Casa di Cura
la Madonnina
Via Quadronno, 29,
20122 Milano MI, Italy
For appointments contact: 02 583951
EMAIL: fabiotresoldi@yahoo.it
Fabio Tresoldi – Senior Consultant Neurosurgeon & Spine Surgeon in Milan
Specialist assessment for complex cervical and lumbar spinal conditions, Second Opinion in spine neurosurgery and advanced spine surgery within Milan's specialist healthcare network.
For further information please contact: +39 348 894 3546
Spine Neurosurgeon in Central Milan
Second Opinion, Cervical and Lumbar Spinal Conditions, Complex Spine Surgery
Milan is one of Italy’s leading centres for advanced specialist medicine and complex spine surgery.
Many patients seek a neurosurgical assessment after experiencing prolonged treatment pathways, persistent pain, functional limitations or receiving different recommendations regarding surgery. In these situations, it is essential to understand not only what appears on an MRI scan, but above all the actual neurological involvement associated with the spinal condition.
Modern spine neurosurgery addresses conditions involving:
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the spinal cord
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nerve roots
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neurological compression
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spinal instability
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complex cervical and lumbar spinal conditions
For this reason, a comprehensive specialist spine neurosurgery assessment can be an important step in determining the most appropriate treatment strategy for the individual patient.
Second Opinion in Spine Neurosurgery – Central Milan
A specialist Second Opinion in spine neurosurgery can be particularly valuable when a patient:
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has been recommended spine surgery
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continues to experience pain despite appropriate treatment
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presents with neurological symptoms
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has received different or conflicting specialist opinions
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has previously undergone spine surgery
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wishes to better understand the potential risks and benefits of a proposed procedure
In modern spine surgery, not every spinal condition requires surgery.
At the same time, certain forms of spinal cord or nerve root compression should not be underestimated, particularly when neurological symptoms are present or progressing.
A specialist neurosurgical reassessment considers the relationship between:
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neurological symptoms and clinical findings
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advanced diagnostic imaging
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impact on quality of life
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risk of clinical or neurological progression
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spinal stability and biomechanics
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whether surgery is actually necessary
The objective is to establish the most appropriate clinical pathway for the individual patient, including when surgery can be avoided and when intervention should be considered.
Cervical and Lumbar Spinal Conditions
Specialist spine neurosurgery consultations in Central Milan are available for patients with:
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lumbar disc herniation
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cervical disc herniation
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sciatica
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chronic neck pain
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lumbar spinal stenosis
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cervical spinal stenosis
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degenerative cervical myelopathy
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spinal instability
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spondylolisthesis
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nerve root or spinal cord compression
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persistent pain following spine surgery
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recurrent disc herniation
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postoperative fibrosis
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persistent or recurrent symptoms following previous spine surgery
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complex spinal conditions
Complex Spine Surgery and Revision Surgery
One of the most demanding areas of modern spine neurosurgery involves the management of patients who have already undergone spinal surgery.
Persistent pain, new or recurrent sciatica, loss of strength or recurrent symptoms following previous spine surgery require a highly specialized assessment.
Revision spine surgery is one of the most complex areas of modern spinal surgery because the neurosurgeon may need to address:
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deep postoperative scar tissue
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fibrosis
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residual or recurrent neural compression
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spinal instability
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altered spinal biomechanics
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neurological structures already affected by previous pathology or surgery
In these cases, identifying the actual cause of the patient's symptoms is essential in order to avoid inappropriate treatment pathways or further surgery when it is not clinically indicated.
The Spine Requires a Neurosurgical Perspective
Many spinal conditions are often considered primarily orthopaedic or mechanical problems.
In reality, the spine surrounds and protects extremely delicate neurological structures, including:
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the spinal cord
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nerve roots
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neural structures associated with the spinal column
For this reason, modern spine neurosurgery requires a highly specialized approach that considers not only the vertebral structures and spinal biomechanics, but above all the protection of the nervous system and preservation of neurological function.
MTS Approach: Individualized Neurosurgical Assessment
The MTS Approach is based on a comprehensive and highly individualized assessment of each patient.
Each clinical pathway is developed taking into consideration:
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neurological symptoms
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advanced diagnostic imaging
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quality of life
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spinal stability
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risk of clinical or neurological progression
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potential conservative treatment options
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whether surgery is actually necessary
The objective is not to offer standardized solutions, but to identify the most appropriate clinical pathway for the individual patient.
