Our Summary

This research paper aims to provide the most recent and helpful information regarding the treatment of early-onset scoliosis (EOS), a condition where a child’s spine curves at a very young age. Traditional methods such as using growing rods or Mehta casting have been confirmed as effective and safe. However, newer studies suggest that there might be better ways to treat EOS that are less invasive. The main goal in treating EOS should focus on helping the rib cage to expand and lungs to develop. The appropriate treatment method may vary based on the specific characteristics of each patient.

FAQs

  1. What is early-onset scoliosis (EOS) and how is it traditionally treated?
  2. What recent advancements have been suggested for less invasive treatment of EOS?
  3. How does the treatment for EOS vary depending on the patient’s specific characteristics?

Doctor’s Tip

One helpful tip a doctor might tell a patient about scoliosis surgery is to follow a thorough pre-operative preparation plan, which may include physical therapy, nutritional counseling, and psychological support. This can help optimize the patient’s overall health and improve their recovery outcomes post-surgery. Additionally, it is important for patients to closely follow their post-operative care plan, which may involve physical therapy, pain management, and regular follow-up appointments with their healthcare provider to monitor their progress and ensure proper healing.

Suitable For

Patients who are typically recommended for scoliosis surgery are those who have a spinal curve that is greater than 40-50 degrees, have not responded well to non-surgical treatments such as bracing or physical therapy, are experiencing severe pain or discomfort, have significant deformity or asymmetry in the spine, or have a curve that is progressing rapidly. Additionally, patients who have neurological symptoms such as weakness or numbness in the legs, or have difficulty breathing due to the curvature of the spine may also be recommended for surgery.

It is important for patients and their families to discuss all treatment options with their healthcare provider to determine the best course of action for their specific case. Surgery is typically considered a last resort for scoliosis treatment, and is usually only recommended when the benefits outweigh the risks. It is important for patients to be fully informed about the potential risks and complications associated with surgery, as well as the expected outcomes and recovery process.

Timeline

Before scoliosis surgery:

  1. Diagnosis: The patient is diagnosed with scoliosis, typically through a physical examination and imaging tests such as X-rays.
  2. Monitoring: The patient may undergo regular monitoring to track the progression of the spinal curve and determine if surgery is necessary.
  3. Non-surgical treatments: The patient may undergo non-surgical treatments such as physical therapy, bracing, or spinal manipulation to help manage the symptoms of scoliosis.
  4. Decision-making: The patient and their healthcare team will discuss the risks and benefits of surgery and make a decision on whether to proceed with scoliosis surgery.

After scoliosis surgery:

  1. Preparation: The patient will undergo pre-operative assessments and preparations to ensure they are ready for surgery.
  2. Surgery: The patient undergoes scoliosis surgery, which typically involves the placement of rods and screws to straighten and stabilize the spine.
  3. Recovery: The patient will spend time in the hospital recovering from surgery, which may involve pain management, physical therapy, and monitoring for complications.
  4. Rehabilitation: The patient will continue with physical therapy and rehabilitation to regain strength, flexibility, and function in their spine.
  5. Follow-up care: The patient will have regular follow-up appointments with their healthcare team to monitor their progress, adjust treatment as needed, and ensure long-term success of the surgery.

What to Ask Your Doctor

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

  2. How long is the recovery period after scoliosis surgery and what can I expect during the recovery process?

  3. Are there any alternative treatment options to surgery for scoliosis that I should consider?

  4. How will scoliosis surgery affect my daily activities and quality of life in the long term?

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

  6. Will I need physical therapy or rehabilitation after scoliosis surgery, and if so, for how long?

  7. How often will I need follow-up appointments after scoliosis surgery to monitor my progress and check for any potential complications?

  8. Are there any restrictions or limitations on physical activity or sports that I should be aware of after scoliosis surgery?

  9. How will scoliosis surgery impact my future growth and development, especially if I am still growing?

  10. Can you provide me with information on the specific surgical technique that you plan to use for my scoliosis surgery and why you believe it is the best option for me?

Reference

Authors: Moreno Mateo F, Bovonratwet P, Peiró García A. Journal: Curr Opin Pediatr. 2024 Feb 1;36(1):105-111. doi: 10.1097/MOP.0000000000001318. Epub 2023 Nov 22. PMID: 37991009