Rachis Deformation Surgery

The Simple Department Structure (SSD) of Rachis Deformation Surgery has 11 beds for standard admission, arranged in 5 rooms (three 3-beds rooms, plus two pediatric beds, each provided with extra space to accommodate a parent), and one bed for short-stay observation (OBI).
The presence of a physician is guaranteed at all times in the ward every working day from 8.00 a.m. to 2.00 p.m. The outpatient clinic operates on Monday, Wednesday and Friday from 8 a.m. to 1 p.m. The Rare Diseases clinic is active every two weeks (on Thursday mornings).

Clinical practice

The SSD of Rachis Deformation Surgery (former Ward of Orthopedic-Trauma Spine Surgery) performs diagnoses and treatment of all the diseases that involve the spinal column (cervical, thoracic, lumbosacral): deformations, infective, traumatic and degenerative (arthritis) pathologies. The diseases that cause a deformity of the spine are those that, historically, have always been especially treated by the spine surgeons of the institute. Spine deformities are treated conservatively (by orthopedic busts), when possible, or surgically. Every week in our operating rooms at least 2 patients with scoliosis are surgically treated. Their age can range from childhood to adulthood/third age.

The treatment of such pathologies requires a multidisciplinary approach, with the involvement of:

  • the Immunohematology and transfusion Medicine Service and the Cell and Musculoskeletal Tissue Bank;
  • the SSD of Medical Genetics and Rare Orthopaedic Diseases;
  • the Complex Structure (SC) of Anesthesia-resuscitation and Intensive care;
  • the SC of Radiology and Diagnostic Imaging;
  • the SSD of General Surgery of the Musculoskeletal System.

In the last few years, in fact, a special focus has been placed on the treatment of:

  • early-onset scoliosis;
  • adolescence idiopathic scoliosis;
  • congenital scoliosis;
  • scolioses related to rare diseases (myopathies, cerebropathies, neurofibromatoses, Marfan syndrome, myelomeningocele, Prader-Will syndrome etc.);
  • vertebral deformations in the adult (scoliosis, flat back);
  • failed back surgery syndrome;
  • degenerative pathologies involving the lumbar and cervical rachis;
  • spondylolisthesis;
  • acute and inveterate vertebral fractures.

Research activity

The SSD of Rachis Deformation Surgery is actively involved in clinical research, with particular reference to the following areas:

  • the clinical application and study of innovative systems of "non-fusion" surgical treatment of degenerative spine diseases, that is, eliminating vertebral pain without stopping the range of movement of the spine by the use of disc prostheses and semi-elastic fixation, with results presented at congresses and published in the literature;
  • biological therapeutic instruments: transforming cultures of diversified human cells into cultures of cells able to produce transplant tissue to fill the degenerated areas, and able to allow, one day, the regeneration of intervertebral discs;
  • "preventive surgery" techniques with “extensible” systems (VEPTR, growing rod, magnetic systems) in newborns and pediatric patients affected by precociously severe spine deformities. These techniques permit to keep the deformity within acceptable limits allowing the growth of the column;
  • in vivo evaluation of medical devices with a biomaterial-bone substitute function, in vertebral surgery applications;
  • study of vertebral deformations related to rare diseases.
Content updated 19/03/2014 - 16:32
Content edited by: Dr.ssa Tiziana Greggi (tiziana.greggi@ior.it)
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