Scoliosis: surgery, life after scoliosis surgery

Life after surgery to correct scoliosis on the spine, cost

• Severe scoliosis of the spine, third or fourth, especially accompanied by complications from the pulmonary-cardiac system, often poorly succumb to conservative methods of treatment.

In such cases, specialists can recommend an operation to correct the curvature of the spine.

What are the indications for surgical treatment and how is the patient rehabilitated? What quality will life have after the operation to correct scoliosis? These questions are of interest to many people who have a severe degree of scoliotic disease.

Indication and procedure of the operation

In modern medicine, there are many techniques for correcting scoliotic curvature. Most of them are quite traumatic and require a long period of rehabilitation.

A more modern technique is to intervene with the installation of endocorrectors - special structures from titanium, which allow to restore the physiological vertebral bend and then retain it in such a position.

The main indications for surgical intervention is thoracic scoliosis with a curvature angle of more than 60 degrees (grade 4).

Other reasons for surgical treatment can be severe pain syndrome, the existing developmental abnormalities vertebrae, pulmonary and cardiac dysfunction (low blood pressure hypertension, kyphoscoliotic a heart).

Like any surgery, the correction of the spine carries certain risks, either directly associated with surgical intervention (thrombosis, inflammatory complications, bleeding), or distant:

• violations of the internal organs caused by sharp spine rectification;
• restriction of mobility of the operated segment of the spine;
• disrupted growth of the operated vertebral site if the operation was performed in the child;
• risk of trauma to the structures of the nervous system.

Immediately after surgery, the patient is in the intensive care unit, the position of the body is strictly fixed, anesthetic and antibiotic therapy is carried out.

At the same time prophylaxis of decubitus, respiratory disorders is carried out. After 3-4 days respiratory gymnastics are allowed, and in a week light exercises are possible in the supine position.

After 7-10 days, a control radiograph of the spine is made, after which the patient is allowed to get up.

At this stage, recommend physical therapy, which is performed under the supervision of a specialist-rehabilitation specialist.

Depending on the type of surgery performed, some patients are recommended to wear a corset for several months.

Further recovery

After discharge from the hospital, rehabilitation can take place both at home and in a specialized medical center.

The latter option is more preferable, since the recovery is under the supervision of a specialist and corrections are made to the rehabilitation plan if necessary.

The rehabilitation plan includes:

• Physiotherapy exercises, also using simulators;
• massage;
• physiotherapy;
• swimming;
• osteopathy, acupuncture.

The entire rehabilitation period can last from 4 months to a year. In addition, life after surgery to correct scoliosis involves the observance of certain rules of behavior, which the patient must adhere to:

1. It is necessary to ensure a balanced dietwith the inclusion of a sufficient amount of protein, vitamins and trace elements. Recommend low-fat varieties of meat (chicken, veal), dairy products (fermented milk, cottage cheese, hard cheese), fish of low-fat varieties (pike perch, hake, pollock). The food should be 5-6 times a day and be combined with the intake of fresh vegetables or fruits after each meal. Fats are recommended mainly vegetable (olive, linseed oil), from animal fats you can a small amount of butter. The diet should prevent excessive body weight gain, since overweight increases the burden on the spine.
2. Regular physical activity. Exercises should be aimed at strengthening the muscles of the back, unloading the spinal column. Especially the lessons in the pool (swimming, water aerobics) are shown. It should avoid sports that involve sharp twists of the body, jumping, lifting weights.
3. Contraindicated types of work associated with severe physical exertion, a long fixed seat. If you still have to sit for several hours in a row, you need to do an easy warm-up every half hour, you can be like, do some simple exercises.

A source: http://ohondroze.ru/zhizn-posle-operacii-po-ispravleniyu-skolioza-na-pozvonochnike-stoimost.html

Life after surgical treatment of scoliosis

Curvature of the spine is a significant obstacle to a normal lifestyle, bringing not only aesthetic discomfort, but also leading to disruption of the internal organs.

"Golden standard" for the treatment of severe degrees of curvature, are considered surgical methods of exposure.

Can this method help a patient to get rid of scoliosis? And what kind of life awaits a person after an operation to correct scoliosis?

1. How to perform a surgical procedure.
2. Possible consequences for life.
3. Changing life after surgery.
4. Conclusions for each patient.

About operation

The main task of surgical treatment is to change the curvature of the spine and fix it in the normal position.

For this, special titanium products are used in the form of hooks, clamps and wires.

