Our Summary

This study aimed to evaluate the effectiveness and safety of a less invasive surgical procedure for treating adolescent idiopathic scoliosis (AIS), a condition where the spine curves abnormally. The researchers collected data from 70 patients with AIS who underwent this minimally invasive surgery between June 2013 and February 2016. The procedure was carried out through three small incisions and involved splitting the muscle, all performed by the same surgeon.

Results showed that the surgery significantly improved the curvature of the patients’ spines. Average operation time was approximately 337 minutes, with an average blood loss of 346 milliliters, and the average hospital stay was roughly 4.6 days. Complications occurred in about 11.3% of patients, including blood clots, lung complications, wound infections, and surgical site infections.

In conclusion, the study found that minimally invasive surgery can correct spinal deformity in AIS patients effectively with a short hospital stay and low blood loss. However, there were some complications, and the long-term safety of this procedure needs to be further evaluated with a greater number of patients.

FAQs

  1. What is the primary aim of this study on scoliosis surgery?
  2. How effective and safe was the minimally invasive surgery for treating adolescent idiopathic scoliosis according to the study?
  3. What complications were observed in patients who underwent this minimally invasive scoliosis surgery?

Doctor’s Tip

A helpful tip a doctor might tell a patient about scoliosis surgery is to follow post-operative instructions carefully, including proper wound care, physical therapy, and avoiding strenuous activities until cleared by the surgeon. It is important to attend all follow-up appointments to monitor progress and address any concerns promptly. Additionally, maintaining a healthy lifestyle with regular exercise and proper nutrition can help support the healing process and overall spinal health.

Suitable For

Patients with adolescent idiopathic scoliosis (AIS) who have significant spinal curvature and have not responded to non-surgical treatments may be recommended for scoliosis surgery. Additionally, patients who have worsening symptoms such as pain, difficulty breathing, or neurological issues due to their scoliosis may also be candidates for surgery. The decision to undergo surgery is typically made in consultation with a spine specialist after considering the patient’s overall health, age, and the severity of their scoliosis.

Timeline

Before scoliosis surgery:

  1. Patient is diagnosed with adolescent idiopathic scoliosis.
  2. Patient undergoes various tests and evaluations to determine the severity of the curvature of the spine.
  3. Patient and their family consult with a surgeon to discuss treatment options, including the possibility of surgery.
  4. Patient undergoes pre-operative preparations, including blood tests, imaging scans, and physical examinations.

After scoliosis surgery:

  1. Patient undergoes minimally invasive surgery to correct the spinal deformity.
  2. Surgery lasts approximately 337 minutes with an average blood loss of 346 milliliters.
  3. Patient stays in the hospital for an average of 4.6 days post-surgery.
  4. Patient may experience complications such as blood clots, lung complications, wound infections, and surgical site infections.
  5. Patient undergoes post-operative care, including physical therapy and follow-up appointments with the surgeon.
  6. Patient’s spine curvature is significantly improved, leading to improved quality of life and reduced pain.

Overall, scoliosis surgery is an effective treatment option for patients with severe spinal deformities, although there are potential risks and complications associated with the procedure.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with scoliosis surgery?
  2. How long is the recovery process after scoliosis surgery?
  3. Will I need physical therapy or rehabilitation after the surgery?
  4. What type of scoliosis surgery is recommended for my specific condition?
  5. How experienced is the surgeon in performing scoliosis surgeries?
  6. What is the success rate of scoliosis surgery in correcting spinal curvature?
  7. Are there any alternative treatments or therapies that I should consider before opting for surgery?
  8. How long will I need to stay in the hospital after the surgery?
  9. What is the expected outcome and prognosis after scoliosis surgery?
  10. Are there any long-term effects or complications that I should be aware of after the surgery?

Reference

Authors: de Bodman C, Miyanji F, Borner B, Zambelli PY, Racloz G, Dayer R. Journal: Bone Joint J. 2017 Dec;99-B(12):1651-1657. doi: 10.1302/0301-620X.99B12.BJJ-2017-0022.R2. PMID: 29212689