Scoliosis and Deformity Correction
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Scoliosis and Deformity Correction
Overview
Scoliosis is a medical condition characterized by an abnormal curving of the spine, which can appear in the thoracic, lumbar, or both regions. Most cases of scoliosis of the lumbar spine are mild, but some curves worsen as a child grows. Severe scoliosis can be disabling, to an extent. In extreme cases, the spinal curve can reduce the amount of space within the chest, thereby making it difficult for the lungs to function properly.
Scoliosis may develop in childhood (early-onset scoliosis), during adolescence (adolescent idiopathic scoliosis), or in adulthood due to degeneration, neuromuscular conditions, or trauma. Deformity correction is the surgical and non-surgical method used to straighten the spine. It helps to improve both function and appearance, especially in growing children or people with progressive spinal curves.
Causes
Scoliosis may have various causes, and is broadly categorized as:
- Idiopathic (most common): The cause is unknown; usually appears during adolescence.
- Congenital: Present at the time of birth due to vertebral malformations.
- Neuromuscular: The condition is associated with conditions like cerebral palsy, muscular dystrophy, or spina bifida.
- Degenerative: This is common in older adults due to spinal disc degeneration, osteoporosis, or arthritis.
Risk factors of scoliosis include family history, growth spurts, and underlying neurological or muscular disorders.
Symptoms of Scoliosis
Children with mild scoliosis may not show any pain or symptoms. However, the change in posture is often the first sign. Other symptoms may include:
- Visible curve in the spine
- Uneven shoulders
- One hip appears higher than the other
- Prominent shoulder blade or rib hump, especially when bending forward
- Back pain or fatigue after prolonged standing or activity
- Breathing issues in case of severe thoracic scoliosis
- Limited mobility or postural imbalance in extreme cases
Diagnosis
Our expert will use the following tests to diagnose scoliosis in your child:
- Physical examination
- Spinal X-rays to examine the curve
- MRI or CT scan
- Pulmonary function tests in severe thoracic curves
Treatment
We offer advanced treatment options for scoliosis that are tailored to meet the unique needs of our young patients depending on their age, severity of the curve, cause, and progression risk. The aim is to enhance the quality of their life and spine health.
Nonsurgical Treatment
- Exercises and physiotherapy: Scoliosis-specific exercises aid in strengthening posture and core muscles.
- Bracing: Although a brace doesn't reverse the curve or cure scoliosis, it improves the existing curvature. This nonsurgical treatment usually works in children with mild scoliosis.
Surgical Management
Scoliosis surgery is often prescribed to treat individuals with severe curves. Some of the common surgeries to treat scoliosis include:
- Fusion spine surgery: A procedure where two or more adjacent vertebrae are fused using rods, screws, and bone grafts to straighten and stabilize the spine. It is the most common surgical treatment.
- Expanding Rod: A surgical technique employed when scoliosis is rapidly progressing at an early age. The physicians insert one or two expandable rods along the spine that can change length as the child grows.
- Vertebral Body Tethering: A minimally invasive surgery where screws are inserted on the border of the spinal curve, followed by insertion of a strong, flexible rope. When the cord is tightened, the spine straightens.
Postoperative Care and Rehabilitation
- Regular follow-up every few months with X-rays to observe spine alignment
- Regular monitoring for complications such as infection or implant issues
- A gradual return to regular activities
- Physical therapy, particularly in the initial days following lumbar spine scoliosis surgery. It enhances mobility, strength, and posture.
Why Choose Us?
- Highly experienced team of pediatric spine surgeons and neurosurgeons specializing in spine and scoliosis deformity correction surgeries.
- Multidisciplinary team works closely with neurosurgeons and orthopedic spine surgeons.
- Child-centric compassionate approach inspires us to create a child-friendly environment that helps young patients feel at ease throughout their treatment journey.
- Rehabilitation approach includes well-trained physiotherapists and rehabilitation specialists to provide a complete spectrum of spine care.
- 24/7 Emergency Care ensures immediate and expert intervention when needed.
Find a Doctor
Expertise you can trust, Meet our esteemed doctors who bring exceptional knowledge, compassion, and innovation to provide top-notch care for your health and well-being.
Dr. Subodh Raju
Consultant - Neurosurgeon
Telugu,English Banjara Hills
Dr. Nirmala S
Consultant - Neurosurgery
15+ Years Kannada,Telugu,English,Hindi,Tamil Hebbal
Dr. Kokkula Praneeth
Consultant Pediatric Neurosurgeon
5+ Years Telugu,English,Hindi Banjara Hills, Anna Nagar
Dr. Ramesh Shighakolli
Pediatric Neurosurgeon
Telugu,English Secunderabad
Dr. Vishakha Basavraj Karpe
Senior Consultant - Neuro Surgery
English,Hindi,Telugu,Marathi,Kannada,Bengali Banjara Hills, Hydernagar
Dr. Santosh Mohan Rao K
Sr. Consultant Neurosurgeon
Tamil,English Guindy, HimayatnagarOur Hospitals and ClinicsOur Hospitals and Clinics
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