Modified vertebral tissues are removed, and then replaced with a special alloy - titanium nickelide.

The operation is performed with scoliosis of 3 and 4 degrees, when as a result of curvature of the spinal column there are disorders of the functioning of internal organs (see Fig.

Treatment of 2 degrees). In this regard, and with the risk of developing certain consequences of treatment, patients are carefully selected for this type of surgical intervention.

• the degree of curvature in an adult is more than 50o, the child has more than 45o;
• progression of the disease for several years;
• congenital disruption of posture severe, without the possibility of eliminating the cause;
• intense pain in the spine;
• disorders of the functioning of internal organs as a result of their displacement by a curved vertebral column and bony formations of the thorax;
• aesthetic and psychological discomfort.

New technologies of operations in scoliosis in Russia allow achieving good results and improving the patient's standard of living. However, undesirable consequences may occur during the operation or in the postoperative period.

Effects of surgery on the spine

Surgery for scoliosis on the spine is a serious surgical treatment that can lead to a number of complications. Among them the following negative consequences are most often noted:

1. Since the surgical procedure passes next to or directly on the spine, it is possible to damage the tissue of the spinal cord or spinal cord with nerves.
2. Strong fixation of bone formations among themselves makes it impossible for growth processes in this place. A very important fact, if surgery for scoliosis of 3 or 4 degree, is planned for the child.
3. In connection with the same fixation, the vertebral column ceases to be flexible, which limits the amplitude of the movements.
4. The change in the position of the internal organs after correction of the curvature of a large degree can cause a disruption in their functioning.
5. The postoperative period may be complicated by thrombus formation or the consequences of anesthesia manipulation.

Qualitative examination before surgical treatment of scoliosis and proper rehabilitation immediately after surgery allow reducing the likelihood of the emergence of the consequences of surgical intervention.

Rehabilitation and lifestyle changes

In order to prevent the consequences of operations in scoliosis of grade 3-4, the patient must undergo a qualitative rehabilitation period and follow certain recommendations in his life.

The rehabilitation period includes several points. The first of these is the correct organization of the early postoperative period. In the first two days a person is under constant medical control in connection with the risk of developing various complications.

On the third day, minimal movements are allowed with their gradual complication and expansion of manipulation.

It is very important to organize high-quality physical rehabilitation. For this purpose, it is important to remember that you can only sit on your own for the third week after the operation. During the whole time, special therapeutic gymnastics should be conducted.

At the beginning of independent movements, special orthopedic corsets, which are selected strictly individually, can improve safety and facilitate the life of the patient.

At the end of the rehabilitation period, which lasts from 5 to 12 months, a person has to adhere to the following recommendations throughout his life:

• Do not sit for a long time due to the increased static load on the spinal column;
• with the forced preservation of the pose for a long time, constantly change it;
• It is forbidden to lift any weight, including heavy things in everyday life;
• Sports that include harsh attacks, turns and other movements in the spine are prohibited;
• it is necessary to visit a group of physiotherapy exercises for a long time to strengthen the muscles and ligaments of the back.

What awaits the patient after treatment?

Surgical treatment of curvature of the spine is the "gold standard" for helping sick people.

In this case, any person who has undergone the operation for the treatment of scoliosis, is compelled to follow a number of tips throughout his later life to prevent relapse of the disease and the appearance of complications. Proper rehabilitation contributes to this and must be carried out by every patient.

A source: http://VashPozvonok.ru/skolioz/zhizn-posle-operatsii/

Operation on the spine to correct scoliosis: a further life

Pronounced scoliosis can cause significant disorders in the work of internal organs.

Therefore, with a high degree of curvature and progression of the disease, surgical treatment can be prescribed.

How is surgery performed? Will it help to cure the disease and eliminate the consequences of scoliosis? How will the operation on the spine affect the quality of later life?

How to perform the operation

The goal of the operation in scoliosis is to correct the curvature of the spinal column and prevent the development of the disease in the future. To do this, you must first straighten the spine, and then fix the affected vertebrae.

To correct the deformation use hooks, clamps, wire. Then the parts of the vertebrae that can not be corrected are removed and replaced either with pieces of their own pelvic bone, or with special fragments made of titanium nickelide.

Recently, surgeons around the world are trying to use the second option.

It provides for greater efficacy and reliability of surgery and shortens the time required for recovery after surgery.

