Our Summary

This research paper discusses neuromuscular scoliosis, a type of back curvature disorder that develops in early childhood. This condition worsens much more quickly than other types of scoliosis, and it continues to progress even after a child has stopped growing. Surgery is the only way to prevent this progression and the complications that come with it. Different surgical strategies are used depending on a child’s age and the severity of the condition. For young children, “growing implants” are used, while for children aged 10 to 12, the preferred treatment is to reposition and fuse the affected area of the back. The paper details these surgical strategies, the reasons for choosing surgery, and the challenges in treating these complex deformities.

FAQs

  1. What is neuromuscular scoliosis and how does it differ from other types of scoliosis?
  2. What are the different surgical strategies for treating neuromuscular scoliosis in children?
  3. Why is surgery the only way to prevent the progression of neuromuscular scoliosis?

Doctor’s Tip

A doctor might tell a patient considering scoliosis surgery to make sure they have a thorough understanding of the procedure, including the potential risks and benefits. They may also advise the patient to follow post-operative instructions carefully, including physical therapy and activity restrictions, to ensure the best possible outcome. It’s important for patients to maintain open communication with their healthcare team and ask any questions they may have throughout the process.

Suitable For

Patients who are typically recommended for scoliosis surgery include those with severe curvature of the spine that is rapidly progressing, causing pain, difficulty breathing, or affecting their quality of life. In the case of neuromuscular scoliosis, surgery may be recommended at a younger age due to the aggressive nature of the condition and the potential for complications if left untreated. Additionally, patients with a curvature that is greater than 40-50 degrees may also be candidates for surgery, as this degree of curvature can lead to further complications if left untreated. Ultimately, the decision to undergo surgery is made on a case-by-case basis by a team of medical professionals, taking into account the patient’s age, overall health, and the severity of their condition.

Timeline

  1. Diagnosis: A patient is diagnosed with neuromuscular scoliosis, typically in early childhood.

  2. Monitoring: The patient is monitored regularly to track the progression of the curvature and assess the need for surgery.

  3. Decision-making: After careful consideration and consultation with medical professionals, the decision is made to proceed with scoliosis surgery.

  4. Pre-surgery preparation: The patient undergoes pre-operative tests and evaluations to ensure they are healthy enough for surgery.

  5. Surgery: The patient undergoes scoliosis surgery, which may involve the use of growing implants or spinal fusion techniques, depending on their age and the severity of their condition.

  6. Post-surgery recovery: The patient spends time in the hospital recovering from surgery, which may involve pain management, physical therapy, and monitoring for any complications.

  7. Rehabilitation: The patient continues with physical therapy and rehabilitation to regain strength and mobility in the affected area of the back.

  8. Follow-up care: The patient continues to see their medical team for regular follow-up appointments to monitor their progress and address any issues that may arise.

  9. Long-term management: The patient may need ongoing care and monitoring to ensure the curvature does not progress further and to address any complications that may develop over time.

What to Ask Your Doctor

  1. What are the potential risks and complications of scoliosis surgery?

  2. How long is the recovery process after scoliosis surgery?

  3. What are the expected outcomes of scoliosis surgery in terms of reducing curvature and improving quality of life?

  4. Are there any alternative treatments or less invasive options for managing scoliosis?

  5. How many scoliosis surgeries have you performed and what is your success rate?

  6. What type of surgical approach do you recommend for my specific case and why?

  7. Will I need physical therapy or other rehabilitation after surgery?

  8. How long will I need to stay in the hospital after scoliosis surgery?

  9. What can I expect in terms of pain management after surgery?

  10. How often will I need follow-up appointments after surgery and what is the long-term outlook for my condition?

Reference

Authors: Schömig F, Fussi J, Pumberger M, Putzier M. Journal: Orthopade. 2021 Aug;50(8):633-637. doi: 10.1007/s00132-021-04128-2. Epub 2021 Jul 6. PMID: 34228160