scoliosis surgery in india

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Scoliosis Surgery in India Our spine is an engineering marvel that supports our weight and ties our body together. The spinal column consists of a stack of small bones that range in size from 2-3 inches to 5-6 inches in diameter. When viewed from the front, the spine appears to be straight, but when looked at from the side, the normal spine has two gentle S-curves.

Scoliosis is an abnormal curvature of the spine. In scoliosis, the spine curves to the side when viewed from the front, and each vertebra also twists on the next one in a corkscrew fashion.Scoliosis surgery is one of the longest and most complicated orthopedic surgical procedures performed on children or adult. The operation takes approximately six hours. Hospitalization can last several days and activities are restricted for several months. Scoliosis is best treated when found early and can be detected during a routine school screening.

Scoliosis surgery is designed to reduce the patient’s curvature and fuse the spine to prevent any further progression of the deformity. Surgery for adolescents with scoliosis is only recommended when their curves are greater than 40 to 45 degrees and continuing to progress, and for most patients with curves that are greater than 50 degrees. Severe curvatures (greater than 50 degrees) are more likely to progress in adulthood. If a curve is allowed to progress to 70 – 90 degrees, it will not only result in a very disfiguring deformity, but will start to result in cardiopulmonary compromise. each other, forming a C or S shape in the spine.

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What are Types of Scoliosis?

There are several types of scoliosis. Each of them are named and defined according to the age, cause of scoliosis and spinal curvature. There are two basic types of scoliosis:

1. Structural: is caused by neuromuscular diseases, certain infections, birth defects, injury, connective tissue disorders, metabolic diseases, rheumatic diseases, tumors

and other unknown factors.

2. Nonstructural: or functional scoliosis is reasoned by underlying conditions such as a difference in leg length, muscle spasms, or inflammatory conditions including

appendicitis.

3. Idiopathic scoliosis: is the most common type of scoliosis based on age. It affects about 4% of the population, commonly females. The reasons may include differences

in leg length, hereditary conditions, injury, infections and tumors. It is subdivided into three categories:

• Infantile scoliosis: extends from birth to age three• Juvenile scoliosis: is caused between the ages three and nine• Adolescent scoliosis: scoliosis extends from 10 to 18

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Other Types of Scoliosis are:

1. Congenital scoliosis:  is a rare type of scoliosis caused by an abnormally shaped bone that present since birth. 

2. Neuromuscular scoliosis:  is a lateral curvature of the spine occurring due to muscular weakness or neuromuscular disease such

as cerebral palsy, spina bifida, paralytic conditions, spinal cord tumors, neurofibromatosis and muscular dystrophy. 

3. Degenerative scoliosis: happens in adults due to weakening of the spine with aging.

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Scoliosis is also categorized on the basis of the spinal curvature. Thus following are the types found:

1. Thoracic curve scoliosis,

2. Lumbar curve scoliosis

3. Thoracolumbar curve scoliosis

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The Common Procedures for Scoliosis Surgery in India

• Posterior Approach (Back): The posterior approach has been the gold standard for years to treat scoliosis and continues to be a surgical procedure applicable to most patients. The procedure usually involves implanting two metal rods (stainless steel or titanium) to correct the abnormal curvature. Sometimes more than two rods are needed. A combination of screws, hooks and wire may be used to anchor the rods to the spine. A spinal fusion procedure helps to weld the bone grafts and vertebral of the spinal column into a solid mass. Thoracoplasty involves rib resection (partial or total removal) to decrease the size of the rib hump caused by scoliosis. The rib bone can be used as a source of bone graft used in the fusion procedure. Today, with pedicle screw fixation, Thoracoplasty is less commonly performed than previously. The average hospital stay for most operations ranges from four to seven days.