Depending on the location of the curvature, the technique of surgical intervention may be slightly different:

1. In scoliosis of the thoracic or lumbar region, screws are used for fixation, which are injected into the vertebral body and attached to adjacent parts of the spine on both sides. In this place mobility is lost, but the vertebra is securely fixed, therefore the probability of relapse decreases.
2. If the operation is performed in the cervical region, the vertebra is removed, and in its place put a cage - a special prosthesis that looks like a cell of carbon, titanium or plastic, filled with bone crumb (usually from the hip bone patient).
3. If a child is operated, doctors can decide not to splice the vertebrae to leave the possibility for the growth of the spine in the operated site. But in this case, after the operation, you will definitely need to wear a corset.

Effects of surgery - it is important to know in advance

Before you make a final decision as to whether you agree to an operation, you need to weigh everything carefully.

The consequences of scoliosis, if run, can be very severe, but the operation on the spine has certain risks.

Therefore, consider the pros and cons that are most often encountered by patients.

Problems that will help to solve the operation

Depending on the specifics of your case, the operation can be offered as one of the treatment options or an emergency surgery.

The operation is the only way out if one person combines several direct indications or very strongly expressed at least one. Direct evidence includes:

1. Curvature more than 50 ° in an adult or more than 45 ° in a child.
2. Rapid progress of the disease.
3. Congenital pronounced scoliosis, especially if etiology is not clear and there is no way to prevent deterioration.
4. Severe pain syndrome.
5. Disorders of the internal organs caused by displacement due to deformation of the spine, which are aggravated with an increase in the degree of curvature.
6. The consequences of scoliosis in the form of a noticeable cosmetic defect and psychological discomfort.

The surgical intervention will allow to completely or partially restore the correct location of the spinal column and some internal organs, to prevent compression of nerve fibers. In addition, after fixing the vertebra, the development of the disease stops.

All this leads to the disappearance or reduction of pain in the spine and problems with the general condition of the body, if their cause was scoliosis.

Possible complications

The operation to correct scoliosis, like all other surgical procedures performed on the spine, carries a certain risk. Both during the operation and after it complications may occur. Most often, patients face such complications:

1. There is a risk of damage to the spinal cord or nerve roots.
2. In the place of fixation and fusion of vertebrae growth is impossible - it is extremely important to consider if an operation is planned for a small child.
3. In the operated place there is no movement at all. The flexibility of the spine will be limited throughout life.
4. The risk of thrombus formation and complications after anesthesia can never be completely ruled out.
5. Rapid straightening of the spine, especially at high degrees of deformation, can become stress for the organism, which for a long time functioned in other conditions. During the period of adaptation, an exacerbation of chronic diseases is possible.

In order to reduce the risk of complications, it is very important to choose a well-established doctor and undergo a thorough examination before the operation.

Rehabilitation period

The length of the rehabilitation period depends on the age of the patient, the procedure of operation and the presence of complications. Faster recovery occurs in young people, especially if titanium structures, rather than pieces of bone, are used for fixing.

Mode

The regime should correspond to the state of the body, so it is slightly modified as it recovers. In each case, the actions need to be coordinated with the attending physician, but there is a general scheme, which experts recommend to adhere to.

The mode depends on how much time passed after surgery. For example, after an operation using titanium structures, such a scheme is used:

1. The first two days a person is in a separate room. If there are no problems, gradually remove the sensors, which were used to monitor the heart and vascular system. Urine is excreted through the catheter. The very person is categorically forbidden to move, even to turn or raise his head. To prevent bedsores, medical personnel turn the patient over as far as it can be safe.
2. On the third day, the patient can be transferred to a general department for those who have undergone operations on the spine.
3. From the fourth day gradually remove the droppers and cancel antibiotics. The patient takes only drugs to strengthen the bone tissue.
4. By the end of the second week, if there is no strong weakness or complications, an extract is possible home.

Dosage of physical activity

Half of the first week, any independent movement is strictly prohibited. Attempts to walk are permissible only at the end of the second week.

The possibility to sit is even more limited: you can start to sit down not earlier than 3 weeks after the operation, and to go sitting in transport - in 3 months.

In the future, such actions are not so dangerous, but still it is recommended to avoid them.

Wearing a corset

In most cases, wearing a corset is necessary only at the beginning of the operation. But sometimes a prolonged wearing can be prescribed. For example, if the operation was performed by the child and the vertebrae were not spliced, so as not to impede growth.

