Our Summary

This research paper is about a birth defect called myelomeningocele, which can cause a range of health problems. The most common treatment for it is now done while the baby is still in the womb. The paper discusses how to diagnose this condition, how to determine the best course of treatment, and the different treatment options available. It also looks at the outcomes of this in-womb treatment, regarding various health aspects such as pregnancy, brain and nerve health, digestion, urinary system, and bone structure.

FAQs

  1. What is myelomeningocele and how is it diagnosed?
  2. What are the treatment options for fetal myelomeningocele?
  3. What are the possible outcomes of in utero myelomeningocele repair in different areas like neurological, gastrointestinal, urinary, and orthopedic?

Doctor’s Tip

One helpful tip a doctor might tell a patient about pediatric scoliosis surgery is to ensure that the child follows a strict post-operative rehabilitation plan, including physical therapy and exercises to help strengthen the muscles around the spine and promote proper healing. It is important for the child to follow all instructions from healthcare providers to ensure the best possible outcome from the surgery.

Suitable For

Patients who are typically recommended pediatric scoliosis surgery are those who have a severe curvature of the spine that is causing significant pain, difficulty breathing, or impacting their quality of life. These patients may have tried other conservative treatments such as bracing or physical therapy with little to no improvement. Additionally, patients who have a progressive curvature that is likely to worsen over time may also be recommended for surgery. The decision to undergo surgery is typically made in consultation with a pediatric orthopedic surgeon and other members of the healthcare team.

Timeline

Before pediatric scoliosis surgery:

  • Patient is diagnosed with scoliosis through physical examination and imaging studies
  • Patient undergoes non-surgical treatments such as bracing, physical therapy, and monitoring of the curve progression
  • Patient and family meet with a pediatric orthopedic surgeon to discuss surgical options and risks
  • Pre-operative testing and preparation is done, including blood work, imaging studies, and clearance from other medical specialists
  • Patient and family receive education on what to expect during and after surgery

After pediatric scoliosis surgery:

  • Patient undergoes spinal fusion surgery to correct the curvature of the spine
  • Patient is monitored closely in the hospital for pain management, wound healing, and complications
  • Patient begins physical therapy to regain strength and mobility in the spine
  • Patient may need to wear a brace for a period of time to support the spine during the healing process
  • Follow-up appointments are scheduled with the orthopedic surgeon to monitor the spine’s alignment and ensure proper healing
  • Patient and family receive education on long-term care and follow-up, including the importance of maintaining good posture and avoiding activities that could put stress on the spine.

What to Ask Your Doctor

  1. What are the risks and benefits of pediatric scoliosis surgery for my child?
  2. What is the success rate of pediatric scoliosis surgery in terms of correcting the curvature of the spine?
  3. What is the recovery process like after pediatric scoliosis surgery?
  4. Are there any alternative treatment options to consider before deciding on surgery?
  5. How long will my child need to stay in the hospital after pediatric scoliosis surgery?
  6. What kind of long-term follow-up care will be needed after pediatric scoliosis surgery?
  7. Are there any potential complications or side effects associated with pediatric scoliosis surgery that I should be aware of?
  8. How experienced is the surgical team in performing pediatric scoliosis surgery?
  9. What kind of physical therapy or rehabilitation will be recommended after pediatric scoliosis surgery?
  10. Are there any specific lifestyle changes or restrictions my child will need to follow after pediatric scoliosis surgery?

Reference

Authors: Yamashiro KJ, Galganski LA, Hirose S. Journal: Semin Pediatr Surg. 2019 Aug;28(4):150823. doi: 10.1053/j.sempedsurg.2019.07.006. Epub 2019 Jul 18. PMID: 31451171