Our Summary

The research paper identifies gaps in previous studies on the techniques used in intraoperative navigated (ION) spinal surgery, a type of surgery that utilizes real-time imaging technology for guidance. The authors propose a comprehensive surgical method that includes various steps such as patient positioning, surgical dissection, managing the reference frame, grip adjustment, angle of attack, use of drill, template, pedicle screw, wire, and also include navigated pain management within the spinal canal. The aim is to refine these techniques to improve the accuracy of the surgery and reduce repetition of surgical steps. This has multiple benefits such as saving time, reducing costs, minimizing radiation exposure, and increasing overall safety. The study is relevant to conditions such as adult spinal deformity, scoliosis, and other spine-related issues.

FAQs

  1. What is intraoperative navigated (ION) spinal surgery and how is it used in scoliosis treatment?
  2. What are the key measures synthesized into the operative technique of ION spinal surgery?
  3. How does optimizing techniques in ION spinal surgery improve the overall surgery process?

Doctor’s Tip

A doctor might tell a patient about scoliosis surgery to follow post-operative instructions carefully, including proper wound care, physical therapy, and activity restrictions. It is important to attend all follow-up appointments and communicate any concerns or changes in symptoms to your healthcare provider. It is also important to maintain a healthy lifestyle to support the healing process and prevent complications.

Suitable For

Patients who are typically recommended scoliosis surgery are those who have severe curvature of the spine that is causing pain, difficulty breathing, or other serious complications. These patients may have tried other treatments such as bracing or physical therapy with little to no success. Additionally, patients who have rapidly progressing scoliosis, particularly during growth spurts, may also be recommended for surgery to prevent further complications. Ultimately, the decision to undergo scoliosis surgery is made on a case-by-case basis by a team of healthcare professionals, including orthopedic surgeons and spine specialists.

Timeline

Before scoliosis surgery:

  • Patient is diagnosed with scoliosis through physical examination and imaging studies.
  • Patient undergoes conservative treatment options such as bracing or physical therapy to manage symptoms.
  • Patient and medical team decide that surgery is the best option to correct the spinal curvature.
  • Patient undergoes preoperative evaluations, including blood tests, imaging studies, and consultations with various healthcare providers.
  • Patient receives instructions on how to prepare for surgery, including fasting and discontinuing certain medications.

After scoliosis surgery:

  • Patient is taken to the recovery room immediately after surgery to monitor vital signs and pain levels.
  • Patient is typically required to stay in the hospital for a few days for monitoring and pain management.
  • Patient begins physical therapy to regain strength and mobility in the spine.
  • Patient is given instructions on how to care for the incision site and manage pain at home.
  • Follow-up appointments are scheduled to monitor progress and address any complications that may arise.
  • Patient gradually resumes normal activities, with restrictions on heavy lifting and strenuous activities for a period of time.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with scoliosis surgery?
  2. How long will the recovery process take after scoliosis surgery?
  3. What type of scoliosis surgery is recommended for my specific condition?
  4. How experienced is the surgical team in performing scoliosis surgery?
  5. What are the expected outcomes and success rates of scoliosis surgery?
  6. Will I need physical therapy or rehabilitation after scoliosis surgery?
  7. How will scoliosis surgery impact my daily activities and quality of life?
  8. What alternative treatment options are available for scoliosis besides surgery?
  9. How long will I need to stay in the hospital after scoliosis surgery?
  10. What is the long-term prognosis for scoliosis after surgery?

Reference

Authors: Cawley D, Dhokia R, Sales J, Darwish N, Molloy S. Journal: Bone Joint J. 2020 Mar;102-B(3):371-375. doi: 10.1302/0301-620X.102B3.BJJ-2019-1499.R1. PMID: 32114817