Scoliosis is the term given to abnormal lateral curvature of the spine when looked from front or back. If diagnosed early then it could be treated conservatively through bracing and therapeutic manoeuvres. For some cases the curve is significant enough which should be operated through screws and rods so as to correct the deformity. Most commonly scoliosis is idiopathic in nature i.e. the exact cause behind it is unknown. It is seen in adolescence commonly hence also termed as “adolescent idiopathic scoliosis” Scoliosis is more common in girls than boys.
Another form of scoliosis is seen in adults termed as degenerative scoliosis. Mainly occurs due to senile osteoporosis due to depletion of calcium stores and thus weakening of the spinal bones leading to bending of the spinal column.
What are the causes of scoliosis?
Generally the causes of scoliosis are divided into the following
• Neuromuscular or paralytic curves
• Congenital curves i.e. by birth
• Due to disease, tumor or trauma
• Idiopathic i.e. the cause is unknown.
What is the procedure for surgery?
• It is major spine surgery. The primary aim of surgery is to correct the deformity. It is most commonly done from behind.
• Infantile scoliosis may be treated with instrumentation without fusion in the form of a growth rod technique. As the age progresses, the rods that are implanted are distracted at an interval of 6 months till the final growth is achieved at puberty. These patients commonly go on to have a permanent fusion with instrumentation as a final treatment modality.
• If the puberty is already achieved then we go for fusion of spine as already the maximum height is achieved.
Is there any alternative to the surgery?
• If the deformity is not severe and not progressive in nature we can try and maintain the curvature through braces or orthotic devices.
• The curvature can be prevented to progress further but cannot be corrected through the orthotic devices.
• But if the deformity is severe and is impinging on the organs then surely surgery is only available option left.
How much time is required for surgery?
It takes around 4-5 hours to perform the surgery depending upon severity of the curve.
How much time do I need to stay in hospital?
One day before surgery you need to be admitted in the hospital so as our team can perform the essential tests required before surgery. And you will be discharged on the 5th or 6th day depending upon your general health condition.