He severely restricts movement, which makes it difficult to do household chores and take care of yourself. Therefore, it is necessary that someone from close people was nearby and helped to cope with them.

Further Restoration and Restrictions

The rehabilitation period usually lasts from 4 months to a year. But after it there are some limitations. Those who have undergone surgery to correct scoliosis, doctors advise to adhere to such recommendations:

1. Limit the time you spend sitting.
2. Do not work for a long time in a forced position.
3. Do not lift weights.
4. Do not engage in sports that include hanging on the crossbar, sharp turns and inclines.
5. Strengthen your back muscles. It is best to make a program of medical exercises together with a specialist.

Most people who have undergone a similar operation on the spine, very quickly get used to a new way of life. Minor limitations of flexibility do not interfere with their daily life and do not cause any discomfort.

A source: http://MedOtvet.com/scoliosis/operaciya-na-pozvonochnike-po-ispravleniu-skolioza-dalneishaya-zhizn.html

How effective is scoliosis surgery?

Surgery for scoliosis is required in cases where other methods of treatment do not give any success.

Usually, surgery on the spine is performed if the patient has grade 3 or 4 of scoliosis.

In general, the operation with scoliosis is quite effective. It is important to understand that, like any other operation, this procedure can have a number of negative consequences, which, incidentally, happens comparatively rarely.

When is the operation for scoliosis?

The operation, fortunately, is not shown to every patient with scoliosis. In the overwhelming majority of cases, it is carried out at the third and fourth degree of the disease, when conservative methods of treatment are useless and are used only to improve the quality of life of the patient.

The procedure is aimed at eliminating the curvature of the spine throughout its entire length (and, if more precisely, in places of pathological bending that are distributed along the entire spine) and deformity of the thoracic cells.

Scoliosis surgery result

And in this case, restoring the patient's working capacity and improving the quality of his life are only secondary reasons for the operation. The primary reason for such radical treatment is the threat to life of the patient due to deformity of the sternum.

The fact is that deformation of the chest entails compression of the bones or vertebrae of the lungs and heart, which eventually leads to the development of cardiac or pulmonary insufficiency. With such diseases, even a lethal outcome is possible.

In some cases, surgical intervention is also carried out in the second stage of scoliosis, which occurs with additional diseases of the musculoskeletal system (including congenital ones).

How effective is surgery?

To eliminate the threat to the life of the patient, surgical intervention in scoliosis is an extremely effective method. But the same positive results can not be expected in terms of the return of efficiency.

The fact is that in most cases, a fixing operation is performed, in which the spine is straightened in places of pathological bends due to the implantation of metal structures. As a result, it is possible to align the vertebral column and remove the deformation of the chest,but with it the mobility of the spine is also lost.

Result of operation for scoliosis of 2 degree

Moreover, if the operation is performed in a young patient under 16 years of age, that is, during an active formation of the spine, it is worth waiting for a slowdown or complete stop of the further formation of the vertebral post.

Mobile metal structures are also used that provide partial (but not physiological!) Mobility of the spine and even leave the possibility to form the spine further.

The problem is that such operations can not be carried out by every patient, and besides, their cost is extremely high.

Surgical treatment of scoliosis (video)

In modern realities, such operations are carried out exclusively with the use of high-tech devices. In most cases, the operation is performed exclusively by neurosurgical methods, that is, with minimal trauma to the tissues of the back.

Surgical treatment of scoliosis is carried out by fixing the metal structures directly on the spinal column. They firmly fix the vertebrae in a normal position, preventing their mobility.

There are several methods for installing metal structures in the spine, namely:

1. The Harrington Method. Widely distributed in the last century. To fix the segments of the vertebra, plates from the rods and hooks are used. The operation lasts for an average of 3 hours.
2. The Cotrel-Dubusset method. Practically similar to the previous method of correcting the position of the spine. The only difference is that the postoperative period is more smooth and the patient does not even need to wear an orthopedic corset.
3. The method of Luke. In this method, in the field of pathological distortions, structures that consist of a central cylinder and a wire are implanted.
4. The Cilque method. This method allows not only to align the spine, but also to remove the compression syndrome (infringement of the nerve nodes). After the operation on this method requires a long wearing of the corset.

Preparing for the procedure

In the vast majority of cases, surgical intervention for scoliosis is carried out in urgent (urgent) order, so there is no question of any preliminary preparation of the patient. In other cases, more moral is required than physical training.

