Spinal fusion surgery for scoliosis provides significant spine curvature correction, cosmetic and posture benefits, but does cause some inflexibility in the spine. Sometimes a spine curvature of an idiopathic (cause not known) nature that began during teenage years may progress during adult life. Scolioisis most frequently occurs in children and teenagers. In adults, scoliosis can cause a lot of pain, and this is the number-one reason adults with scoliosis opt for spinal fusion as their treatment path. In some cases it may be caused by aging, a disease or condition, including: 1. For adults with idiopathic scoliosis, bracing is not typically recommended. The surgical options for degenerative scoliosis tend to fall into two general categories: 1. And it can develop in adults too. Adult idiopathic scoliosis is, in essence, a continuation of adolescent idiopathic scoliosis. So, ask questions if you’re not clear how to move forward after the procedure. Most children with scoliosis have mild curves and probably won't need treatment with a brace or surgery. Correction can be obtained by removing the discs between the vertebrae and placing cages or bone between them. Reproduction, electronic or otherwise, without the permission of. I had declined so much physically that I depended on a walker, and my family was even considering a care center for me. (Download the “About Lateral Access Surgery” brochure here). by Jim Dryden, Washington University School of Medicine in St. Louis Spinal Reconstruction: Every individual’s deformity is different and requires a tailored approach. Adults with scoliosis often feel they have nowhere to turn. After correction of the scoliosis, a spinal fusion is performed to prevent adult scoliosis and deformity from recurring. Spinal fusion is a common type of spine surgery—not only for scoliosis but for a host of other spine conditions. A recent advance is the use of a computerized image guidance system for many patients undergoing lumbar fusion. Adult scoliosis is a spinal curvature that exists or develops after someone is done growing (around 18 years old). For example, one small study in 2004 of young adults found that while scoliosis surgery patients had slightly lower physical health scores compared with peers who did not have scoliosis, their mental health scores were actually higher. Our spine surgeons have developed expertise in some of the most technically advanced surgeries for scoliosis. Get help! The stability between the vertebrae is achieved by implanting instrumentation. Instead, trying to stop the curve from getting worse later is the main goal. Adult scoliosis can be separated into four major groups: Type 1: Primary degenerative scoliosis, mostly on the basis of a disc and/or facet joint arthritis, … In adults, the cause of scoliosis is unknown. Feb. 27, 2003 -- Complex surgery to correct common problems caused by scoliosis or excessive curvature of the … During this procedure, the spine is fused to bone grafts or substitutes to hold the spine in a straighter position. In other scenarios this type of deformity correction is discussed after the scoliosis has progressed to a certain degree with the goal to halt any further progression of this abnormal curvature. In fact, most patients do not enter the full recovery zone until 6 to 12 months after their procedure. Numbness 3. Despite recent improvements in the invasiveness of spinal procedures, the decision to undergo surgery for adult scoliosis should not be taken lightly. Our experienced neurosurgeons, who have been trained in the most advanced reconstructive surgical techniques, can determine the best treatment for each patient and each situation. Infections. Microdecompression with laminotomy / foraminotomy and laminectomy are examples of these techniques. On an x-ray with a front or rear view of the body, the spine of a person with scoliosis looks more like an \"S\" or a \"C\" than a straight line. However, often patients do start to slowly return to some school and work activities prior to 3 months after surgery. Another new study from 2019 2 looked at adults (ages 46 to 68 on average) with curves 75 degrees or larger who had spinal fusion performed and found 32% of these patients required a second (revision) surgery. In the XLIF procedure, a neurosurgeon approaches the spine from the side and inserts a spacer to correct curvature. FACT: There are many non-operative treatment options for scoliosis patients with minimally invasive spine surgery recommended only when necessary. forward; it is a change in the shape of the spine. Adult forms of scoliosis often have a degenerative element. The way to deal with your scoliosis depends on how severe the curve of your back is. These techniques also require fusion of the bones together in an improved alignment, as discussed further below. As a scoliosis specialist, I’m here to debunk common myths surrounding treatment for adult scoliosis. The size or the location of your spine’s curve doesn’t predict whether or not you will have symptoms. When Scoliosis Surgery May Be Recommended XLIF (Extreme Lateral Interbody Fusion): This advanced method of minimally invasive surgery approaches the spine from the side, avoiding the major muscles of the back. The treatment of adult scoliosis is very individualized and based on specific symptoms, degree of curve, where the curve is located on the spine, how quickly the curve is progressing, existence of other medical conditions, and age and overall health of the patient. Times that those having open surgery a varying but high rate of complications scoliosis... Patient with a question, patient referral or second opinion, you may also email: BWHNeurosurgery @.! 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