Clinical Activity and Specialist Care in Milan
Clinical activity is carried out within a specialist setting dedicated to modern spine neurosurgery, including consultations and clinical collaboration with established private healthcare institutions such as Casa di Cura La Madonnina, a longstanding Milan hospital providing advanced specialist medical and surgical care.
Spine Neurosurgery in Central Milan
Specialist consultations in Central Milan are available for patients travelling from:
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Milan
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Central Milan
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the Greater Milan area
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Monza and Brianza
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other areas of Lombardy
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other regions of Italy
Many patients seek a specialist Second Opinion particularly in cases involving:
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persistent pain
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recommendations for complex spine surgery
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recurrent spinal conditions
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cervical conditions associated with neurological symptoms
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progressive spinal stenosis
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revision spine surgery
Have You Been Recommended Spine Surgery or Are You Still Experiencing Back or Neck Pain?
A specialist spine neurosurgery assessment can help identify the underlying cause of your symptoms and determine the most appropriate clinical pathway, with particular attention to the spine, nervous system and neurological function.
Request a Second Opinion in Spine Neurosurgery in Central Milan.
Surgical procedures are scheduled by appointment.
For further information, please contact me by email at: fabiotresoldi@yahoo.it
CASA DI CURA LA MADONNINA – PRIVATE SELF-PAY PATIENTS
Casa di Cura La Madonnina is a private specialist hospital in central Milan where both minimally invasive and conventional spine surgery can be performed for private self-pay patients, according to the individual clinical and surgical indication.
Its central location makes the hospital easily accessible by public transport, including Milan Metro Line M3 (Yellow Line).
The surrounding area offers a wide range of services, including shops, cafés and restaurants, which can also be convenient for patients and accompanying family members.
SPINE NEUROSURGERY PROCEDURES
Casa di Cura La Madonnina has five modern operating theatres equipped with advanced surgical technology, as well as two dedicated surgical outpatient facilities and an endoscopy service.
Spine surgery procedures are performed using minimally invasive or conventional techniques, depending on the individual patient's condition, anatomy and specific surgical requirements.
Frequently Asked Questions
When is a neurosurgical Second Opinion useful?
A Second Opinion in spine neurosurgery can be particularly valuable when surgery has been recommended, pain persists despite treatment, loss of strength or other neurological symptoms are present, symptoms recur after previous surgery, or there is uncertainty about whether an operation is actually necessary.
Which specialist should I consult for a cervical or lumbar disc herniation?
An experienced spine neurosurgeon can assess cervical and lumbar disc herniations, particularly when there is potential involvement of the spinal cord or nerve roots, and determine whether conservative treatment or surgery should be considered.
Is persistent pain after spine surgery normal?
Persistent or recurrent pain after spine surgery can have different causes, including recurrent disc herniation, postoperative fibrosis, residual or recurrent neural compression, spinal instability or other conditions that may require specialist reassessment.
Does lumbar spinal stenosis always require surgery?
No. Not every lumbar spinal stenosis requires surgery. The decision depends on neurological symptoms and findings, functional limitations, impact on quality of life, diagnostic imaging and the risk of clinical or neurological progression.
Where can I request a neurosurgical Second Opinion in Milan?
A specialist spine neurosurgery consultation in Milan can provide a comprehensive reassessment of symptoms, neurological findings and diagnostic imaging, helping to determine the actual neurological involvement and the most appropriate treatment pathway for the individual patient.
PATIENT SERVICES
CASA DI CURA LA MADONNINA
The hospital offers 60 private inpatient rooms, including suites, with accommodation available for an accompanying person.
Patients can also choose from a daily à la carte menu, developed through collaboration between nutrition professionals and the chefs of EAT Restaurant, combining individual dietary requirements with a high standard of hospitality throughout the hospital stay.
ROOMS AND SUITES
Each patient room is equipped with:
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sofa bed for an accompanying person
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private bathroom with shower
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safe
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telephone
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TV with SKY channels
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minibar
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complimentary Wi-Fi
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air conditioning
For patients seeking additional comfort and privacy, selected suites are also available, featuring a private terrace and a separate dining area.
