Our Summary

This research paper investigates the outcomes of a new, less invasive surgical technique to correct spinal deformities in adults. This technique does not involve the fusion of vertebrae, a common procedure that often results in complications.

The study involved 38 patients, ranging in age from 15 to 76, who had major spinal deformities that traditionally would have required extensive fusion surgery. Instead of fusion, the surgeons used hooks and screws to connect the upper and lower parts of the spine with rods.

The results showed a significant reduction in the curvature of the spine, with an average decrease of 40%. The new method also resulted in less operation time and blood loss compared to traditional methods. However, the hospital stay was relatively long, averaging 18 days, and there were some complications, including infections and early mechanical problems. One patient developed paraplegia due to severe spinal curvature.

Overall, the new technique achieved similar results to the traditional fusion methods, but with shorter operation time and less blood loss. However, the researchers stress that the patients must be carefully selected and monitored for potential complications. Further studies with long-term follow-up are needed to fully evaluate this new technique.

FAQs

  1. What is the new surgical technique to correct spinal deformities mentioned in the research paper?
  2. How does the new surgical technique compare to the traditional fusion methods in terms of operation time, blood loss, and hospital stay?
  3. What are the potential complications of the new surgical technique and what does the research suggest to mitigate these risks?

Doctor’s Tip

A doctor might advise a patient considering spinal surgery to thoroughly discuss the risks and benefits of different surgical techniques with their healthcare provider. It is important to ask questions, seek a second opinion if needed, and make an informed decision based on individual circumstances and preferences. Additionally, following post-operative care instructions and attending follow-up appointments are crucial for a successful recovery.

Suitable For

Patients with major spinal deformities such as scoliosis, kyphosis, or spondylolisthesis are typically recommended for spinal surgery. These conditions can cause pain, difficulty breathing, nerve compression, and other serious health issues if left untreated. Patients who have not had success with conservative treatments such as physical therapy, medication, or bracing may be candidates for surgery.

Additionally, patients with spinal fractures, tumors, infections, or degenerative disc disease may also be recommended for spinal surgery. These conditions can cause severe pain, instability, and neurological deficits that may require surgical intervention to correct.

Overall, patients who have significant spinal deformities or conditions that are impacting their quality of life and function may be recommended for spinal surgery. It is important for patients to consult with a spine specialist to determine the best treatment option for their specific condition.

Timeline

Before spinal surgery:

  1. Patient experiences chronic back pain, stiffness, and possibly neurological symptoms such as numbness or weakness in the extremities.
  2. Patient undergoes diagnostic tests such as X-rays, MRI, and CT scans to determine the extent of the spinal deformity and plan for surgery.
  3. Patient consults with a spine surgeon to discuss treatment options, risks, and benefits of surgery.
  4. Patient undergoes pre-operative evaluations and prepares for surgery, including cessation of certain medications and lifestyle modifications.

After spinal surgery:

  1. Patient undergoes the surgical procedure to correct the spinal deformity using the less invasive technique involving hooks, screws, and rods.
  2. Patient is closely monitored in the hospital for complications, pain management, and rehabilitation.
  3. Patient may experience post-operative pain, swelling, and limited mobility initially.
  4. Patient begins physical therapy and rehabilitation to regain strength and function in the spine.
  5. Patient is discharged from the hospital and continues recovery at home with follow-up appointments with the surgeon.
  6. Patient gradually resumes normal activities and may experience improvements in pain and function over time.
  7. Patient may still need to be monitored for potential complications or long-term effects of the surgery.

What to Ask Your Doctor

  1. What specific spinal deformity do I have and how severe is it?
  2. What are the potential risks and complications associated with the traditional fusion surgery for my condition?
  3. How does the new less invasive surgical technique compare to traditional fusion surgery in terms of outcomes and recovery time?
  4. What are the qualifications and experience of the surgical team performing this new technique?
  5. What is the success rate of this new technique in treating spinal deformities similar to mine?
  6. How long is the hospital stay expected to be after undergoing this new technique?
  7. What post-operative care and rehabilitation will be required after the surgery?
  8. What are the potential long-term effects of this new technique on my spine and overall health?
  9. Are there any alternative treatments or therapies that I should consider before opting for spinal surgery?
  10. How will my quality of life be impacted after undergoing this new less invasive surgical technique for my spinal deformity?

Reference

Authors: Wolff S, Habboubi K, Sebaaly A, Moreau PE, Miladi L, Riouallon G. Journal: Orthop Traumatol Surg Res. 2019 Oct;105(6):1149-1155. doi: 10.1016/j.otsr.2019.02.015. Epub 2019 May 29. PMID: 31153861