Radiography in the diagnosis of scoliosis is performed in all projections

It is very important to positively adjust the patient, since the operation will last more than an hour (sometimes even more than three hours) and under general anesthesia.

In terms of physical preparation, just prior to surgery, implementation is required a series of X-ray images of the spinal column in different projections and positions of the patient (sitting, standing and so Further).

In the rest, no more training, specifically for the operation, is required.

It is necessary to ensure that when anesthesia is introduced, the contents of the stomach do not return to the lungs (this is a deadly state!).

Rehabilitation and life after the procedure

After the operation, the patient is assigned a rehabilitation course of measures aimed at reduction of the consequences of surgery and recovery of the organism (in particular, mobility of the spine, if this perhaps).

It is important to take into account that the quality of life of a patient after an operation to a good half depends on how correctly the post-operative rehabilitation was performed. Without adequate rehabilitation measures, even an excellently performed operation can not give results at all.

Metalware fixing the vertebral column in scoliosis

In certain types of surgical intervention (Harrington's method, the Cilke method), the patient is assigned to wear an orthopedic corset for a long (several months) period.

The overall rehabilitation for all types of surgery is as follows:

• in the first 3-4 days the patient is assigned a strict bed rest, and restrictions are imposed even on movements in the bed;
• After eight days, control radiography is performed and a complex of physical therapy is selected (selected individually);
• After 6-10 days a long course of massage procedures is prescribed;
• After three months (and every six months thereafter), a control radiography or tomography is performed.

The price of treatment of the curvature of the spine (scoliosis) by surgery is an average of 4, 00 rubles (the data is valid at the beginning of 2017).

A source: http://FragMed.ru/pozvonochnik/operaciya-pri-skolioze-na-pozvonochnik.html

When is an operation on the spine prescribed for scoliosis?

At the moment, the operation on the spine of scoliosis of 3 and 4 degrees can be successfully eliminated.

Surgical intervention is the only radical treatment for this disease with a high degree of curvature.

Performed in a timely manner, it allows almost completely restore the work of the spine (motor, support, static).

The surgery to correct scoliosis eliminates cosmetic defects in the back, relieving the person of suffering due to lateral displacement of the spine of the 4th degree.

Initial degrees of pathology are subject to correction by conservative methods. And only in a situation of failure of the therapy used, they begin to operate. Scoliosis surgery is resorted to in extreme situations with the existing threat to the patient's life.

The widespread implementation of such interventions became possible as a result of the introduction of innovative observational systems that allow you to monitor the state of health of the patient and his organs (including the spinal cord) with operating. In addition, other methods of anesthesia became available and decompression and stabilizing structures were improved. Installation of the latter makes it possible to correct defects of the spinal column.

Indications for operating

When preparing the patient for the surgeon's intervention, a thorough examination timely detection of changes in internal organs and the definition of deformation degree the spine.

The modern possibilities of the orthopedic area are not limited by the age of the patient when considering treatment methods. At the revealed high degree operation at a scoliosis can be executed and before the moment of end of intensive body growth of the patient.

Defining the ideal time for the operation, it is important to take into account the fact that wearing corsets (even correctly matched and constantly carried by a child or adolescent) at best stops the progression of pathological changes in vertebral column. However, these measures can not eliminate the existing deformation.

Absolute indications for surgical intervention:

1. The deformation of the spine progresses, and the angle of curvature reaches a value of 60 ° or higher. This degree of scoliosis in the spine causes both lateral curvature and twisting, which affects the normal functioning of the internal organs and, first of all, the heart and lungs.
2. A strong pain syndrome, which can not be affected by either modern non-steroidal drugs with anti-inflammatory effect, nor other methods of treatment, but for the elimination of which reception is required narcotic analgesics.

Relative indications for the purpose of surgical intervention:

1. The deformation angle approaches 40 °. This degree of scoliosis entails functional, and after and organic disorders in the respiratory and circulatory system.
2. Expressed cosmetic defects, affecting the decline in the ability to work and the deterioration of the quality of life in general.

The operating surgeon must solve several important tasks:

• maximize the curvature;
• correct or eliminate compression of the spinal cord;
• create protection for nerve fibers from subsequent damage;
• prevent further bending.

In the vast majority of cases, surgical intervention is performed when the development of the spinal column approaches the final stage (16-19 years of age of the person).

At the adult operative treatment of a scoliosis is made for getting rid of a compression syndrome.