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• Spinal fusion with instrumentation: Spinal fusion is the most widely performed surgery for scoliosis. In this procedure, bone (either harvested from elsewhere in the body autograft or from a donor allograft) is grafted to the vertebrae so that when it heals they will form one solid bone mass and the vertebral column becomes rigid. This prevents worsening of the curve, at the expense of some spinal movement. This can be performed from the anterior (front) aspect of the spine by entering the thoracic or abdominal cavity or, more commonly, performed from the back (posterior). A combination is used in more severe cases. Originally, spinal fusions were done without metal implants. A cast was applied after the surgery, usually under traction to pull the curve as straight as possible and then hold it there while fusion took place. Unfortunately, there was a relatively high risk of pseudarthrosis (fusion failure) at one or more levels and significant correction could not always be achieved.

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• Thoracoplasty: A complementary surgical procedure a surgeon may recommend is called Thoracoplasty (also called costoplasty). This is a procedure to reduce the rib hump that affects most scoliosis patients with a thoracic curve. A rib hump is evidence that there is some rotational deformity to the spine. Thoracoplasty may also be performed to obtain bone grafts from the ribs instead of the pelvis, regardless of whether a rib hump is present. Thoracoplasty can be performed as part of a spinal fusion or as a separate surgery, entirely. Thoracoplasty is the removal (or resection) of typically four to six segments of adjacent ribs that protrude. Each segment is one to two inches long. The surgeon decides which ribs to resects based on either their prominence or by determining those which are unlikely to be realigned by correction of the curvature alone. The ribs grow back, and will grow back straight. 

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Treating scoliosis in children at Best Spine Hospital in India Specific treatment of scoliosis will be determined by your child's physician based on:

• Your child's age, overall health, and medical history

• The cause of the scoliosis

• The extent of the condition

• Your child's tolerance for specific medications, procedures, or therapies

• Expectations for the course of the condition

• Your opinion or preference

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The goal of treatment is to stop the progression of the curve and prevent deformity. Treatment may include:

• Observation and repeated examinations. Observation and repeated examinations may be necessary to determine if the spine is continuing to curve, and are used when a person has a curve of less than 25 degrees and is still growing.  Progression of the curve depends upon the amount of skeletal growth, or the skeletal maturity of the child. Curve progression slows down or stops after the child reaches puberty.

• Bracing. Bracing may be used when the curve measures more than 25° to 30° on an X-ray, but skeletal growth remains. It may also be necessary if a person is growing and has a curve between 20° and 29° that isn't improving. The type of brace and the amount of time spent in the brace will depend on your child's condition.

• Surgery. Surgery may be recommended when the curve measures 45° or more on an X-ray and bracing isn't successful in slowing down the progression of the curve when a person is still growing.

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Expected Results 

Scoliosis surgery in India which involves spinal fusion is quite successful in stopping the curve from growing. With sophisticated techniques, doctors can straighten the curve to a great extent which improves the patient's appearance and functioning to a great extent.

Recovery

You would have a lot of pain after the surgery which would be controlled with pain medications. You would stay at the hospital for about a week to ten days to make sure you are on the right healing path. The surgeon would advise you to start walking on second or third day of the surgery and physical therapy would begin on the third or fourth day of the surgery.

Most people return to school and work in 3-4 weeks. Full recovery can take from 4-6 months and most people can resume other activities and even sports after an advice from the surgeon.

Scoliosis Surgery in India

Owing to availability of state of the art hospitals, a lot many patients come to India for scoliosis surgery. Scoliosis surgery in India is being performed by highly experienced orthopedic surgeons and doctors. Besides quality of treatment, the cost of the surgery in India is much less than the cost of the surgery in USA, UK or Canada.

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FAQ - Spine Surgery and Treatment in India  What are the benefits of getting Spine Surgery in India?Spine Hospitals in India are equipped with the most advanced medical treatment. They have the most extensive Spine -diagnostic and imaging facilities including Asia’s most advanced MRI and X-rays technology. Personalized care and attention is provided with value added services besides results of world class standard at a very low cost affordable to all sections of society.

Which is the Best Hospital in India for treatment of Spine?India has not one but many better than the best hospitals for Spine r treatment. Mail us your medical report and we will find the hospital most suitable to treat your medical condition.

Is it safe to get Spine Treatment and Surgery in India?The medical fraternity in India is famed for excellence, and leads in Spine surgeries. Thousands of Spine operations are performed in India each year with maximum success rate, making the safety obvious.

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