When surgery for scoliosis

During the ossification process, other metal tools are used to hold the column motionless for the necessary period. Scoliosis…

Understanding Your Scoliosis Type From X-rays

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Diagnosis

The diagnosis is clinical, postural and podological examinations are performed, the degrees of rotation of the side are measured (if hump is present) and a neurological examination is carried out by the doctor to rule out related problems.

Specific radiologicals for a first classification and monitoring, these can include specific tests to identify the level of bone maturation and therefore be able to classify the risk that scoliosis may worsen or evolve over time.

Necessary are part of the treatment team; these figures can include the physiotherapist, the head of the facility, the physiatrist, the orthopedist, the posturologist physiotherapist and the psychologist.

Taking charge of treatments started in other structures or for “second opinions” with documentation already in possession.

Treatment

Treatments for scoliosis vary according to the extent of the curve and the type of scoliosis.

Children who show a very mild curve generally do not need major treatments but only postural re-education and be monitored periodically until maturity skeletal achieved. Pathways of targeted muscle strengthening, targeted physiotherapy, braces and surgery are reserved for cases with more pronounced curves and more severe cases.

One of the factors to consider in the path to choose is bone maturity, if the boy’s bones have stopped growing. the risk of the picture getting worse is low.

This means that even the busts have greater usefulness and efficacy in still growing children.

Skeletal maturity is generally defined through specific Rx (radiograms) of the pelvis, called Risser tests.

Compared to moderate or mild curves. In addition to this, as already mentioned, girls have a higher risk of progression of scoliosis than boys.

More severe scoliosis, which progresses despite the bust and physiotherapy, may need surgery over time.In these specific cases, fortunately few compared to the total scoliosis, the referral specialist of the center could recommend a corrective surgery.

WHEN SURGERY FOR SCOLIOSIS:

Among the surgeries used we find vertebral fusion; in this approach, two or more vertebrae are connected and fused so that they can no longer move independently.

Fusion is achieved by interposing other pieces of skeletal tissue or other biocompatible materials between the vertebrae that promote the growth of new bone.

During the ossification process, other metal tools are used to hold the column motionless for the necessary period.

Another technique used to correct scoliosis could be the expansion bar: this technique is used when scoliosis progresses too fast for the patient’s age, in practice, surgeons could fix two expansion (extendable) bars along the spine.

And these allow them to be adapted and stretched as the child grows. The rods are generally stretched every 3/6 months depending on the physiology of the boy.

Another surgical option used could include the so-called “Spinal Thetering”: this procedure can also be performed through small incisions; threaded bars are placed from the outside of the anomalous curve of the column.

A very robust and flexible correction cable is passed inside the bars, which allows the “draft” of the curve. The more the cable is stretched, the more the curve is corrected. This technique allows, as the child / teenager grows, that the curve is counteracted and corrected.

Complications of spinal surgery, although rare, may include bleeding, infection or injury to spinal nerves.

There are no known home remedies that can positively affect scoliosis, there are no sports or lifestyles considered useful for correcting scoliosis.

Generally, boys with scoliosis can play the sport they prefer and have no lifestyle limitations. a positive impact in general on their psychophysical well-being.

Currently existing studies show that the following treatments do not help or cure scoliosis:

• osteopathic or chiropractic manipulations;
• soft braces;
• electrostimulation of the spinal muscles;
• dietary supplements.

Coping with scoliosis can be a difficult undertaking for a young person and prove to be a complicated stage in life.

Teens are bombarded with physical changes and emotional and social challenges.

With the addition of being diagnosed with scoliosis, teens can experience anger, insecurity and fear.

Getting to know other kids with scoliosis, attending a specialized center, feeling followed can greatly help them in facing this path that can sometimes be long and full of obstacles.

Having the possibility of a support group and psychological support can have a significant impact on the acceptance of scoliosis, making even better its adherence to the long rehabilitation and medical path to be addressed.

We always suggest to encourage the child to speak openly about his perplexities and doubts, both with his parents and with his friends and it is important that everyone in the family support him.

The centers more specialized in the treatment and treatment of Scoliosis, use communication techniques specific, organize meetings and can also offer support from specialized professionals Attending such a center, where the adolescent can get to know other children and young people with scoliosis can be extremely useful for him, but also for the parent, also to receive advice, convey real-life experiences and help teens connect with each other, with others facing similar challenges.

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