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Get A QuoteSo, let's say a spinal deformity can be a multifactorial change that occurs in the sagittal, coronal, or transverse planes and can be seen in isolation or in combination at the time of correction surgery for disorders such as kyphosis, scoliosis, trauma, ankylosing spondylitis, or the like.
Spinal deformity correction surgery is a complex process involving the surgical adjustment of bone or modification of a bone deformity. If a bone grows unnaturally, and causes a disease or environment, such as knock knees or bowlegs, a spinal deformity surgery would be recommended by our doctors.
This corrective procedure can also be used for your hands, fingers, arms, legs, knees, or ankles that grow at unnatural angles or lengths. The overall goal of deformity surgery is to achieve a straight, balanced spinal alignment, thereby preventing future deformity and alleviating neurological symptoms in the patient. Rigid fusion of the coronal and sagittal curvature.
Spinal deformity correction involves medical procedures or treatments used to correct abnormal curves and alignments of the spine. The spine has certain curves that allow the body to support its weight and move; however, abnormalities in the spine can occur, which create conditions of pain, discomfort, and inhibit movement through conditions like scoliosis, kyphosis, and lordosis.
Correcting these abnormalities can be achieved in various ways, including nonsurgical treatments such as physical therapy and bracing, as well as surgical interventions, which may include scoliosis correction surgery and spine curve correction operations.
As previously mentioned, the primary kinds of spinal deformities are:
Scoliosis: Scoliotic curvature is a side-to-side aberration in the spine. If you curve to the right, you are diagnosed with dextroscoliosis, and if you curve to the left, you are diagnosed with levoscoliosis. However, many adult and pediatric patients with scoliosis will have many twists in their spines.
Kyphosis: This is where the upper back develops a forward hump (also known as a hunchback). The shoulders tend to round, the head sticks out, and the torso will tend to drop or droop over the centre of gravity.
Lordosis: This can often occur as a consequence of kyphosis. Hyper-lordosis, or swayback, has a droop in the lower back and abdomen that will push out.
Flatback Syndrome: This condition occurs when the spine becomes straightened and loses its normal curvature. This may seem harmless. After all, the spine has gone from "bent" to "straight." However, flatback syndrome can cause patients to pitch forward, which creates some serious issues with walking.
Ankylosing Spondylitis: This type of arthritis can cause the spinal vertebrae to fuse. In this situation, the spine loses its ability to move, and its posture becomes locked in one position.
Spondylolisthesis: This condition is also referred to as a slipped vertebra. This condition can be caused by a birth defect of the spine. In the worst case scenario, a slipped vertebra can slip completely off the spinal cord, also known as spondyloptosis.
Anaesthesia: The spinal deformity correction is performed under general anaesthesia. This means the patient is asleep during the entire surgery.
Surgical Approach: The surgeon will make an incision down the back (the posterior approach), and may also use anterior or lateral approaches (where the spine is accessed from the abdominal front and side).
Steps:
Exposure: The muscles around the spine are retracted to expose the vertebrae and lumbar lordosis.
Correction: The surgeon will perform one or more of the following procedures, depending on the magnitude of the deformity: osteotomy, vertebrae resection, and/or ligament release to allow the spine to become more mobile, thereby facilitating correction.
Instrumentation: Screws, rods, and/or plates are placed to align the spine. The hardware functions as an internal brace holding the spine in the appropriate position.
Spinal Fusion: Bone grafting material is placed between the vertebrae to help promote the bones growing together (fusing) over time. This helps maintain the long-term correction.
Closure: The incisions are closed with sutures or staples, and the patient is monitored in the recovery area.
Recovery Process
Hospital Stay: Most patients spend an average of 4-7 days in the hospital following spinal deformity correction surgery. Patients are managed with pain control, and physical therapy or rehabilitation usually begins early to obtain mobility.
Initial Recovery: During the first weeks after surgery, the focus is on healing the wound and regaining mobility. Patients may have to wear a brace to help provide them with stability and support.
Rehabilitation: Rehabilitation and physical therapy play an important role in the recovery process following surgery. The goal of rehabilitation is to strengthen the muscles around the spine and improve flexibility and postural alignment. Patients will gradually increase their activity level with time.
Full Recovery: Patients may take anywhere between 6 and 12 months to recover fully after spinal deformity correction surgery. This period allows for the bone grafts used in spinal fusion to solidify and for the spine to stabilise.
Spinal Deformities Correction Treatment |
Min |
Max |
Scoliosis Spine Surgery |
5500 USD |
7500 USD |
Spinal Deformity and Scoliosis |
4800 USD |
6300 USD |
Children Scoliosis Treatment |
4500 USD |
6000 USD |
Kyphosis (Hunchback) Treatment |
4500 USD |
6000 USD |
Generally, doctors classify spinal deformities by their origin. Although many factors can result in spinal deformities, the most common include:
Congenital: A congenital spinal deformity occurs before a child is born. Some spinal deformities develop due to genetic factors or complications during fetal development.
Pediatric: Other spinal deformities often become apparent during childhood. An example of this is scoliosis, which commonly presents between the ages of 10 and 12. This is specifically due to the increased incidence during growth spurts.
Postural: The upper back can develop a rounded posture if poor posture occurred during crucial spinal growth. Some muscle strengthening and posture training will be necessary.
Neuromuscular: Neuromuscular conditions can alter muscle activity, as exemplified by cerebral palsy. The stiff muscles will pull on the spine, which can cause the back and neck to lose their neutral position.
Degenerative or Adult: Wear and tear on the spine can cause the discs in your spine to degenerate. Weak vertebrae can fracture and become wedge-shaped, leading to kyphosis, for example, and the ligaments that hold your spine together can ossify, pulling your back out of alignment.
Traumatic: You can develop changes in the curvature of your back due to injuries from traumas, such as sudden blows to your back that knock your vertebrae out of alignment.
Iatrogenic: This term refers to spinal changes that occur due to failed surgical fusions, such as flatback syndrome.
Idiopathic: Idiopathic means there is no identifiable reason why a spinal deformity has developed. For example, most cases of scoliosis are classified as idiopathic scoliosis, as the underlying reasons for the curvature in the back are unknown.
Common Symptoms and Complications
The symptoms of spinal deformity can vary depending on the type of spinal deformity/condition, as well as its severity. Common symptoms include:
Untreated spinal deformities or musculoskeletal deformities can progress to complications such as:
The following are risk factors:
Genetics
Risk factors for spinal deformity include a positive family risk of spinal deformities. Spinal deformities are associated with various genes.
Gender
Idiopathic scoliosis is more common in girls, so girls are at higher risk for spinal deformity.
Poor Posture
Poor posture over time can be a significant risk factor for spinal deformities.
Muscle disorders
Conditions that affect the nerves and muscles also increase the risk factor for spinal deformities. Leading to muscle imbalances and spinal deformities.
Lifestyle
Repeated abnormal movements or prolonged periods of sitting as part of a lifestyle can also lead to spinal deformities.
Obesity
Obesity can put stress on the spine, particularly the lower back. Obesity can lead to spinal deformities due to the extra stress put on the spine.
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