Journal of Spine

Alessandro Ramieri

Publications

• Research Article
  Non-Posterior Subtraction Osteotomy Surgery to Restore Lumbar Lordosis in the Hidden Sagittal Imbalance of the Adult Degenerative Spine
  Author(s): Alessandro Ramieri, Massimo Miscusi, Filippo Maria Polli, Antonino Raco and Giuseppe CostanzoAlessandro Ramieri, Massimo Miscusi, Filippo Maria Polli, Antonino Raco and Giuseppe Costanzo
  
  Purpose: Sagittal imbalance of severe adult degenerative deformities requires surgical correction to improve pain, mobility and quality of life. Our aim was a harmonic and balanced spine, treating a series of adult degenerative kyphoscoliosis by a nonposterior subtraction osteotomy technique. Extreme lateral (XLIF) and transforaminal (TLIF) interbody fusion were used to restore lumbar lordosis and mobilize the coronal curve, while grade 2 osteotomy (SPO) was useful to further decrease kyphosis. Methods: We operated 22 thoraco-lumbar and lumbar degenerative deformities, characterized by a sagittal compensated (hidden) imbalance (SVA<50 mm), with or without coronal deformity, and distinguished according to the SRS-Schwab classification. All patients were submitted to X-ray screening during pre, post-operative and follow-up periods. .. Read More»
  DOI: 10.4172/2165-7939.1000315

  Abstract PDF