Our Summary

This research paper provides a detailed review of Adolescent Idiopathic Scoliosis (AIS), a condition in which the spine curves in a certain way, causing physical and emotional issues. The goal of this review is to understand why the curve occurs and how to better manage and treat the condition. The research looks at the causes and characteristics of AIS, how it is diagnosed, different surgical treatments, and the results of these surgeries. The main surgical methods include fusing the front of the spine, the back of the spine, or both.

FAQs

  1. What is Adolescent Idiopathic Scoliosis (AIS) and how does it impact a person’s physical and emotional status?
  2. What are the different surgical management options for AIS and how do their outcomes differ?
  3. What is the significance of understanding the aetio-pathogenesis of AIS in its treatment?

Doctor’s Tip

One helpful tip a doctor might tell a patient about scoliosis surgery is to follow post-operative instructions carefully, including proper wound care, physical therapy exercises, and restrictions on certain activities to ensure a successful recovery and long-term outcome. It is important to attend all follow-up appointments and communicate any concerns or changes in symptoms to your healthcare provider.

Suitable For

Patients who are typically recommended scoliosis surgery are those with Adolescent Idiopathic Scoliosis (AIS) who have a curvature of the spine that is severe and progressive, causing pain, difficulty breathing, or affecting their quality of life. Surgery is usually considered when the curvature reaches a certain degree (usually greater than 40-50 degrees) and when other non-surgical treatments such as bracing or physical therapy have not been effective in managing the condition. Additionally, patients who are still growing and have a high risk of progression of the curvature may also be recommended for surgery to prevent further deformity and complications in the future.

Timeline

Before scoliosis surgery:

  • Patient may experience back pain, discomfort, and visible curvature of the spine
  • Patient may undergo physical examination, imaging tests (X-rays, MRI), and possibly a brace trial to monitor the progression of the curvature
  • Patient and family members may have consultations with orthopedic surgeons to discuss treatment options and risks
  • Patient may undergo pre-operative evaluations, such as blood tests and EKG, to ensure they are healthy enough for surgery

After scoliosis surgery:

  • Patient will be hospitalized for a few days to a week, depending on the type of surgery performed
  • Patient will be closely monitored for pain management, wound healing, and signs of complications
  • Patient will begin physical therapy and rehabilitation to regain strength and flexibility in the spine
  • Patient will have follow-up appointments with the surgeon to monitor the healing process and make any necessary adjustments to the treatment plan
  • Patient may gradually return to normal activities, with restrictions on strenuous physical activity for a period of time
  • Patient will continue to have regular check-ups to monitor the spine and assess for any signs of recurrence of the curvature

What to Ask Your Doctor

  1. What are the benefits and risks of scoliosis surgery for my specific case?
  2. What are the different surgical options available for treating scoliosis, and which one do you recommend for me?
  3. What is the success rate of scoliosis surgery in terms of correcting the curvature and improving symptoms?
  4. What is the recovery process like after scoliosis surgery, and how long will it take for me to fully recover?
  5. What are the potential complications or side effects of scoliosis surgery that I should be aware of?
  6. Will scoliosis surgery have any long-term effects on my spine or overall health?
  7. How will scoliosis surgery affect my physical activity and daily life after recovery?
  8. Are there any alternative treatment options to surgery that I should consider?
  9. How many scoliosis surgeries have you performed, and what is your success rate with this procedure?
  10. Can you provide me with any additional resources or information to help me better understand scoliosis surgery and make an informed decision?

Reference

Authors: Addai D, Zarkos J, Bowey AJ. Journal: Childs Nerv Syst. 2020 Jun;36(6):1111-1119. doi: 10.1007/s00381-020-04608-4. Epub 2020 Apr 21. PMID: 32314025