An emergency operation is shown regardless of the patient's age, when dangerous changes threaten life. This is possible with excessive compression of the spinal cord, prolapse of the intervertebral disc.

Treatment of scoliosis through surgery is included in the category of complex. Its conduct presupposes the accuracy of each movement. Because an error can lead to disability due to nerve damage.

It is important to note that after surgery the spinal column assumes a straightened position, which is unusual for the body, as he adapted for the time of illness to the changed position the spine. In connection with this, temporary disturbances in innervation and circulation in internal organs are noted. Therefore, conservative therapy is prescribed, which helps to eliminate negative symptoms.

The lateral curvature of the vertebral axis of degree 3 and 4 is the reason for the simultaneous solution of several problems:

1. Correction and stabilization of the spine axis.
2. Elimination of vertebral defects.
3. Prevention of muscle asymmetry.
4. Elimination of cosmetic defects.

For today, mainly decompression-stabilizing manipulations are performed with the implementation of a fixed joint (arthrodesis) in one or several vertebral departments.

In this case, the subsequent growth of the operated spine site is suspended. However, there are conditions for gradual straightening of the curvature.

This type of surgery is applicable for adolescents from 14 years and already adult patients.

Before the completion of active spine growth, specialized metal structures (systems Cotrel-Dubusset, Harrington, Luc), contributing to the further growth of individual vertebrae and vertebral column in whole. The use of some systems involves the use of a corset after intervention during the initial stages of restorative therapy.

Fixed types of structures are much cheaper and should be installed by adult patients with scoliosis.

Preparatory stage

Almost 60% of surgeon intervention situations are emergency. Therefore, the patient enters the operation without prior preparation. However, the complexity of the manipulations involved involves the obligatory preparation of the patient both physically and morally.

The process of preparation for surgery in scoliosis includes the execution of a long stretch of the skeleton horizontally or the use of a corset chosen for these purposes.

What makes it possible to improve the condition of the musculoskeletal apparatus of the vertebral axis, lead to a normal blood supply not only directly to the spine, but also systems associated with it, to reduce painful manifestations.

If violations are found that could have a negative impact directly at the time of operation, at the first stage after surgery or during rehabilitation time, treatment is prescribed (corrective therapy).

During the preparation of mandatory sanation, all identified foci of infection in the body are subject to irrespective of their concentration.

The x-ray of the spine is compulsorily prescribed from different positions (standing, sitting, side).

Based on the images, the type of operation and the tactics of the patient's management are determined.

Surgical manipulations with scoliosis last at least an hour. Therefore, for their implementation, general anesthesia is performed in order to eliminate discomfort for the patient.

Operation is the key to a new life. The postoperative period will require a lot of strength from the person.

Early postoperative period and rehabilitation

After the early postoperative period is completed, the attending physician will compile a list of appointments for the patient, taking into account individual features, will draw up a program of the course of physiotherapy, a complex of therapeutic physical training, massage procedures.

Interventions on the spine in our country at a price are included in the category of expensive. Due to insufficient equipment of domestic clinics, complications in the postoperative period are more common. Doctors in Russian clinics prefer to treat scoliosis with conservative methods.

A source: http://ZdorovyiSkelet.ru/skolioz/operaciya-na-pozvonochnike-skolioz.html

Operation in the scoliosis of the spine: training, methods and life after

The operation on the spine with scoliosis is applied approximately in 16 cases out of 100. It is not easy to give consent to surgery, but sometimes life depends on it.

What does the operation give?

Surgical intervention in scoliosis allows:

• correct the deformation of the spinal canal;
• stop the progression of the disease;
• prevent the development of complications that affect the functioning of vital organs;
• to eliminate cosmetic defects.

We recommend reading about transpedicular fixation of the spine in addition to this material.

On the left side of the picture is scoliosis of the third degree, on the right side - the situation after the operation.

We recommend that you study:

• Secrets of therapeutic massage in scoliosis of the spine
• The degree of curvature of the spine and the causes of this pathology

Among the indications are:

• progressive scoliosis. Mandatory surgical intervention at 4 degrees of scoliosis. In the operation, metal bars are fixed and fixed with bolts. Due to them, the spine is held in the correct position. Less often, surgery is performed for scoliosis of grade 3;
• violation of posture, which are accompanied by pain;
• progressive lateral distortions;
• paralytic scoliosis;
• kyphosis.

