Our Summary

This research paper focuses on different types of scoliosis, which is a condition where the spine curves to the side instead of being straight. These types include congenital scoliosis, that one is born with; idiopathic scoliosis, the cause of which is unknown; and neuromuscular scoliosis, resulting from conditions like cerebral palsy and muscular dystrophy.

The paper also talks about a tool called a ‘scoliometer’, which is used to measure the degree of the curve in the spine. The study is essentially about understanding these spinal deformities better.

FAQs

  1. What are the different types of scoliosis mentioned in the article?
  2. What is a scoliometer and how is it related to scoliosis surgery?
  3. What is neuromuscular scoliosis and how is it treated?

Doctor’s Tip

One helpful tip a doctor might tell a patient about scoliosis surgery is to follow all pre-operative and post-operative instructions carefully. This may include maintaining proper nutrition, staying active, attending physical therapy sessions, and avoiding activities that could put strain on the spine. It is important to communicate openly with your healthcare team and ask any questions you may have to ensure the best possible outcome from the surgery.

Suitable For

Patients who are typically recommended for scoliosis surgery are those who have moderate to severe curvature of the spine (typically greater than 40-50 degrees), have not responded well to non-surgical treatments such as bracing or physical therapy, are experiencing significant pain or discomfort, have noticeable asymmetry of the body, or are at risk for further progression of the curvature. Patients with conditions such as idiopathic scoliosis, neuromuscular scoliosis, or congenital scoliosis may be candidates for surgery depending on the severity of their condition. It is important for patients to consult with a spine specialist to determine the best course of treatment for their individual case.

Timeline

Before scoliosis surgery:

  1. Patient is diagnosed with scoliosis through physical examination and imaging tests such as X-rays.
  2. Patient undergoes non-surgical treatments such as bracing, physical therapy, and monitoring of the curvature progression.
  3. If the curvature continues to worsen and causes pain or affects quality of life, the patient and their healthcare team may decide to proceed with surgery.

After scoliosis surgery:

  1. Patient undergoes pre-operative tests and evaluations to ensure they are healthy enough for surgery.
  2. Surgery is performed, which may involve spinal fusion, instrumentation, or correction of the curvature.
  3. Patient is monitored closely in the hospital for the initial recovery period, which may involve pain management, physical therapy, and monitoring for any complications.
  4. Patient is discharged from the hospital and continues with physical therapy and follow-up appointments to monitor the healing process and ensure the spine is properly aligned.
  5. Patient gradually resumes normal activities and may experience improvements in pain, posture, and overall function over time.

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. What are the expected outcomes and long-term effects of the surgery?
  4. Will I need physical therapy or rehabilitation after the surgery?
  5. Are there any alternative treatments or options for managing scoliosis besides surgery?
  6. How experienced is the surgical team in performing scoliosis surgeries?
  7. What type of surgical approach will be used for my specific case of scoliosis?
  8. How long will I need to stay in the hospital after the surgery?
  9. Will I need to wear a brace or use any assistive devices after the surgery?
  10. What kind of follow-up care will be required after the surgery?

Reference

Authors: Blevins K, Battenberg A, Beck A. Journal: Adv Pediatr. 2018 Aug;65(1):249-266. doi: 10.1016/j.yapd.2018.04.013. Epub 2018 Jun 12. PMID: 30053928