Scoliosis Surgery

Scoliosis is a sideways curvature of the spine that occurs most often just before puberty. The curve is usually  'C' or 'S' shaped. In some, the degree of curve is stable, while in others, the degree of the curve increases over time

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  • One hip higher than the other
  • One shoulder blade that appears to be more noticeable than the other
  • Uneven shoulders
  • Uneven waist
  • Intense chronic pain
  • Stiffness in the spine
  • Pain that limits everyday activities like walking or bending
  • Inability to move or lift 

The diagnostic methods carried out before a scoliosis surgery are:

  • Physical examination
  • Medical history
  • X rays 
  • MRI

Spinal fusion is the best surgical method to treat scoliosis. In this method, the curved vertebrae are fused together and heal into a single, solid bone. Most fusions last from four to eight hours, depending on the size of the curve and how much of the patient's spine is needed to be fused.

Every surgery comes with some type of risk, so does spinal fusion surgery. They are: 

  • Bleeding
  • Blood clots
  • Infection
  • Pain
  • Risks from anesthesia
  • Nerve injury and Pseudoarthrosis can happen but are not that common. 
  • Donor bone graft complications like infection or tissue rejection.

With the initial recovery process usually taking about 3 months, recovery from spinal fusion, like any spine surgery, takes some time to heal. Post-surgery rehabilitation may be necessary to teach you how to move without twisting the spine, including how to sit, stand, and walk until you’re fully recovered. It is usually around six to eight months before the fusion is completely solid, but can be up to a year.

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Scoliosis Surgery

Scoliosis is a sideways curvature of the spine that occurs most often just before puberty. The curve is usually  'C' or 'S' shaped. In some, the degree of curve is stable, while in others, the degree of the curve increases over time

Symptoms

  • One hip higher than the other
  • One shoulder blade that appears to be more noticeable than the other
  • Uneven shoulders
  • Uneven waist
  • Intense chronic pain
  • Stiffness in the spine
  • Pain that limits everyday activities like walking or bending
  • Inability to move or lift 

Diagnosis

The diagnostic methods carried out before a scoliosis surgery are:

  • Physical examination
  • Medical history
  • X rays 
  • MRI

Treatment

Spinal fusion is the best surgical method to treat scoliosis. In this method, the curved vertebrae are fused together and heal into a single, solid bone. Most fusions last from four to eight hours, depending on the size of the curve and how much of the patient's spine is needed to be fused.

Risks

Every surgery comes with some type of risk, so does spinal fusion surgery. They are: 

  • Bleeding
  • Blood clots
  • Infection
  • Pain
  • Risks from anesthesia
  • Nerve injury and Pseudoarthrosis can happen but are not that common. 
  • Donor bone graft complications like infection or tissue rejection.

After Procedure

With the initial recovery process usually taking about 3 months, recovery from spinal fusion, like any spine surgery, takes some time to heal. Post-surgery rehabilitation may be necessary to teach you how to move without twisting the spine, including how to sit, stand, and walk until you’re fully recovered. It is usually around six to eight months before the fusion is completely solid, but can be up to a year.

FAQ Section

1) What is scoliosis?

Scoliosis is a sideways curvature of the spine that occurs most often just before puberty. The curve is usually  'C' or 'S' shaped. In some, the degree of curve is stable, while in others, the degree of the curve increases over time. Most cases of scoliosis are mild, but some kids develop spine deformations that continue to get more severe as they grow old. Severe scoliosis can be crippling. A very severe spinal curve can reduce the amount of space within the chest, making it hard for the lungs to function properly that can interfere with breathing.

2) What are the of causes scoliosis?

In more than eighty percent of cases, doctors don’t find the exact reason for scoliosis, but scoliosis do have known causes, such as:

  • Birth defects
  • Down syndrome
  • Cerebral palsy
  • Infections
  • Marfan syndrome
  • Muscular dystrophy
  • Tumors

3) How is scoliosis diagnosed?

Congenital scoliosis starts as a baby’s back emerges before birth but family history and heredity can also be risk factors for idiopathic scoliosis. Scoliosis shows up most often during growth spurts, usually when kids are between ten and fifteen years old, with about the same number of boys and girls being diagnosed with minor idiopathic scoliosis. Degenerative scoliosis affects adults and usually develops in the lower back as the disks and joints of the spine begin to degrade as a person ages. Scoliosis that passed unseen during the teen years can continue into adulthood and hence it is necessary to diagnose it as early as possible. A simple physical examination and plain X-rays can confirm the diagnosis of scoliosis and can also show the severity of the spinal curvature.

4) What are the symptoms?

If a scoliosis curve continues to get worse, then the spine will also rotate or twist along with curving side to side. This can cause the ribs on one side of the body to stick out farther than on the other side which is one of the signs of severe scoliosis. Other signs are:

  • One hip higher than the other
  • One shoulder blade that appears to be more noticeable than the other
  • Uneven shoulders
  • Uneven waist

 

5) Who is at risk of developing scoliosis?

Signs and symptoms of scoliosis typically begin during the growth spurt that occurs just prior to puberty so children in between 10 and 16 have a high chance of developing scoliosis, and though both boys and girls develop mild scoliosis which can grow at the same rate, girls have a much higher risk of the curve worsening, and scoliosis can run in families, even though most children with scoliosis actually don't have a family history of the condition.

6) What are the complications of scoliosis?

Although most people affected with scoliosis have a mild form of it, scoliosis may sometimes cause serious and long term complications. As scoliosis worsens, it can produce more noticeable changes, including unlevel shoulders, raised ribs, uneven hips, and a shift of the waist and trunk to one side of the body which causes the Individuals with scoliosis to become self-conscious about their appearance. Adults who had scoliosis as kids are more likely to have chronic back pain, and in severe scoliosis, the rib cage may press against their lungs and hearts, making it more.

7) What are the types of scoliosis?

There are four types of scoliosis.

  • Adolescent Idiopathic Scoliosis. It is the most common type of scoliosis and amounts to 65 to 75% of all cases. It is very common for teenagers and curvature to develop some degree of curvature in their spine.
  • Neuromuscular Scoliosis. It is an irregular spinal curvature caused by paralyzation. It is also caused by a neurological deficit or malignancy and is the most likely type of scoliosis to have spinal curves that keep advancing as the patient ages.
  • Congenital Scoliosis. It is the result of a defect present at birth. Abnormal vertebrae reveal in young children and grow in the wrong direction as they age.
  • Degenerative Scoliosis. It is caused by years of wear and tear. It is the most common type of scoliosis in adults is often more severe and harder to treat.

8) What is the best treatment method for scoliosis?

Spinal fusion is the best surgical method to treat scoliosis. In this method, the curved vertebrae are fused together and heal into a single, solid bone.

 

9) How long does the surgery take?

Most fusions last from four to eight hours, depending on the size of the curve and how much of the patient's spine is needed to be fused.

10) How much pain is there after scoliosis surgery?

The first few days are usually quite difficult and painful, but most people recover quickly by the third day and can walk around and can get in and out of bed and get well enough to go home. The pain continues to get better slowly and most teens can go back to school by two to four weeks after surgery.

 

11) What is the price of scoliosis surgery in India?

The cost of scoliosis surgery in India ranges between INR 7,00,000 to INR 8,00,000.