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Implants that aim to delay spinal fusion and to allow more spinal growth in young children is the gold standard for surgical treatment of early onset scoliosis. Surgery without fusion can be divided into three principles: distraction of the entire spine, compression of the short segment of spine, and guided-growth techniques.
Spinal fusion is a high risk surgery and complications can be serious, including death. In general, there is a higher risk of complications in older people with elevated body mass index (BMI), other medical problems, poor nutrition and nerve symptoms (numbness, weakness, bowel/bladder issues) before surgery. [ 4 ]
Anterior vertebral body tethering (AVBT) is a relatively new surgery for the treatment of scoliosis [1] in pediatric patients. [2] Left untreated, severe scoliosis can worsen and eventually affect a person's lungs and heart. [3] [4] [5]
Surgeons who are specialized in spine surgery perform surgery for scoliosis. To completely straighten a scoliotic spine is usually impossible, but for the most part, significant corrections are achieved. [105] The two main types of surgery are: [106] Anterior fusion: This surgical approach is through an incision at the side of the chest wall.
Following the procedure, it is common for a surgical operation such as spinal fusion surgery to be performed afterward to permanently mend the issue. [14] [17] It is utilized before the operation to reduce the need for a more dangerous surgery and to reduce the risk of damage to the soft tissues or nerves that surround the spine during the surgery.
Minimally invasive thoracic spinal fusion is one of the approaches to scoliosis surgery. Instead of a vertical scar down the back or horizontal from the middle of the chest to the center of the back, a rod is inserted through a series of small incisions on the side of the body. The spine is not exposed during the surgery; a small scope is used ...
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