Archive for the ‘Scoliosis Surgery’ Category

Symptoms of Scoliosis and Diagnosis April 21st, 2010

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Basic symptoms of scoliosis will cause an unbalance between the two sides of the body.  A person may have uneven shoulders and shoulder blade, and look to lean towards one side more than the other.  An uneven waist and hip may also be prevalent.  The spine may not only curve but rotate as well, causing the ribs to stick out on one side.  In severe cases of scoliosis, more strain can be put on the internal organs, leading to a difficulty to breathe, back pain, and more pressure put on the heart.

Extreme cases of scoliosis can be easily seen, but to diagnose the issue, all that is needed is an X-ray scan to show the spine curvature.  In general, there must be a minimum of a 10 degree Cobb’s angle to be labeled as scoliosis.  If there is another condition that may be the cause of the scoliosis, other scans might be performed to diagnose those underlying conditions.

Additional scans include an MRI scan, CT scan or a bone scan.  MRI machines make use of strong magnetic fields to scan the inside of the body.  It is most ideal for detecting anomalies in the soft tissue.  CT scans use x-ray radiation in a more sophisticated manner than a regular X-ray machine.  CT scans are generally not as good as scanning the inner soft tissue, but it is better than the MRI when scanning the bone.  They are also advantageous in that they are faster, cheaper and more readily available.  Finally, a bone scan may be done.  This is much more informative than a simple X-ray scan, as a bone scan can reveal a lot more about bone diseases, fractures, infections and more a person might have.

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What is Scoliosis? April 21st, 2010

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Scoliosis is the condition where the spine is curved sideways, resembling an “S” shape.  It mostly occurs in late childhood stages, during the growth spurts that children experience before puberty.  Most cases of scoliosis are moderate, with no severe symptoms, though advanced cases of scoliosis can be very detrimental.

There are three classifications of spine scoliosis – idiopathic, congenital and neuromuscular.  Idiopathic scoliosis is the type where the causes are unknown.  It is the most common type, as there are no clear indicators of what exactly triggers scoliosis.  Hereditary factors are accepted as the most well known cause because this condition tends to run in the family.  It has also been theorized that the presence of ether in the bloodstream of the father during conception could trigger this condition.  Idiopathic scoliosis is further classified dependent on what stage it occurs, such as infantile, juvenile and adolescent.

Congenital scoliosis is when birth defects cause spinal abnormalities that develop as a person grows.  Any errant vertebrae or the lack of separation between them can possibly lead to scoliosis.  Finally, neuromuscular scoliosis is the type brought on by other health complications of the spine.  Neuromuscular conditions including cerebral palsy, muscular dystrophy and spinal bifida may act as causes.

In addition to a family history of scoliosis, age and gender are other risk factors to watch out for.  Scoliosis tends to appear during the teenage stages right before puberty, during the natural growth spurt.  And while men and women develop scoliosis at equal rates, it is much more likely to worsen in women.

In most cases, the effects of this spine condition are minor, and do not require intense treatment.  Many people with mild cases of scoliosis can live their lives just fine with few problems, if any at all, and no need for treatment.  Those who exhibit signs of scoliosis will need to be monitored regularly in case it gradually worsens.

It is recommended that children wear braces to stop the condition from getting worse as their body and bones grow.  Although a brace will not reverse the effects of scoliosis, it will keep the spine aligned to prevent the spine from curving any more.  Braces are good because they can be taken on and off when needed, such as to shower or for physical activities.  They are most effective the longer they are kept on.

In advanced cases, scoliosis surgery is most likely the best course of action.  A spinal fusion is the type of surgery done to treat this condition.  A spinal fusion is the procedure that fuses two or more vertebrae together.  It is done to provide more stability and to prevent the vertebrae from twisting and winding.

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Scoliosis Surgery April 21st, 2010

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Scoliosis is a fairly common spine condition that affects an estimated 7 million people in the United States of America.  Symptoms can range from minor to severe, depending on the severity of the curvature of the spine.  While most cases may not require treatment or non invasive methods, such as a brace, scoliosis surgery is the best course of action for very deformed spines.

The surgery done is called spinal fusion.  It is the process of fusing two or more vertebrae together.  This is usually done using either bone or metal rods.  Scoliosis surgery is recommended for patients that are affected with a spine curvature of more than 40 degrees (measured with the Cobb’s angle.)

A spinal fusion usually involves metal rods and hooks attached to the spine to keep the vertebrae securely aligned.  With time, a portion of the spine will fuse together.  The metal rods are left in, even after the spine fuses, to avoid having to perform another surgery.

Implanting fixed rods to the spine can be a problem in children with severe scoliosis because their spine will continue to grow, while the rods will not.  To potentially solve this issue, surgeons are testing a new method involving “growing rods”, which allow the surgeon to make periodic adjustments to accommodate the growth of the spine in the future.

This is a very aggressive type of spine surgery.  A spinal fusion procedure can take up to 12 hours to complete the surgery.  It requires a lengthy recovery period of about a week in a hospital before you can be released.  Physical activities are severely limited and restricted in the months following the surgery.  Generally, it will take about 6 months before a doctor will allow the patient to continue all physical activities.

Because of its invasive nature, scoliosis surgery can result in many complications.  A spinal fusion can stunt the growth in the area it is done.  This might be a problem for certain areas of the spine in children who still can grow more.  Additionally, possible bleeding, infection, nerve damage, arthritis and disc degeneration can happen in the hands of an inexperienced surgeon.  A second surgery may be needed if the first one is ineffective.

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