Our Summary

This research paper investigates how spinal fusion surgery affects flexibility in patients with adolescent idiopathic scoliosis (AIS), a curvature of the spine that appears in late childhood or adolescence. The study looked at 109 patients who had done a “sit-and-reach” test (a common flexibility test) before surgery, and again 1 and 2 years after surgery. The patients were grouped based on how far down the spine the surgery had been performed.

The results showed that before surgery, patients with AIS had less flexibility than the average person their age. Two years after surgery, those who had the procedure done higher up the spine (up to the second lumbar vertebra, or L2) had regained their pre-surgery flexibility. However, those who had the surgery done lower down (at the third or fourth lumbar vertebra, L3 or L4) still had less flexibility than they did before surgery.

In simpler terms, the study found that spinal fusion surgery can impact the flexibility of AIS patients, especially if the surgery is performed lower down the spine.

FAQs

  1. How does spinal fusion surgery affect the flexibility of patients with adolescent idiopathic scoliosis (AIS)?
  2. How does the location of the spinal fusion surgery on the spine affect the post-surgery flexibility of AIS patients?
  3. Are AIS patients able to regain their pre-surgery flexibility after undergoing spinal fusion surgery?

Doctor’s Tip

A helpful tip a doctor might tell a patient about scoliosis surgery is to work closely with a physical therapist both before and after the procedure to help maintain flexibility and range of motion in the spine. Regular stretching exercises and physical therapy can help prevent stiffness and maintain flexibility in the spine after surgery. It is important to follow the recommendations of your healthcare team to ensure the best possible outcome.

Suitable For

Based on this study, patients who have adolescent idiopathic scoliosis (AIS) and have a curvature of the spine that requires spinal fusion surgery are typically recommended for surgery if they have a significant curvature that is causing pain, difficulty breathing, or other health issues. Additionally, patients who have tried conservative treatments such as physical therapy or bracing without success may also be recommended for surgery. It is important for patients to discuss their options with their healthcare provider to determine if surgery is the best course of action for their specific condition.

Timeline

Before scoliosis surgery:

  • Patient is diagnosed with adolescent idiopathic scoliosis (AIS) through physical examination and imaging tests.
  • Patient may undergo non-surgical treatments such as physical therapy, bracing, or observation to monitor the progression of the curve.
  • Patient experiences back pain, difficulty breathing, and cosmetic concerns due to the curvature of the spine.

After scoliosis surgery:

  • Patient undergoes spinal fusion surgery to correct the curvature of the spine.
  • Patient may experience pain and discomfort immediately following surgery, which is managed with pain medication.
  • Patient stays in the hospital for a few days to recover and receive physical therapy to regain strength and mobility.
  • Patient is discharged from the hospital and continues physical therapy and rehabilitation at home.
  • Patient gradually resumes normal activities and gradually returns to school or work.
  • Patient undergoes follow-up appointments with their surgeon to monitor the healing process and the alignment of the spine.
  • Patient may experience improved posture, reduced pain, and increased physical function as a result of the surgery.

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 case?

  5. How will scoliosis surgery affect my daily activities and quality of life?

  6. What are the success rates of scoliosis surgery in terms of correcting the curvature of the spine?

  7. Are there any alternative treatments or non-surgical options for scoliosis that I should consider?

  8. How long will I need to stay in the hospital after scoliosis surgery?

  9. What is the long-term prognosis for someone who has undergone scoliosis surgery?

  10. Will I need to follow any specific post-operative instructions or precautions after scoliosis surgery?

Reference

Authors: Nokariya S, Kotani T, Sakuma T, Iijima Y, Okumura T, Katogi T, Okuwaki S, Miyagi M, Inoue G, Akazawa T, Shiga Y, Minami S, Ohtori S, Takaso M. Journal: Spine Deform. 2023 Mar;11(2):297-303. doi: 10.1007/s43390-022-00608-3. Epub 2022 Nov 4. PMID: 36331800