Our Summary

This research paper looks into a specific way of monitoring the spinal cord during scoliosis surgery, called monopolar stimulation. The method was tested during 41 surgeries and the results were compared to another method called bipolar stimulation. The results showed that monopolar stimulation gave equally good, or even better, results for the lower limbs. Monitoring the upper limbs was also satisfactory and helped spot a decrease in responses in two patients. The paper concludes that monopolar stimulation is a good method for monitoring the spinal cord during scoliosis surgery. It is more convenient for the surgeon and allows monitoring of all four limbs, which is beneficial for certain surgical techniques.

FAQs

  1. What is monopolar stimulation and how is it used in scoliosis surgery?
  2. How does monopolar stimulation compare to bipolar stimulation in monitoring the spinal cord during scoliosis surgery?
  3. What are the benefits of using monopolar stimulation for monitoring during scoliosis surgery?

Doctor’s Tip

A helpful tip a doctor might tell a patient about pediatric scoliosis surgery is to ensure that the child follows the post-operative rehabilitation plan diligently. This may include physical therapy, wearing a brace, and avoiding certain activities that could put stress on the spine. By following the rehabilitation plan, the child can help ensure a successful recovery and long-term success of the surgery.

Suitable For

Pediatric patients with severe scoliosis that is progressing rapidly or causing significant symptoms are typically recommended for surgery. Other factors that may influence the recommendation for surgery include the degree of spinal curvature, the age of the patient, the presence of other medical conditions, and the potential for future growth and progression of the scoliosis. Surgery is usually considered as a last resort after other conservative treatment options, such as bracing or physical therapy, have been tried and deemed ineffective.

Timeline

Before pediatric scoliosis surgery:

  1. Initial diagnosis: The patient is diagnosed with scoliosis, a condition characterized by an abnormal curvature of the spine.
  2. Non-surgical treatment: The patient may undergo non-surgical treatments such as bracing, physical therapy, or monitoring of the condition.
  3. Decision for surgery: If the scoliosis progresses or causes significant symptoms, the patient and their medical team may decide that surgery is necessary to correct the curvature of the spine.

After pediatric scoliosis surgery:

  1. Immediate recovery: The patient will be closely monitored in the recovery room after surgery to ensure they are stable and not experiencing any complications.
  2. Hospital stay: The patient will typically stay in the hospital for a few days following surgery to monitor their recovery and manage any pain or discomfort.
  3. Physical therapy: After discharge from the hospital, the patient will likely undergo physical therapy to help regain strength and mobility in the spine and surrounding muscles.
  4. Follow-up appointments: The patient will have regular follow-up appointments with their surgeon to monitor their progress and ensure the surgical site is healing properly.
  5. Long-term recovery: The patient may need to continue physical therapy and follow-up appointments for several months to years after surgery to ensure the spine remains stable and any complications are addressed promptly.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with pediatric scoliosis surgery?
  2. How long is the recovery process for pediatric scoliosis surgery?
  3. What is the success rate of pediatric scoliosis surgery in terms of correcting the curvature of the spine?
  4. What are the long-term effects of pediatric scoliosis surgery on growth and development?
  5. Are there any alternative treatment options to consider before proceeding with surgery?
  6. How frequently will follow-up appointments be needed after surgery?
  7. What type of physical therapy or rehabilitation will be required after pediatric scoliosis surgery?
  8. How will the surgical incision be cared for and what are the signs of infection to look out for?
  9. What restrictions or limitations will the child have after surgery, such as physical activity or sports?
  10. Are there any specific recommendations for pain management after pediatric scoliosis surgery?

Reference

Authors: Gomes C, Kuchenbuch M, Lucas G, Argaud S, Violas P, Sauleau P. Journal: Eur Spine J. 2016 Oct;25(10):3201-3207. doi: 10.1007/s00586-016-4504-6. Epub 2016 Mar 8. PMID: 26957100