Our Summary

This research paper looks at the problems that can arise after children have surgery to correct spinal deformities. These can include issues with the wound healing properly, which can cause emotional, physical, and financial stress. One way to potentially prevent these issues is being investigated - different techniques for closing the wound after surgery. The study also found that when spinal surgeons and plastic surgeons work together to care for the patient, there’s a lower chance of wound complications in patients with a certain type of scoliosis - a condition where the spine curves to the side.

FAQs

  1. What are the common complications after pediatric spinal deformity surgery?
  2. How can wound closure techniques help in preventing complications after pediatric scoliosis surgery?
  3. How does interdisciplinary care by spinal surgeons and plastic surgeons help to reduce wound complications in patients with nonidiopathic scoliosis?

Doctor’s Tip

One helpful tip a doctor might tell a patient about pediatric scoliosis surgery is to follow post-operative wound care instructions carefully to reduce the risk of wound complications. This may include keeping the incision site clean and dry, avoiding excessive bending or twisting that could put strain on the incision, and attending follow-up appointments to monitor healing progress. Additionally, maintaining a healthy diet and staying hydrated can also help promote proper wound healing.

Suitable For

Patients who are typically recommended pediatric scoliosis surgery are those who have a progressive curvature of the spine that is causing pain, difficulty breathing, or other complications. Surgery may also be recommended for patients who have tried conservative treatments such as bracing or physical therapy without success. Additionally, patients with severe scoliosis that is affecting their quality of life or causing significant deformity may also be candidates for surgery. It is important for patients and their families to discuss the risks and benefits of surgery with their healthcare provider to determine if surgery is the best course of action for their specific situation.

Timeline

  1. Diagnosis: A patient is diagnosed with pediatric scoliosis, a condition characterized by an abnormal curvature of the spine, typically during childhood or adolescence.

  2. Conservative treatment: The patient may undergo conservative treatments such as physical therapy, bracing, or monitoring to manage the progression of the scoliosis.

  3. Surgical evaluation: If the scoliosis continues to progress or if the curvature is severe, the patient may be evaluated for surgery by a spinal surgeon.

  4. Pre-operative preparation: Before surgery, the patient will undergo pre-operative testing, such as blood work, imaging, and medical clearance. They may also meet with an anesthesiologist and other members of the surgical team to discuss the procedure.

  5. Surgery: The patient undergoes pediatric scoliosis surgery, which typically involves spinal fusion to correct the curvature of the spine. The surgery may last several hours and the patient will be under general anesthesia.

  6. Post-operative recovery: After surgery, the patient is closely monitored in the hospital for several days. They may experience pain, discomfort, and limited mobility. Physical therapy and pain management techniques are utilized to aid in recovery.

  7. Wound care: Proper wound care is crucial to prevent infection and other complications. The patient and their caregivers will be instructed on how to care for the surgical incision and when to follow up with the surgical team.

  8. Follow-up appointments: The patient will have regular follow-up appointments with the surgical team to monitor their progress, check for any signs of complications, and adjust their treatment plan as needed.

By following this timeline, patients can experience a successful recovery from pediatric scoliosis surgery and improve their quality of life.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with pediatric scoliosis surgery, specifically in terms of wound complications?

  2. What measures can be taken to prevent or minimize the risk of wound complications during and after surgery?

  3. How experienced is the surgical team in performing scoliosis surgery in pediatric patients, and what is their track record for successful outcomes?

  4. Will I need to follow any specific post-operative wound care instructions to reduce the risk of complications?

  5. Are there any alternative treatment options to surgery for pediatric scoliosis that may be less invasive and carry a lower risk of wound complications?

  6. How long is the expected recovery time after pediatric scoliosis surgery, and what can I expect in terms of pain management and physical therapy?

  7. What long-term effects, if any, could pediatric scoliosis surgery have on my child’s growth and development?

  8. Are there any specific factors, such as age or severity of the spinal deformity, that may impact the success of pediatric scoliosis surgery and the risk of wound complications?

  9. What is the expected outcome and prognosis for my child following pediatric scoliosis surgery, including any potential limitations or restrictions on physical activity?

  10. Are there any additional resources or support services available for families dealing with pediatric scoliosis surgery and potential wound complications?

Reference

Authors: Garg S, Khechoyan D, Kim EB, French B. Journal: J Am Acad Orthop Surg. 2020 Feb 1;28(3):e92-e99. doi: 10.5435/JAAOS-D-18-00601. PMID: 31977607