italian newspaper article of the first surgery performed in foreign Patient come to Italy to undergo the minimally invasive treatment of the filum terminale section in local anesthesia. With microsurgery technique, through a transhiatal approach without demolition of bone tissue, making the section of the extradural filum terminale.
For more information on the innovative diagnostic-surgical protocol with lumbar MRI In prone position and minimally invasive surgical technique look the page of this web site on "Chiari malformation".
To read the entire article click on the link below. (In Italian)

Article in the blog site of an independent digital newspaper

Article in the blog site of an independent digital newspaper - Vanni VERONESI MD

Journalist article on Francesco Carini's blog.
It will address the issue of the intervention of the filum terminal section in the Chiari malformation.
It gives information on the diagnostic protocol with lumbar MRI prone.
(For more information on the innovative diagnostic-surgical protocol with lumbar MRI in the prone position and minimally invasive surgical technique visit the page of this web site on "Chiari malformation").
To see the article in the blog CLICK HERE, to read the article in pdf format click on the link below (both in Italian).

Linkiesta Linkiesta [829 Kb]

SCHEDULE A PHYSICIAN VISIT IN HOSPITAL 

 "Umberto I" Hospital

street address: via Dante Alighieri, 10. Lugo (RA) ITALY

 

SCHEDULE A PHYSICIAN VISIT IN OUTPATIENTS CLINIC

Poliambulatorio Columbus Medical Center    

street address: via G. Marconi, 271. Cesena (FC) ITALY

 

To book a neurosurgical evaluation is not possible to call from abroad to the phone number 

800 00 44 88 reserved for residents in Italy.


For patients living abroad it is advisable to send their personal data and a telephone number by message in the "contact" page of this websiteIt is advisable to specify which city you want to undergo a medical examinationLugo (RA) Italy within the hospitalor Cesena (FC) Italy in a private clinic.
Patients will be contacted to notify the date and time of the medical examination.

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SOS.NET PROCEDURE

For the safety in our operating rooms is used the SOS.net procedure, to read CLICK HERE (text written in Italian), which involves the use of a checklist on the part of operators in the operating room, doctors and nurses, for the correct identification of the patient, the surgical procedure , the side to be operated, any allergies, the presence of surgical and anesthesia consents, diagnostic image.

A study has confirmed the usefulness of the checklist in the operating room, to read it CLICK HERE

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SURGICAL TECHNIQUES USED FOR THE TREATMENT OF SPINAL PATHOLOGIES: 

- Percutaneous spine surgery: balloon kyphoplasty and vertebroplasty

- Minimally invasive spine surgery: extradural section of filum terminalis 

- Miniopen spine surgery: transforaminal lumbar interbody fusion, interspinous process decompression devices 

- Spinal stabilization systems and dynamic spinal implants (disc prosthesis, vertebral interbody and interspinous spacers) 

- Microsurgery

 

SURGERY OF MAJOR DISEASES OF THE PERIPHERAL NERVOUS SYSTEM:  

- Peripheral nerve compression 

- Peripheral nerve tumors 

- Traumatic peripheral nerve injury

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The contents of this website are for information purposes and do not replace in any way the assessment of a doctor or any treatment in place. 

Vanni VERONESI MD