Department of GSpine4 @ Ospedale Galeazzi - Sant'Ambrogio

The Spinal Surgery Unit, also known as G4Spine, is highly specialized in the treatment of a wide range of spinal pathologies. It is composed of a team of expert surgeons and is widely regarded, on international scale, as one of the best centres for the treatment of complex cases.

The clinical activity is strongly directed to the treatment of the deformity of the spine, with particular regard to the minimally invasive therapy to complex vertebral pathology (mini-invasive anterior arthrodesis with XLIF technique, medullary decompression and microsurgical treatment of thoracic disc herniation by minimally invasive anterior techniques, vertebral stent implantation for osteoporotic fractures, replacement of vertebral bodies for correction of kyphosis deformity in sequelae of severe fractures, micro discectomy for recurrence of lumbar disc herniation. 

Our excellence in numbers


cases of complex adult deformity


cases of Spinal Tumour Surgery


revision procedures


minimally invasive procedures


cervical spine cases


paediatric cases of scoliosis and kyphosis/Scheuermann's disease

Notable advanced technological equipment

  • O-Arm for intraoperative CT-Scan and navigation guidance of implant placement
  • 3-d Ziehm C-Arm for intraoperative guidance of spinal implants
  • Brainlab navigation technology
  • Surgical microscopes
  • Full XLIF platform
  • Advanced use of percutaneous spinal implants
  • 3-d printed patient-specific guides for increased safety in pedicle screw placement
  • Intraoperative somatosensorily evoked potentials
  • Motor evoked potentials
  • Pedicle screw direct EMG stimulation for increased intraoperative safety  
  • Intraoperative advanced hemodynamic monitoring for safer anaesthesia
  • Postoperative intensive care
  • Advanced imaging including:
    • 3 MRI scans, 2 CT scans, full radiology equipment, interventional radiology, interventional pain therapy and low-radiation, standing 3-d imaging with EOS device for safe evaluation for adults and children

Do you need an appointment?

Contact us and we will take care of you.

Meet our team

Head physicians

Pedro Berjano

Orthopedic traumatologist
Pedro Berjano

Claudio Lamartina

Spine Surgeon
Claudio Lamartina

Featured physicians