Our Summary

This study looks at a surgical technique used to treat children under 10 with a specific severe type of scoliosis, which is a condition where the spine curves abnormally. This type of scoliosis is caused by a birth defect that affects the spine and ribs, making the condition difficult to treat with standard methods due to the rigidity of the spine.

Between 2006 and 2016, 11 patients underwent a two-stage surgical procedure called an osteotomy. The first stage involved making a cut in the bone to correct the spine’s alignment, and the second stage involved a follow-up surgery to further enhance the results.

The study found that the average age of patients at the time of the first surgery was around 6.6 years old. The average curvature of the spine improved significantly after the first surgery, and continued to improve by the time of the final check-up. The length of the spine also increased over time after the surgery.

Importantly, no patients suffered neurological complications as a result of the surgery. The study concluded that this two-stage osteotomy procedure could be a good treatment option for children with this complex type of scoliosis.

FAQs

  1. What is the two-stage osteotomy procedure used for in this study?
  2. How did the patients’ spinal curvature and length change after the surgery?
  3. Were there any neurological complications observed in patients who underwent this surgery?

Doctor’s Tip

A helpful tip a doctor might tell a patient considering scoliosis surgery is to carefully follow all pre-operative and post-operative instructions provided by the surgical team. This may include instructions on how to prepare for surgery, what to expect during the recovery process, and how to properly care for the surgical incision. Following these instructions can help ensure a successful outcome and minimize the risk of complications. Additionally, it is important to communicate openly with the medical team about any concerns or questions you may have before, during, and after the surgery.

Suitable For

Typically, patients who are recommended scoliosis surgery are those who have a severe curvature of the spine that is causing pain, difficulty breathing, or impacting their quality of life. Surgery may also be recommended for patients who have a progressive curve that is worsening over time despite other treatments, or for patients who have a curvature that is affecting their internal organs.

In the case of the specific severe type of scoliosis discussed in the study, surgery may be recommended for children under 10 with a birth defect affecting the spine and ribs that makes the condition difficult to treat with standard methods. This type of scoliosis may require a more complex surgical approach, such as the two-stage osteotomy procedure described in the study.

Timeline

Before the surgery, the patient would have likely undergone various diagnostic tests such as X-rays, MRIs, and physical examinations to determine the severity of their scoliosis. They would have also consulted with their orthopedic surgeon to discuss the surgical procedure, risks, and potential outcomes.

After the surgery, the patient would typically spend a few days in the hospital for monitoring and pain management. They would then begin a rehabilitation program to help strengthen their muscles, improve their range of motion, and promote healing. Follow-up appointments with the surgeon would be scheduled to monitor the progress of the spine’s alignment and ensure that the patient is recovering well.

Over time, the patient would gradually regain their strength and mobility, with the goal of returning to their normal activities. They may need to wear a brace or use assistive devices during the recovery period. Regular check-ups with the surgeon would continue to monitor the spine’s alignment and address any issues that may arise.

Overall, the timeline of a patient’s experience before and after scoliosis surgery involves thorough preparation, careful monitoring, and dedicated rehabilitation to achieve the best possible outcome for the patient.

What to Ask Your Doctor

  1. What are the risks and potential complications associated with scoliosis surgery?

  2. How long is the recovery process after scoliosis surgery, and what can I expect in terms of pain management and physical therapy?

  3. Will I need to wear a brace after surgery, and for how long?

  4. How successful is scoliosis surgery in correcting the curvature of the spine, and are there any long-term effects I should be aware of?

  5. What alternative treatment options are available for scoliosis, and why is surgery recommended in my case?

  6. How experienced is the surgical team in performing scoliosis surgeries, and what is their success rate?

  7. Will I need any additional surgeries or follow-up procedures in the future?

  8. Are there any restrictions or lifestyle changes I will need to make after surgery?

  9. What is the expected outcome in terms of pain relief and improved mobility after scoliosis surgery?

  10. How can I best prepare for surgery, both physically and mentally, and what can I do to ensure a successful recovery?

Reference

Authors: Zhao S, Xue X, Li K, Miao F, Zhao B. Journal: BMC Musculoskelet Disord. 2021 Sep 13;22(1):788. doi: 10.1186/s12891-021-04682-y. PMID: 34517867