Our Summary

This research paper reviews the potential impact of a surgical procedure known as the Nuss procedure on the spine. The Nuss procedure is often performed to correct a chest wall deformity known as pectus excavatum. There has been some debate about whether the procedure might cause or affect scoliosis, a condition that causes a sideways curve in the spine. The research found that, while it’s rare, some people do develop scoliosis after having the Nuss procedure. However, the procedure can also have positive effects on mild scoliosis, particularly in teenagers. The authors emphasize that people with both pectus excavatum and scoliosis need to have their spines carefully examined before and after surgery. In the rare cases where scoliosis develops after the Nuss procedure, removing the metal bar used in the surgery and taking other steps to manage the condition can have good outcomes.

FAQs

  1. What is the Nuss procedure and does it have any impact on the spine?
  2. Can the Nuss procedure cause or affect scoliosis?
  3. How should people with both pectus excavatum and scoliosis approach the Nuss procedure?

Doctor’s Tip

A doctor may tell a patient undergoing scoliosis surgery to follow their post-operative care instructions carefully, including attending physical therapy sessions and wearing any prescribed braces or supports. It’s important to communicate any changes or concerns with your doctor so they can monitor and address any potential complications. Additionally, maintaining a healthy lifestyle with regular exercise and proper nutrition can help support the healing process and overall spine health.

Suitable For

Patients who are typically recommended scoliosis surgery are those who have a severe curvature of the spine that is causing significant pain, discomfort, or other symptoms. These patients may have tried other treatments such as bracing or physical therapy without success, or their condition may be worsening despite conservative measures. Additionally, patients with scoliosis that is progressing rapidly, causing significant deformity, or impacting their ability to breathe or function normally may also be candidates for surgery. It is important for patients considering scoliosis surgery to consult with a spine specialist to determine the best course of treatment based on their individual circumstances.

Timeline

Before scoliosis surgery:

  1. Patient is diagnosed with scoliosis, a condition causing a sideways curve in the spine.
  2. Patient undergoes various diagnostic tests such as X-rays, MRIs, and physical examinations to determine the severity of the curve.
  3. Treatment options are discussed with the patient, including the possibility of surgery.
  4. Pre-operative preparations are made, including medical evaluations, blood tests, and discussions with the surgical team.

After scoliosis surgery:

  1. Patient undergoes the surgical procedure to correct the spinal curve, which may involve the insertion of rods, screws, or other devices to straighten the spine.
  2. Patient is monitored closely in the hospital post-surgery for pain management, wound care, and to ensure no complications arise.
  3. Physical therapy and rehabilitation begin shortly after surgery to help the patient regain strength and mobility.
  4. Follow-up appointments are scheduled with the surgeon to monitor the healing process and assess the success of the surgery.
  5. Long-term care may involve ongoing monitoring of the spine to ensure the curve does not return or worsen, as well as continued physical therapy to maintain spinal health.

What to Ask Your Doctor

  1. What are the risks and potential complications associated with scoliosis surgery?
  2. How will the surgery affect my daily activities and quality of life?
  3. What is the success rate of scoliosis surgery in terms of correcting the curvature of the spine?
  4. What is the expected recovery time after scoliosis surgery?
  5. Will I need physical therapy or rehabilitation after the surgery?
  6. Are there any alternative treatments or non-surgical options for managing scoliosis?
  7. How often will I need follow-up appointments after the surgery?
  8. Are there any lifestyle changes or restrictions I need to be aware of after scoliosis surgery?
  9. What are the long-term effects of scoliosis surgery on my spine and overall health?
  10. Can you provide me with information about the surgeon’s experience and success rate with scoliosis surgery?

Reference

Authors: Beltsios ET, Mitsos SL, Panagiotopoulos NT. Journal: Gen Thorac Cardiovasc Surg. 2020 Nov;68(11):1225-1233. doi: 10.1007/s11748-020-01496-y. Epub 2020 Sep 29. PMID: 32990868