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.

To see the videos of the surgery we performed (NOTICE: images related to surgical interventions. We do not recommend viewing these videos to people who are particularly sensitive or impressionable), CLICK HERE, this is link to the AIMA-Child (Italian Association of Chiari Child Malformation) web site. AIMA-Child is the Italian association of patients affected by Chiari Malformation and related pathologies. For some time now the association is no longer just a reference point for pediatric patients but also for adult patients who discover the pathology.

The association is non-profit, committed and committed itself to be a virtual container for patients, within which it is possible to promote and create a link between patients in order to share and deepen all the problems related to the pathology

 

SECTION OF THE TERMINAL FILUM MININVASIVE SURGICAL TECHNIQUE IN LOCAL ANESTHESIA

SECTION OF THE TERMINAL FILUM MININVASIVE SURGICAL TECHNIQUE IN LOCAL ANESTHESIA - Vanni VERONESI MD

The description of the minimally invasive surgical technique under local anesthesia of the extradural filum terminal section, which we have practiced, is being printed, 2018 July, in the American international scientific journal "OPERATIVE NEUROSURGERY".
The title of the scientific work is: "TRANSHIATAL APPROACH TO FILUM TERMINAL EXTERNUM SECTIONING IN ADULT PATIENT WITH TETHERED CORD SYNDROME: CASE REPORT".

NEWS FROM MASS MEDIA ON OUR MININVASIVE SURGERY OF THE FILUM TERMINALE

NEWS FROM MASS MEDIA ON OUR MININVASIVE SURGERY OF THE FILUM TERMINALE - Vanni VERONESI MD

ITALIAN TV PROGRAM:

To see the interview in the program "Buongiorno Regione" of Rai Tre Emilia Romagna of 21 November 2017 starting from minute 11 and 37 seconds CLICK HERE.

ITALIAN TV NEWS:

To see the journalistic service within the regional TG of Emilia Romagna at 2 pm on 21 November 2017 starting from minute 9 and 47 seconds CLICK HERE.

ITALIAN TELEVISION MEDICINE PROGRAM:

 To see the episode of the medical television program "Sulle Ali delle Salute" of March 14, 2017 on the theme "The ills of the spine and its complications" CLICK HERE. The topics discussed included the occluded anchored medulla and our innovative diagnostic-surgical protocol that provides lumbar MRI in the prone position and the extradural filum terminal section.

ITALIAN NEWSPAPER:

Article in the newspaper "Il Resto del Carlino": FIRST FOREIGN PATIENT JOINED IN ITALY FOR SUBMITTED TO THE MININVASIVE TREATMENT OF SECTION OF THE TERMINAL FILUM. 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. (To read the article in italian CLICK in the link below of the attachment in pdf).

ARTICLE IN THE BLOG OF A JOURNALIST:

Article in the journalist Francesco Carini: SECTION OF THE FILM TERMINAL BETWEEN DOUBLES HOPE AND CERTAZZE. (To see the article in the blog CLICK HERE). 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").

FOREIGN PATIENT: SURGICALLY SECTION FILUM TERMINALE

 In October 2017, a 33-year-old Hungarian patient arrived in Italy to undergo mini-invasive surgery of the extradural filum terminale section in local anesthesia for the treatment of the occult tethered cord. The medical commission of his country has considered ours to be a center of excellence and, thanks to the European law for cross-border care, the cost due to the Local Health Authority of Romagna has been paid by the Hungarian Health System.

 
In the box below is the review, twelve months after the surgical intervention with a minimally invasive section of the extradural filum terminale in local anesthesia, of a 36-year-old Bosnian patient who came to Italy in 2015 for the treatment of the occult tethered cord. Bosnia is not in the European Union for which the patient has had to pay the regional tariff to the Local Health Authority of Romagna.

FOREIGN PATIENT: SURGICALLY SECTION FILUM TERMINALE - Vanni VERONESI MD

SCHEDULE A PHYSICIAN VISIT IN HOSPITAL 

 "Umberto I" Hospital

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

 "Degli Infermi" Hospital

street address: viale Stradone, 9. City: Faenza (RA) 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) or Faenza (RA) within the hospital 
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 

- 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