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About  scoliosis surgery

Treatment options 

Treating scoliosis depends on your curve, your age, and other factors. If the curve needs to be corrected, a brace is usually the first option. However, many people have scoliosis so severe it requires surgery. Thanks to Medtronic’s advanced technologies, spinal fusion is much easier than it used to be and may give you the freedom to resume normal activities.

The treatment of scoliosis depends on the severity of the side-to-side curve in your spine, along with other factors such as your age and physical condition. Non-surgical treatment, such as bracing, is always the first line of defense. Many scoliosis curves never progress to the point where surgery is necessary.
 

Scoliosis observation

If you or someone you know has scoliosis, observation may be an appropriate treatment option for small spinal curves, curves that are at low risk of worsening, and those with a favorable history once growing has stopped.

 

 


 

Scoliosis bracing

If you have a curve in your spine of 25 to 40 degrees and you are still growing, your doctor may recommend that you wear a brace. The purpose of wearing this brace is to keep the curve in your spine from getting worse while you grow.

 

 


 

Scoliosis surgery

Surgery is a treatment option used to correct curves in the skeletally mature spine greater than 45 degrees or for spinal curves that haven’t responded to bracing. There are really two goals for scoliosis surgery: to stop a curve from worsening and to correct spinal deformity.


Spinal fusion is the most common surgery to correct severe scoliosis. For some patients it means freedom from a brace they may have been wearing. Within a few months after surgery, you could find yourself enjoying normal activities again.
 

What is scoliosis surgery? 

Scoliosis is a condition in which the spine develops one or more abnormal, side-to-side curves. These curves may affect the body's overall balance and alignment, as well as possibly lead to other physical and health problems.

A certain degree of curvature is normal in the human spine. When you look at your body from the side, you can see the gentle inward and outward curves of the neck, upper back and lower back. These are necessary for keeping the body properly balanced and aligned over the pelvis.

But when viewed from the back, the vertebrae of a healthy spine should form a straight line. In someone with scoliosis, the spine looks more like an "S" or a "C" than an "I." The spinal bones involved in the curve also may rotate to some degree, which can further contribute to the appearance of an uneven waist or shoulders.

Surgery – specifically, spinal fusion – is recommended for severe curves and for curves that have not responded to non-surgical intervention. Spinal fusion involves placing graft material between the affected bones in the spine to encourage them to fuse, or join together.

Instrumentation, such as screws, rods, and connectors, is implanted along the treated area. The instrumentation is key because it creates an "internal cast" to support the vertebral structures and redirect stress properly along the spine during the healing and fusing process.

Ultimately, the goal is to halt the progression of the curve and reduce spinal deformity, to the extent possible, restoring proper spinal stability and alignment.

Benefits 

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:

  • To stop a curve from progressing
  • To reduce rib prominence and diminish spinal deformity

Risks

 

All treatment and outcome results are specific to the individual patient. Results may vary. Complications such as infection, nerve damage, blood loss, and bowel and bladder problems are some of the potential risks of any type of spinal surgery, including spinal fusion for the treatment of scoliosis.

 

Additional complications that may be associated with scoliosis surgery include loss of proper spinal balance, failure, of the bones to properly heal and fuse (pseudoarthrosis), instrumentation failure and vertebral degeneration in the levels adjacent to the fused section.

 

Please consult your doctor for a complete list of indications, warnings, precautions, adverse effects, clinical results, and other important medical information that pertains to scoliosis surgery.