Most scoliosis surgeons agree that children who have very severe curves (45-50° and higher) will need surgery to lessen the curve and prevent it from getting worse.
The operation for scoliosis is a spinal fusion. The basic idea is to realign and fuse together the curved vertebrae so that they heal into a single, solid bone.
With the tools and technology available today, scoliosis surgeons are able to improve curves significantly.
If your curve is greater than 45-50°, it will very likely get worse, even after you are fully grown. This may increase the cosmetic deformity in your back, as well as affect your lung function. Surgery is recommended.
Curves between 40° and 50° in a growing child fall into a grey area — several factors may influence whether surgery is recommended. These should be discussed with your surgeon.
As of research did find two significant advances, and these are presently choices for treatment at CHOP. Used in combination, they hold incredible guarantee for halting the movement of scoliosis before it gets sufficiently extreme to require surgery.
The aim of scoliosis surgery or scoliosis treatment is three fold:
This is done by two methods namely:
Scoliosis Surgery is an option used primarily for severe scoliosis (curves greater than 45 degrees) or for curves that do not respond to bracing. There are two primary benefits of successful scoliosis surgery:
The main thing easily discernible in an individual with scoliosis is the abnormal posture of their spine when they are standing. They may put weight on the one side of their body or their shoulder blades may appear uneven.
The rest of this reading is devoted to the most commonly practiced surgeries for treating cases of scoliosis. Again, sometimes multiple procedures may be necessary depending upon your case. Be sure to communicate with your doctor thoroughly so that you can make the most informed decision about your care.
Many spinal deformities require some variation of spinal fusion surgery for treatment. Fusion describes a process whereby the vertebrae are welded together via the use of bone grafts. Normally, this welding process takes three months to completely heal. During the recovery period, your doctor will evaluate the fusion progression through x-ray imaging.
Bone graft material has a number of potential sources such as the ribs, spine, or even the pelvis. Typically, using a local bone from the spine is less painful to the patient than harvesting the bone from another area of the body. In some instances, your doctor may use protein bone graft substitutes instead. Usually, this is the case when the patient has the added ailment of a previous pseudoarthrosis (i.e. failed fusion) or osteoporosis.
It is important to note that all patients should quit smoking in the months before their scheduled surgery date. Smoking drastically slows down the healing process and thereby reduces the chance of a successful fusion. Once your doctor has performed your surgery, you should still continue with smoking cessation. Smoking simply makes everything worse when it comes to bone healing and orthopedic health.
Scoliosis patients usually have a prominent rib hump. Naturally, this deformity is yet another target for corrective scoliosis procedures.
A thoracoplasty is a corrective surgical procedure whose goal is to reduce the size of the rib hump. Usually, this procedure involves the partial removal of as many as five ribs. Typically, this procedure is performed in conjunction with other scoliosis corrective surgeries, but it may be performed as a separate procedure on a completely different date. In some cases, your doctor will need to install a chest tube that will stay in for a day or two after the procedure is complete.
This procedure is not as common today, as current advances in spinal instrumentation have led to an improved rotational correction of the deformity.
An osteotomy refers to a procedure in which the affected bones are cut and thereafter removed. Your doctor will perform this procedure through either an anterior or posterior approach.
For treating scoliotic curves, your doctor will use an osteotomy to correct your spinal deformity. Typically, doctors use this procedure to treat adults with rigid scoliotic curves, flatback, children with large curves, or in cases in which realignment is necessary following a previous spinal fusion.
After scoliosis surgery, Patients can start to move around about 2-3 days. patient Stay in Hospital will be around 4-7 days. Patients can return to work and school about two to four weeks after scoliosis surgery, but activity needs to be limited while the bone is fusing.
Scoliosis Surgery in an adult carries a higher rate of complications and risks than in a child or teenager. Immediate risks of surgery include:
A. Spinal fusion is very successful in stopping the curve from growing. Today, doctors are also able to straighten the curve significantly, which improves the patient’s appearance.
A. Like all conditions that may require surgical intervention, there are many individual factors patients (and their parents) should to consider before focusing on Scoliosis Surgery. Most spine specialists want to hold up unit patients are done (or nearly done) developing as spine medical procedure disrupt the growth plates and forestall any further growth of the spine. most younger kids do not have enough bone density to keep the surgical hardware from pulling out of the bones (potentially requiring a bone graft) before the age of 10 years old. so Best is for Scoliosis Surgery is more then 10 years.
A. Yes. The spine has 24 movable segments that work together in a switch arm style to deliver the force for driving the pelvic and shoulder supports for strolling/running, the flexibility for bowing and lifting, and the quality for center adjustment. Different level spine Fusion medical procedure used for treating scoliosis massively disrupts this normal bio-mechanical procedure and severely limits the natural torque-producing ability of the spine.
A. Patients with fused spines have a restricted range of motion in general and no motion in the areas of fusion. While it might show up most post-fusion medical procedure patients can and do have a typical range of motion, the motion is really originating from the unfused sections, in this manner driving more pressure, mileage, and untimely degeneration — particularly on the portions below the area of fusion, as they convey more body weight.
A. As the modern medical system, there is not any medicine that can cure a curved spine, but some herbal medicines are prescribed to tame the pain and muscular relaxation.
Herbal Massage is the best way to treat Scoliosis. A proper message from herbal oils prepared from individual oils of thyme, oregano, cypress, birch, basil, peppermint can prove extremely vital. But, it should be done with an expert massage therapist or physiotherapist In India.