Our Summary

This study looks at the latest techniques in treating a common condition in children and teenagers called idiopathic scoliosis, which is a sideways curve of the spine. The goal of treatment for this condition is to correct the curve, prevent it from getting worse, restore balance to the body, and reduce discomfort and health issues. Surgical treatments have advanced over the years, with methods like using screws to secure the spine, using robots to assist in surgery, and new techniques that don’t involve fusing the spine. The study found that these new techniques are showing promise, particularly for younger patients who are still growing. However, more long-term studies with larger groups of patients are needed to confirm how safe and effective these techniques are.

FAQs

  1. What is the goal of treatment for idiopathic scoliosis in children and teenagers?
  2. What are some of the advanced surgical treatments for idiopathic scoliosis mentioned in the study?
  3. What are the findings of the study regarding the effectiveness and safety of the new surgical techniques?

Doctor’s Tip

One helpful tip a doctor might tell a patient about pediatric scoliosis surgery is to follow the post-operative care instructions carefully. This may include restrictions on physical activity, wearing a brace, attending physical therapy sessions, and attending follow-up appointments. It is important to follow these instructions to ensure a successful recovery and to prevent complications. Additionally, maintaining a healthy lifestyle with proper nutrition and regular exercise can also help with the healing process.

Suitable For

Patients who are typically recommended pediatric scoliosis surgery are those who have a significant spinal curvature that is causing pain, difficulty breathing, or other health issues. These patients may have tried non-surgical treatments such as bracing or physical therapy without success. Surgical intervention is usually considered for patients with a spinal curvature greater than 40-50 degrees, or for those who are still growing and at risk of their curve worsening. The decision to undergo surgery is often made in consultation with a pediatric orthopedic surgeon, who will consider factors such as the patient’s age, overall health, and the specific characteristics of their scoliosis curve.

Timeline

Before pediatric scoliosis surgery:

  1. Diagnosis: The patient is diagnosed with idiopathic scoliosis through a physical exam, imaging tests (such as X-rays or MRI), and possibly a referral to a specialist.

  2. Monitoring: The patient may undergo regular monitoring to track the progression of the curve and determine if surgery is necessary.

  3. Pre-surgical preparation: Before surgery, the patient and their family will meet with the surgical team to discuss the procedure, potential risks and benefits, and post-operative care.

  4. Surgery: The patient undergoes scoliosis surgery, which may involve spinal fusion, instrumentation, or other techniques to correct the curve.

After pediatric scoliosis surgery:

  1. Hospitalization: The patient typically stays in the hospital for a few days following surgery for monitoring and pain management.

  2. Rehabilitation: The patient may undergo physical therapy to help with mobility, strength, and flexibility as they recover from surgery.

  3. Follow-up appointments: The patient will have regular follow-up appointments with their surgical team to monitor their progress, address any concerns, and make adjustments to their treatment plan as needed.

  4. Long-term monitoring: The patient will continue to be monitored over the years to ensure the curve does not progress and to address any potential complications or issues that may arise.

Overall, the goal of pediatric scoliosis surgery is to improve the patient’s quality of life, prevent the curve from worsening, and promote long-term spinal health.

What to Ask Your Doctor

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

  2. How long is the recovery period after surgery and what can be expected in terms of pain management and rehabilitation?

  3. Will the surgery completely correct the curve of the spine or will further treatments be needed in the future?

  4. Are there alternative treatments or less invasive options available for pediatric scoliosis?

  5. How experienced is the surgical team in performing pediatric scoliosis surgeries and what is their success rate?

  6. What is the expected outcome in terms of physical function, appearance, and overall quality of life after surgery?

  7. How will the surgery impact my child’s growth and development, especially if they are still growing?

  8. What post-operative care and follow-up appointments will be required after the surgery?

  9. Are there any restrictions or limitations my child will need to follow after surgery, such as physical activity or sports participation?

  10. What long-term monitoring or surveillance will be needed to ensure the success of the surgery and monitor for any potential complications or recurrence of the curve?

Reference

Authors: Cheung ZB, Selverian S, Cho BH, Ball CJ, Kang-Wook Cho S. Journal: World Neurosurg. 2019 Oct;130:e737-e742. doi: 10.1016/j.wneu.2019.06.207. Epub 2019 Jul 5. PMID: 31284059