Our Summary
This research paper presents a surgical method for early correction of congenital scoliosis, a spinal condition that children are born with. This condition can cause the spine to curve severely, affect balance, and cause other health problems. The surgery aims to correct the deformity while minimising the impact on the child’s growth and movement.
The surgery involves making an incision at the topmost point of the spinal curve. If the child’s spine is still growing, care is taken to only interact with the areas that will be fused. Screws are then inserted into the vertebrae on either side of the malformed vertebra. The malformed vertebra and any extra rib in the chest area are then removed. The body of the malformed vertebra and the adjacent discs are also removed, correcting the curvature.
After the surgery, the child is encouraged to move around on the first day. They may need to wear a brace for about three months, depending on the stability of the spine. Regular check-ups are required until the child stops growing.
The surgery has been successful, with 60-80% of spinal deformities corrected. However, in some cases, additional surgeries may be required to correct other issues such as fusion of vertebrae or ribs, especially as the child grows.
FAQs
- What is the aim of the surgical method presented for early correction of congenital scoliosis?
- What is the process of the surgery to correct congenital scoliosis and how does it impact the child’s growth and movement?
- What is the success rate of the surgery and are there cases where additional surgeries might be required?
Doctor’s Tip
One helpful tip a doctor might tell a patient about scoliosis surgery is to follow the post-operative care instructions diligently. This may include physical therapy, wearing a brace, and avoiding certain activities that could put strain on the spine. It is important to attend all follow-up appointments and communicate any concerns or changes in symptoms to the doctor. By following these instructions, the patient can help ensure a successful recovery and long-term success of the surgery.
Suitable For
Patients who are typically recommended scoliosis surgery are those who have a severe spinal curvature that is causing pain, difficulty breathing, or other health issues. Typically, these patients have tried conservative treatments such as bracing and physical therapy without success. Additionally, patients who are still growing and have a curvature that is progressing rapidly may also be recommended for surgery to prevent further deformity.
Patients with congenital scoliosis, like the ones in the research paper, are often recommended for surgery at a young age to correct the deformity before it worsens and negatively impacts their growth and development. Other factors that may influence the recommendation for surgery include the location and severity of the curvature, the age of the patient, and their overall health and lifestyle.
Ultimately, the decision to undergo scoliosis surgery is a complex one that should be made in consultation with a team of medical professionals, including orthopedic surgeons, pediatricians, and physical therapists. The goal of surgery is to correct the spinal deformity, relieve pain and other symptoms, and improve the patient’s quality of life.
Timeline
Before the surgery, the patient will typically undergo a series of tests such as X-rays, CT scans, and MRI scans to determine the extent of the spinal curvature and plan for the surgery. They may also meet with a team of healthcare professionals including a surgeon, anesthesiologist, and physical therapist to discuss the procedure and post-operative care.
After the surgery, the patient will typically spend a few days in the hospital for monitoring and pain management. They will gradually start physical therapy to help regain strength and mobility. The patient may need to wear a brace for a period of time to support the spine as it heals.
Over the following months and years, the patient will continue with regular check-ups to monitor the progress of their spine and ensure that it is healing properly. They may also need to undergo additional surgeries or treatments if any complications arise.
Overall, the goal of scoliosis surgery is to correct the spinal curvature, improve the patient’s quality of life, and prevent future health problems associated with the condition. With proper care and follow-up, patients can experience significant improvements in their spinal alignment and overall well-being.
What to Ask Your Doctor
Some questions a patient should ask their doctor about scoliosis surgery include:
- What are the risks and potential complications of the surgery?
- How long is the recovery process and what can I expect during this time?
- Will I need physical therapy or other forms of rehabilitation after the surgery?
- How will the surgery impact my ability to participate in sports or physical activities in the future?
- What are the long-term effects of the surgery on my spine and overall health?
- Will I need additional surgeries in the future to maintain the correction of my spinal deformity?
- What is the success rate of this type of surgery for congenital scoliosis?
- How will the surgery affect my growth and development, especially if my spine is still growing?
- Are there any alternative treatments or less invasive procedures that could be considered?
- What are the qualifications and experience of the surgical team performing the procedure?
Reference
Authors: Ruf M. Journal: Oper Orthop Traumatol. 2024 Feb;36(1):4-11. doi: 10.1007/s00064-023-00827-5. Epub 2023 Sep 19. PMID: 37725190