Claudio Lamartina, MD

Adult degenerative deformity spine
Pedicle Substraction Osteotomy (PSO)
Minimally Invasive Spine Surgery (MISS)
Extreme Lateral Interbody Fusion (XLIF)

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DEGENERATIVE AND DEFORMITY SPINE TREATMENT

De novo scoliosis - Causes, Symptoms & Treatment

De novo scoliosis - Causes, Symptoms & Treatment

Primary degenerative adult scoliosis, specifically in the lumbar spine, is characterized by degeneration of the disc and/or the facet joint that leads to an asymmetric loading of the spinal segment and consequently of a whole spinal area. This again leads to an asymmetric deformity that develops de ...

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Idiopathic Adult Scoliosis - Causes, Symptoms and Treatment

Idiopathic Adult Scoliosis - Causes, Symptoms and Treatment

Secondary degenerative adult scoliosis is characterized by degenerative alterations of curves existing prior to skeletal maturity. The clinical entity of a progressive idiopathic scoliosis in adult life of the thoracic, thoracolumbar and/or lumbar spine can indeed be present since childhood or adole ...

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Sagittal imbalance - Causes, Symptoms and Treatment

Sagittal imbalance - Causes, Symptoms and Treatment

Sagittal alignment involves a harmonious relationship between the cranium, spine, and pelvis. Cervical, Thoracic and Lumbar curves should be proportional in order to maintain a sagittal balance, which occurs when the gravity line, originating from the external auditory canal, runs along the acromion ...

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Revision surgery rod extraction/ACR  - Causes, Symptoms and Treatment

Revision surgery rod extraction/ACR - Causes, Symptoms and Treatment

One of the most fearsome problems of correction surgery of vertebral deformities is mechanical complication. The broken of the rods represent one of the most common mechanical failure. It can be due to inadequate correction of the deformity, non-union, fatigue of the rods or lack of adequate anterio ...

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PSO - Posterior subtraction osteotomy

PSO - Posterior subtraction osteotomy

Primary degenerative adult scoliosis is a tridimensional deformity that affects the thoracic or thoracolumbar spine throughout the ageing process. It has a substantially debilitating effect on patients’ general health. Spinal deformity is highly prevalent in individuals aged older than 65 years, a ...

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MISS - Minimally Invasive Spine Surgery

MISS - Minimally Invasive Spine Surgery

During the last two decades, minimally invasive techniques and instruments in spine surgery have undergone serious development in all fields. Specific advantages of these minimally invasive methods have put them forward in spine surgery in recent times. Preservation of important anatomical structure ...

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Prone XLIF - Minimally Invasive Spine Surgery

Prone XLIF - Minimally Invasive Spine Surgery

Among age-related alterations of the spine, the degenerative spondylolisthesis is the most common in individuals older than 50 years. This alteration is usually accompanied by disc space narrowing and degeneration. The patient in the picture complained for back pain and neurogenic claudication with ...

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ALIF - Anterior Lumbar Interbody Fusion

ALIF - Anterior Lumbar Interbody Fusion

The good distribution of lumbar lordosis is crucial for successful surgery. This very active 78-year-old lady suffered from severe back pain no responding of conservative treatment and severely limiting her quality of live. An anterior lumbar interbody fusion (ALIF) with an extraperitoneal approach ...

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Claudio Lamartina, MD
Interviewed by Luca Boriani,MD PhD