Types and treatment of spinal curvature in children

Twisted spine in children - this is most often a consequence of non-observance of correct posture at school age. The reasons for this are the weakness of the muscles of the trunk and their incorrect development.

Operation is not possible when:

• presence in the patient of congenital scoliosis Klippel-Feil;
• deformities of the spinal canal due to neuromuscular disorders;
• presence of defects of respiratory organs, blood circulation;
• old age and the inability to withstand anesthesia.

In addition, we recommend:

• The causes of scoliosis of the cervico-thoracic spine
• What causes the curvature of the cervical vertebrae?

Installation of cores for scoliosis of the spinal canal 3 or 4 degrees

• The Harrington Method. It is based on the use of metal structures from a specialized rod and hooks. They freely move and are fixed to the back surface of the spinal canal. After such an operation, a corset is to be worn for six months or nine months;
• Luke. The design of the rod in the form of the letter L and the locks of the wire is used;
• Kotrelya-Dubusse. An implant is installed, which consists of specialized rods and hooks for fastening.

The patient should strictly follow the doctor's instructions. Initially, he must undergo a complete examination, which includes:

• blood donation;
• X-rays;
• delivery of urine analysis.

- visualization of spinal rectification with the help of the installation of rods

Self-training consists in:

• calming and isolating oneself from the experience;
• performing exercises of respiratory gymnastics;
• meditation;
• need to negotiate with people who will help in the postoperative period;
• weight reduction;
• Avoiding loads;
• rest.

How to live after the operation?

Life after surgery, a scoliosis with which was corrected and the spine fixed to plates, will have some limitations, but overall the quality will improve.

LFK after the operation to correct the scoliosis of the spinal canal is mandatory, since it allows to strengthen the muscles of the back

In order to avoid pain, you should:

• limit slopes and turns at fixed stops;
• avoid bending, twisting;
• limit the period of stay in one of the poses: sitting, standing;
• go swimming, walking on skis or cycling.

We recommend that you read more about the correction of scoliosis in adults, in order to understand the difference in treatment from childhood scoliosis.

Surgery on the spine with scoliosis is one of the most dangerous and is performed in rare cases, but if the doctor prescribes it, one should not refuse. The decision is still to take the patient, but you can start the disease to the point where it's already too late.

A source: http://MoyPozvonok.ru/bolezni/skolioz/operatsiya-pro-skolioze/

Operation with scoliosis on the spine (correction, treatment), life after

Often the only method to cure the scoliosis of the spine is to conduct an operative intervention. Surgical treatment is relatively rarely required for scoliosis of 1-2 degrees, whereas at 3-4 degrees in most cases, it is impossible to do without surgery.

Life after surgery with scoliosis can become very difficult, since often a fee for straightening the spine becomes its partial or complete immobilization (immobility). During the rehabilitation period, the doctors make every effort to return the functional backbone, but very often it is not possible to achieve impressive results.

When is the operation for scoliosis?

In the early stages of vertebral scoliosis (grade 1-2), the restoration of the position of the spine in 95-98% of cases are carried out exclusively by conservative methods (exercise therapy, medicines, physiotherapy, massage). The operation is usually performed in cases where there are secondary diseases of the spine (usually congenital anomalies and defects), exacerbating the overall picture.

The situation with scoliotic disease of 3-4 degrees is completely different. Here, surgery is required in most cases (especially in the fourth stage), as patients severe deformities of the spine, severe posture disorders and even internal damage bodies.

Scoliosis of the 4th stage

But the urgent need for surgical treatment does not always arise, so patients are given a choice. Often, patients think about whether it is worth doing an operation at all, given its cost and possible risks (and they are available).

Responsibly declare that in the vast majority of cases - it is worth. The disease will not go anywhere and will still progress further, but already threatening not only the musculoskeletal system, but also internal organs.

Completely correct the problem is impossible even with the most expensive and modern surgery, but still you can significantly improve the quality of life of the patient and prevent severe complications.

How effective is the operation?

In the last stages of scoliotic disease, surgical intervention in any case can not cure patients.

The exception is children, they have because the spine has not yet fully formed, sometimes it is possible to completely eliminate the disease and restore the normal functional of the spinal column.

There are a number of problems with adult patients. The spine is already formed, it is more difficult to work with it, built-in metal structures (supporting the spinal column in the normal position) may not at all take root.

Results of surgery for scoliosis in a child

In the segment where the treatment was carried out, a focus of immobilization may occur. That is, in such an area the spine will be unable to perform its basic functions. If the operation is extensive, immobilized can be the entire back.

