Abnormal curvatures in the spine are referred to as scoliosis and kyphosis. In the normal spine, there are normal curves if seen from the sides, but the spine is seen as a straight column from the front. In scoliosis, the spine shows curvatures from the front. In kyphosis, there is abnormal forward bending of the spine.
Most cases of scoliosis are mild, but some children develop spine deformities that continue to get more severe as they grow. Severe scoliosis can be disabling. An especially severe spinal curve can reduce the amount of space within the chest, making it difficult for the lungs to function properly.
Children who have mild scoliosis are monitored closely, usually with X-rays, to see if the curve is getting worse. In many cases, no treatment is necessary. Some children will need to wear a brace to stop the curve from worsening. Others may need surgery to keep the scoliosis from worsening and to straighten severe cases of scoliosis.
- Uneven shoulders
- One shoulder blade that appears more prominent than the other
- Uneven waist
- One hip higher than the other
- Idiopathic – Most common variety where the causes is not known
- Neuromuscular conditions, such as cerebral palsy or muscular dystrophy
- Birth defects affecting the development of the bones of the spine called congenital scoliosis
- Injuries to or infections of the spine
- Age. Signs and symptoms typically begin during the growth spurt that occurs just prior to puberty. This is usually between the ages of 9 and 15 years.
- Sex. Although both boys and girls develop mild scoliosis at about the same rate, girls have a much higher risk of the curve worsening and requiring treatment.
- Family history. Scoliosis can run in families, but most children with scoliosis don’t have a family history of the disease.
It is done under general anesthesia. A posterior approach (from the back) is commonly used and involves correction of the deformity using screws and rods and/or bone graft (taken from the pelvis or an allograft).
The bone grows in between the vertebrae and holds them together and straight. This process is called spinal fusion. The metal rods attached to the spine ensure that the backbone remains straight while the spinal fusion takes place. The procedure is done under spinal cord monitoring where the cord functions are monitored during the surgery
Anterior approach through chest wall may be used in few patients.
The procedure may take 4-6 hours to complete. Hospital stay is of 5-10 days.
Normal routine can be resumed after four to six weeks. Contact sports are to be avoided after the surgery.
If nonsurgical treatments aren’t providing adequate relief from the symptoms or pain related to your spine condition, or if your condition is worsening, you may be a candidate for spine surgery. Depending on your condition, our spine specialists can offer various surgical options to address your individual problem. Primus spine surgeons perform:
- Disc replacements, spinal fusion, and laminectomies to correct spine problems
- Spinal cord stimulation and other procedures to relieve pain
- Complex reconstructive surgeries to correct scoliosis and other spinal deformities
- Procedures to remove spine cancer lesions
- Decompression surgeries to relieve pain and pressure from pinched nerves
- And more
Our team of spine specialists includes neurosurgeons, orthopedic surgeons, physiatrists, spinal oncologists, pain management doctors, physical and occupational therapists, psychologists, social workers, and many others. We also have a chiropractor and acupuncturist on staff. Our surgeons meet together frequently to discuss whether patients are candidates for surgery and the best proposed surgery approach, so you get the advantage of receiving several expert opinions.
Research shows that hospitals and surgeons who perform more surgeries tend to have better outcomes.
Our surgeons are motivated to constantly improve, so they pay close attention to outcomes and always strive to do better and stay up-to-date on the latest technologies and advances in treating your spinal injury or condition. This results in safe, effective procedures that reduce complications to your crucial but delicate spine, nerves, and spinal cord.
Our spine team carries out minimally invasive spine procedures like keyhole vertebroplasty and kyphoplasty for spinal fractures, minimally invasive spinal fusion, percutaneous pedicle screw fixation, microscopic/endoscopic discectomy, and microscopic decompression of lumbar pathology. Apart from these minimally invasive procedures, the other routine major surgeries of spine like artificial disc replacement, treatment of cervical and dorsal myelopathy, spinal deformity (scoliosis and kyphosis) correction, spinal tumour surgery and treatment of spinal fractures are routinely done at Primus Super Speciality Hospital with outcomes that the best in the world. The department also offers wide range of modalities and exercise programs suited for patient’s conditions, such as in Degenerative Disc disease, through trained and experienced physiotherapists. This approach has helped numerous patients to appropriately manage spine problems.
Our department is one of the few centers across the country which offers complete range of Spine deformity correction services for Scoliosis and Kyphosis across all age groups. The treatment options range from conventional scoliosis correction procedures for Adolescent idiopathic scoliosis/congenital scoliosis to novel therapies such as Magnetic growth rod application for Early onset scoliosis (Scoliosis in very young children). Minimally invasive solution for spinal deformity is also offered for select group of patients, as per the diagnosis.
We have in-house multispecialty support along with world class operative, post op and ICU care. Patient safety and quality care are our top priorities. We use intra-operative real-time neural monitoring, a cutting edge technology, which can help in reducing the risk of paralysis and nerve damage during complex spinal surgery such as deformity correction and tumour excision and reconstruction. The specialist nurses trained specifically in spinal diseases along with the physical therapists provide robust support to the patient and service.
Dr.(Prof) Chandra Shekhar Yadav
9 A.M to 5 P.M