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Dr. Paresh Bang
Consultant Spine Surgeon
Surgery for deformity spine In Harda
Surgery for deformity spine
Spinal deformity surgery In Harda is a complicated operation with a high frequency of complications. The primary goal of deformity surgery is to achieve a balanced spinal alignment through rigid fusion, prevent further deformity and alleviate neurological symptoms.
SCOLIOSIS AND KYPHOTIC DEFORMITIES
Neurological Surgery physicians at the University of Florida treat patients with scoliosis and kyphotic deformities.
A rib hump, pelvic or shoulder height imbalance tend to common in the adolescent group. Intractable back pain, sciatica, leg weakness or numbness and gait difficulty are common reasons for surgical correction in adults.
Infantile Scoliosis occurs in children less than 3 years of age and is most commonly associated with other serious congenital or neurodegenerative disorders like cerebral palsy, tethered spinal cord, and myelomeningoceles, among others. Surgery is sometimes necessary, but often non-operative techniques are used to allow for spinal growth prior to a spinal fusion procedure.
Kyphosis
Kyphosis is seen when a person’s spinal balance has moved too far forward to allow the spine to effectively carry the body weight without progressive deformity, pain or neurologic loss of function. Patients typically walk in a forward flexed posture being unable to stand up straight. This condition can also occur along with scoliosis causing Kyphoscoliosis.
Treatment Options
Treatment recommendations are made based on a combination of the severity of the curvature of the spine, the impact on the patient’s ability to function on a day-to-day basis, their age and other medical conditions. In very selected cases in younger, cosmetic appearance is a reason for surgery. In general, the treatment should match the magnitude and risks of the symptoms.
Bracing
In more mild forms of spinal deformities, bracing may be an option for younger patients where the spine may be .encouraged. to grow straighter. Adults may get some relief of pain with a brace, but it will not correct the deformity. Bracing may cause some problems like skin irritation or muscle disuse.
Physical Therapy
A mainstay of treatment is the flexibility and core strengthening of the spine, which can be enhanced by Physiotherapy (PT). There are many acceptable forms of PT, but they all share an active component where the patient exercises and strengthens the spinal musculature, improves range of motion and balance. It should be an active process, not simply limited to passive modalities like heat, ice or massage.
Pain Management Injections
The injection of cortisone and similar medications with can offer temporary of focal relief of pain from mild nerve compression or joint arthritis. The injections are frequently repeated in groups of three and can only be given safely once or twice per year because of the side effects of the medications.
Surgical Correction
Prior to considering surgery, the typical patient should have tried and failed to manage their symptoms with non-operative treatments. Surgery should be considered in patients whose pain in medically refractory, or have neurologic symptoms including weakness, numbness or bowel or bladder dysfunction. Progressive worsening of the curvature is a common reason for surgery, and is the reason that patients are followed with yearly x-rays.
- Scoliosis: A sideways curvature of the spine, often shaped like an “S” or “C.”
- Kyphosis: An excessive outward curvature of the spine, causing a hunched or rounded back.
- Spondylolisthesis: A condition where one vertebra slips over another, often resulting in back pain and nerve compression.
- Lordosis (Hyperlordosis): An excessive inward curvature of the lower back.
- Congenital Spinal Deformities: Present at birth, these conditions result from improperly formed vertebrae.
Surgical Options for Spinal Deformities
Spinal Fusion
- Purpose: To correct spinal curvature and stabilize the spine.
- How It Works: Two or more vertebrae are fused together using bone grafts, rods, and screws to stop the movement between them. This stabilizes the spine and prevents further deformity.
- Common Use: Frequently used for scoliosis and kyphosis.
Vertebral Column Resection (VCR)
- Purpose: Used for severe spinal deformities.
- How It Works: A section of the vertebra is removed, and the spine is realigned before being stabilized with hardware (screws, rods).
- Common Use: For rigid curves in scoliosis or kyphosis when less invasive procedures aren’t effective.
Growing Rods
- Purpose: Used in children to correct spinal deformities while allowing the spine to grow.
- How It Works: Metal rods are surgically placed along the spine and can be lengthened over time to accommodate growth, typically using minimally invasive techniques.
- Common Use: For early-onset scoliosis in children.
Vertebral Body Tethering (VBT)
- Purpose: A non-fusion, growth-friendly technique used to treat scoliosis, particularly in children and adolescents.
- How It Works: A flexible cord (tether) is attached to screws along the outside of the spine to partially straighten the curve. As the child grows, the tether helps guide the spine into a more natural position.
- Common Use: For adolescent idiopathic scoliosis.
Osteotomy
- Purpose: To correct severe, rigid spinal deformities that cannot be corrected with other surgeries.
- How It Works: Part of the vertebra is cut to allow for greater spinal flexibility and realignment, followed by stabilization with rods and screws.
- Common Use: For severe kyphosis and spondylolisthesis.
Disc Replacement
- Purpose: To relieve pain and restore spine flexibility.
- How It Works: The damaged or degenerated disc is removed and replaced with an artificial disc, allowing for more natural movement compared to fusion.
- Common Use: For deformities with associated disc problems and in patients where fusion may not be desirable.
Recovery After Spinal Deformity Surgery
- Hospital Stay: Most patients stay in the hospital for several days post-surgery, depending on the complexity of the procedure.
- Rehabilitation: Physical therapy is often required to strengthen the muscles around the spine and improve flexibility. It is an essential part of recovery, especially after fusion surgeries.
- Recovery Time: Recovery can range from a few months to a year, depending on the procedure and the patient’s overall health. Children often recover more quickly than adults.
- Follow-Up: Regular follow-ups with the surgeon are essential to monitor the healing process and ensure the spine is fusing correctly or that rods/tethers are functioning as intended.Contact Us
- Infection: As with any surgery, infection is a possible risk.
- Nerve Damage: Spinal surgeries carry a risk of nerve damage, which could lead to weakness or loss of sensation in the limbs.
- Hardware Failure: In some cases, the rods, screws, or other hardware used to stabilize the spine may shift or break.
- Non-Union: In spinal fusion surgery, the bones may fail to fuse properly, requiring further surgery.
- Reduced Flexibility: Spinal fusion may limit flexibility in the treated area, though this is typically compensated by improved overall function and posture.Visit Our Hospital