In addition, no one gives guarantees of recurrence of the disease, but even in this case there is no reason to delay the operation. How imperfect it was not, but without it, the patient in most cases will be much worse.

Types and methods of surgical treatment of scoliosis

There are several ways to treat scoliosis surgically. In modern realities, operations are performed by neurosurgical methods, including doctors can achieve minimal trauma to the tissues of the back.

All operations imply the implantation (installation) of metallic spinal stabilizing structures, which are of two types: mobile and immobile. Movable structures are implanted only in patients in whom the spine is in the growth phase.

Fixed designs are implanted in adult patients. Note that the price of non-stationary metal structures is incomparably lower than that of mobile ones.

Results of surgery for scoliosis of 3 degrees

There are also several techniques for implantation of stabilizing pins:

1. The Harrington Method. The procedure lasts no more than four hours, the indication to its application is scoliosis of 3 and 4 degrees. However, at 4 degrees it gives poor results.
2. Methodology for Cotrel-Dubuys. Similar to the previous method, the main advantage of which is a relatively low postoperative rehabilitation period.
3. The technique of Luke. A relatively simple technique: the patient is implanted with a pin from the central cylinder and the binding wire. The rehabilitation period is short.
4. The method of Tsilke. It is used not only to cure scoliosis, but also to eliminate the compression syndrome. The main disadvantage is a long rehabilitation period, which requires wearing a corset.

Preparing for an operation

In no less than 55% of cases, surgical intervention for scoliosis is carried out urgently, which means that there is no preparation for the patient. But this does not mean that such a situation is a norm and training is not required.

In fact, due to the complexity of the surgical intervention (regardless of the chosen technique of execution) preparation is required. Let's notice, that physical preparation, as moral, is sometimes not so important, especially for hypochondriac patients.

With routine treatment, the doctor first collects a medical history from the patient. This includes questions about the presence of allergies to any drug groups, listening to wishes, the history of the disease and its individual nuances (for example, the presence of additional diseases).

Results of surgical treatment of scoliosis

It is necessary to diagnose the body, which is obviously paying close attention to the musculoskeletal system.

Usually for detailed and accurate diagnosis it is sufficient to conduct an X-ray examination in several projections, but sometimes computer or magnetic resonance imaging may be required.

Rehabilitation and life after surgery

Even an extremely successful surgery for scoliosis requires an adequate postoperative rehabilitation period for the patient's recovery. There are no universal rehabilitation plans, but one can draw up an approximate picture of what the patient expects in the postoperative period.

Most often, rehabilitation is about the following:

• The first few days (usually no more than four) the patient observes exclusively bed rest, only minor movements in bed to relax the muscles and prevent thrombosis (which is especially important in people with advanced age);
• about a week later the patients are already allowed to move around the ward, and at that time a planned Diagnostic radiography for finding out how the healing of the spinal tissues proceeds after the operative interventions;
• approximately on the tenth day patients are prescribed massage and warm-up of the lower limbs;
• very often for the entire rehabilitation period (and it can be delayed for 6 months or more), patients are prescribed to wear an orthopedic corset supporting the spine;
• by the beginning of the third month, another routine diagnosis, a preference for computed tomography, is being conducted, but in practice, most commonly, conventional radiography is performed.

How much is the operation and where is it done?

The main questions for patients with scoliosis of the last stages are: where are they doing and, more importantly, how much does the operation cost for scoliosis? Quite reasonable questions, to which, unfortunately, it's so easy not to answer.

Clinics across the Russian Federation are huge, prices and methods of treatment are different. Let's try to navigate the Moscow medical centers, since usually such complicated surgical procedures are performed exactly there.

Surgery for scoliosis: before and after

The average cost of such operations on the spine is:

1. Transthoracic correction of the disease - the price of 10, 00 rubles.
2. Correction of scoliosis with thoracophrenolumbutomy - a price of 11, 00 rubles.
3. Correction of scoliosis disease by dorsal path - the price is from 9, 00 rubles.

In the province, prices are about 25-30% lower, but the problem is that in such cases, patients with a "clean" scoliosis of 3-4 degrees are usually taken for treatment. That is, the presence of congenital anomalies or secondary diseases can cause a failure in the operation (because of the high risk of complications).

A source: http://osankino.ru/skolioz/operaciya-pri-skolioze.html