Scoliosis surgery is one of the
longest and most complicated orthopedic surgical procedures performed on
children or adult. The operation takes approximately six hours. Hospitalization
can last several (usually around six) days and activities are restricted for
several months. Scoliosis is best treated when found early and can be detected
during a routine school screening. This is surgery repairs abnormal
curving of the spine. The goal is to safely straighten your child's spine
and align your child’s shoulders and hips to correct your child’s back
problem.
Scoliosis facts
Scoliosis is an
abnormal curve in the spine. There are several types of scoliosis based on the
cause and age when the curve develops. Depending on the severity of the curve
and the risk for it getting worse, scoliosis can be treated with observation,
bracing, or surgery. 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.
There are several reasons to treat scoliosis:
ü Appearance is a major concern.
ü Scoliosis often causes back pain.
ü If the curve is severe enough, scoliosis affects your
child's breathing.
Braces
are often tried first to keep the curve from getting worse.
The
choice of when to have surgery will vary.
ü After the bones of the skeleton stop growing, the curve should
not get much worse. Because of this, the surgeon may wait until your child's
bones stop growing.
ü Your child may need surgery before this if the curve in the
spine is severe or is getting worse quickly.
Surgery
is usually recommended for the following children and adolescents with
scoliosis of unknown cause (idiopathic scoliosis):
ü All young people whose skeletons have matured, and who have
a curve greater than 45 degrees.
ü Growing children whose curve has gone beyond 40 degrees.
If your curve is greater than 50 degrees, it will
most 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 degrees in a growing child fall into a
grey area — several factors may influence whether surgery is recommended. These
should be discussed with your surgeon.
Physical Abnormalities.
Researchers are investigating possible physical abnormalities that may
cause imbalances in bones or muscles that would lead to scoliosis. Some
research suggests that imbalances in the muscles around the vertebrae may make
children susceptible to spinal distortions as they grow.
Problems in Coordination. Some experts are looking at inherited defects in perception or
coordination that may cause unusual growth in the spine of some children with
scoliosis.
Other Biological Factors. Several other biological factors
are being investigated for some contribution to scoliosis:
ü Elevated levels
of the enzyme matrix
metalloproteinases may cause abnormalities in components in the
spinal disks, contributing to disk degeneration.
ü Abnormalities in
a protein called platelet
calmodulin that binds to calcium. This protein acts like a tiny
muscle and pulls clots together.
There are two general approaches to the
scoliosis surgery – a posterior approach and an anterior approach (from the
front of the spine). Specific surgery is recommended based on the type and
location of the curve.
Scoliosis Surgery, Scoliosis Treatment India
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