Our Summary

This research paper tested a new technique called the Landmark Crater (LC) method in robot-guided surgery for children with scoliosis, a condition that causes the spine to curve. The LC method involves creating small ‘craters’ as markers at the planned insertion points for pedicle screws (which are used to help correct the spinal curve) during surgery. The study compared this LC method with the conventional method of inserting pedicle screws.

The results showed that the LC method had a lower rate of pedicle perforation, which is when the screw accidentally punctures the wall of the pedicle (a part of the vertebra). This was true for different pedicle sizes, but both the LC and conventional methods had higher perforation rates for smaller pedicles. Overall, the LC method could be a safer option for this type of surgery.

FAQs

  1. What is the Landmark Crater (LC) method in robot-guided scoliosis surgery?
  2. How does the LC method compare to the conventional method of inserting pedicle screws in scoliosis surgery?
  3. Why might the LC method be a safer option for scoliosis surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about scoliosis surgery is to follow the post-operative care instructions closely, including proper wound care, physical therapy exercises, and restrictions on certain activities to ensure a successful recovery. It is also important to attend all follow-up appointments with your healthcare team to monitor your progress and address any concerns that may arise. Remember to communicate openly with your healthcare provider about any changes in your symptoms or pain levels to ensure the best possible outcome after surgery.

Suitable For

Patients who are typically recommended scoliosis surgery are those who have severe spinal curvature that is causing pain, difficulty breathing, or other complications. Patients who have not responded well to conservative treatments such as bracing or physical therapy may also be recommended for surgery. Additionally, patients who have rapidly progressing scoliosis or who have a spinal curve that is affecting their quality of life may be good candidates for surgery.

Timeline

Timeline:

Before surgery:

  • Patient undergoes initial consultation and evaluation with a spine specialist to determine the severity of the scoliosis and the need for surgery.
  • Patient undergoes pre-operative testing, such as X-rays, MRI, and blood work, to assess overall health and the specific details of the spinal curvature.
  • Patient may undergo physical therapy to strengthen the muscles around the spine and prepare for surgery.
  • Patient meets with the surgical team to discuss the procedure, risks, and expected outcomes.

During surgery:

  • The surgical team uses the LC method to create small craters as markers for the insertion points of pedicle screws.
  • Pedicle screws are inserted into the vertebrae to help correct the spinal curvature.
  • The surgical team monitors the patient’s vital signs and adjusts the procedure as needed.

After surgery:

  • Patient is monitored closely in the recovery room for any complications or pain management.
  • Patient may stay in the hospital for a few days for observation and physical therapy.
  • Patient will gradually increase activity levels and physical therapy to strengthen the spine and improve mobility.
  • Patient will have follow-up appointments with the surgical team to monitor progress and adjust treatment as needed.

What to Ask Your Doctor

  1. What is scoliosis surgery and why is it recommended for my condition?
  2. What are the potential risks and complications associated with scoliosis surgery?
  3. How does the Landmark Crater (LC) method differ from the conventional method of inserting pedicle screws in scoliosis surgery?
  4. What are the potential benefits of using the LC method for my surgery?
  5. What is the success rate of the LC method compared to the conventional method in terms of correcting the spinal curve?
  6. How experienced is the surgical team in performing scoliosis surgery using the LC method?
  7. What is the recovery process like after scoliosis surgery using the LC method?
  8. Are there any long-term implications or considerations I should be aware of after undergoing scoliosis surgery with the LC method?
  9. Will I need any additional treatments or therapies after the surgery to maintain the correction of my spinal curve?
  10. Are there any alternative treatment options to consider before proceeding with scoliosis surgery using the LC method?

Reference

Authors: Oba H, Ikegami S, Uehara M, Hatakenaka T, Miyaoka Y, Kurogochi D, Fukuzawa T, Sasao S, Shigenobu K, Makiyama F, Koseki M, Neo M, Takahashi J. Journal: Eur Spine J. 2024 Dec;33(12):4730-4739. doi: 10.1007/s00586-024-08506-0. Epub 2024 Oct 4. PMID: 39365435