If you'd like, your care team can put you in touch with other people who have gone through the same thing or help you find support groups. There are several different types of braces. If you need a brace, the orthopedic specialist will decide on the number of hours you'll wear it each day and night. The brace acts as a holding device that keeps a curve from getting worse.
A brace won't make your spine straight. But if it does its job well, your curve won't get bigger. If you're getting a brace, your care team will work with you to choose the right one. The right brace is the one that works best for the type of curve you have — but it's also the one you're most likely to wear.
So make a list of questions and concerns to discuss with your care team, and let them know all the activities you like to do. Some teens with severe scoliosis need a type of surgery called a spinal fusion. During the operation, an orthopedic surgeon straightens the spine as much as possible and holds it in place with rods and screws.
The surgeon then puts in bone graft to join fuse some of the vertebrae together. That way, the curve can't get any worse. After about a year, the bones should be fully fused. The metal rods are no longer needed, but they stay in the back because they aren't doing any harm and taking them out requires another operation. When treatment is over, people with scoliosis are able to live full and active lives.
As long as people get the right treatment as kids or teens, their spine usually won't continue to curve after they're done growing. Reviewed by: Suken A. Larger text size Large text size Regular text size. Having scoliosis or wearing a back brace can be tough and may cause problems with body image and self-esteem, particularly for children and teenagers.
You may find it useful to contact a support group, such as Scoliosis Association UK. These groups are a good source of information and support, and they may be able to put you in touch with people in a similar situation to you.
In around 8 in every 10 cases, the cause of scoliosis is unknown. This is called idiopathic scoliosis. Idiopathic scoliosis cannot be prevented and is not thought to be linked to things such as bad posture, exercise or diet. Azar FM, et al. Scoliosis and kyphosis.
In: Campbell's Operative Orthopaedics. Surgical treatment for scoliosis. Devlin VJ. Idiopathic scoliosis. In: Spine Secrets. Larson AN expert opinion. Mayo Clinic. April 30, Fedorak GT, et al. Minimum 5-year follow-up of Mehta casting to treat idiopathic early-onset scoliosis.
The Journal of Bone and Joint Surgery. Shands AR. End result of the treatment of idiopathic scoliosis. Morrow ES Jr.
Allscripts EPSi. In children, the two primary goals of surgery are to stop the curve from progressing during adulthood and to diminish spinal deformity. Most experts would recommend surgery only when the spinal curve is greater than 40 degrees and there are signs of progression. This surgery can be done using an anterior approach through the front or a posterior approach through the back depending on the particular case. Some adults who were treated as children may need revision surgery, in particular if they were treated 20 to 30 years ago, before major advances in spinal surgery procedures were implemented.
Back then, it was common to fuse a long segment of the spine. When many vertebral segments of the spine are fused together, the remaining mobile segments assume much more of the load and the stress associated with movements. Adjacent segment disease is the process in which degenerative changes occur over time in the mobile segments above and below the spinal fusion. This can result in painful arthritis of the discs, facet joints and ligaments.
Adults with degenerative scoliosis and spinal stenosis may require decompression surgery with spinal fusion and a surgical approach from both the front and back. A number of factors can lead to increased surgical-related risks in older adults with degenerative scoliosis. In general, both surgery and recovery time are expected to be longer in older adults with scoliosis. Posterior approach: The most frequently performed surgery for adolescent idiopathic scoliosis involves posterior spinal fusion with instrumentation and bone grafting.
This is performed through the back while the patient lies on his or her stomach. During this surgery, the spine is straightened with rigid rods, followed by spinal fusion.
Spinal fusion involves adding a bone graft to the curved area of the spine, which creates a solid union between two or more vertebrae. The metal rods attached to the spine ensure that the backbone remains straight while the spinal fusion takes effect.
This procedure usually takes several hours in children, but will generally take longer in older adults. With recent advances in technology, most people with idiopathic scoliosis are released within a week of surgery and do not require post-surgical bracing. Most patients are able to return to school or work in two to four weeks post surgery and are able to resume all pre-surgical activities within four to six months. Anterior approach: The patient lies on his or her side during the surgery.
The surgeon makes incisions in the patient's side, deflates the lung and removes a rib in order to reach the spine. Video-assisted thoracoscopic VAT surgery offers enhanced visualization of the spine and is a less invasive surgery than an open procedure.
The anterior spinal approach has several potential advantages: better deformity correction, quicker patient rehabilitation, improved spine mobilization and fusion of fewer segments. The potential disadvantages are that many patients require bracing for several months post surgery, and this approach has a higher risk of morbidity — although VAT has helped to reduce the latter. Decompressive laminectomy: The laminae roof of the vertebrae are removed to create more space for the nerves.
A spinal fusion with or without spinal instrumentation is often recommended when scoliosis and spinal stenosis are present. Various devices like screws or rods may be used to enhance fusion and support unstable areas of the spine.
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