Fusilli lunghi col buco is a strong, spiral-shaped pasta, twice as long as spaghetti, with a straw-like hole down the center. Its name comes from the Italian word “fuso”, a type of knitting needle that ancient artisan pasta makers used to create its unique shape. Fusilli lunghi col buco is delicious when served with a delicate tomato and ricotta cheese sauce.to soak up sauces.