- Anatomy of The Spine
- Back Pain in Children
- Caring for your Spine
- Emerging Spinecare Trends
- Evaluation of Spinal Disorders
- Exercise and The Spine
- Intervention - Spinal Disorders
- Intervertebral Disc
- Non Surgical Options
- Nutrition and Spinecare
- Options for Spine Treatments
- Pregnancy and Back Pain
- Prevalence of Spine Disorders
- Sleep and the Spine
- Spinecare Introduction
- Spinehealth and Disease
- Surgical Interventions
- Treatment with Medications
- Understanding Back Pain
Spinecare Topics
Surgical Interventions
Surgical Interventions
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Surgical Interventions
Scoliosis Surgery
Scoliosis is a relatively common condition characterized by a lateral curvature of the spine. A few individuals with scoliosis require stabilization of the curvature. Most young patients with severe progressive scoliosis can be treated with progressive bracing to slow progression of the abnormal spinal curves. Curvature that reaches 40 degrees more before the child reaches the level of skeletal maturity can be expected to progress further and contribute to significant health problems including crowding of the contents of the chest and/or abdomen depending on the location of the curvature.
There are spine surgeons who specialize in the correction of scoliosis in children and adults. Scoliosis correction is quite extensive and uses a number of different procedures. One procedure requires the use of a medical hook-and-rod instrumentation system such as Cotrel-Dubousset or TSRH, which offers better correction of the scoliosis when compared to older techniques such use of the Harrington rods. Once the spine is straightened the surgeon can then graft bone into place while correcting the spine into a more straightened position. Patients usually wear plastic braces during healing of their spinal fusion. The development of an artificial disc may play a role in scoliosis reconstructive surgery in the near future.
Criteria for Successful Fusion: Suitable and successful bone graft must be available to serve as a bridge to connect adjacent vertebrae. An appropriate location must be present to place the bone graft and allow it to heal across the adjacent vertebral segments.
A properly prepared bone graft can then be placed. This often requires removing the outside covering of the bone referred to as the cortex and exposing underlying cancellous bone which also has better blood supply allowing for stronger fusion. There must be adequate immobilization during the healing process so that the graft develops strong enough.
Minimally Invasive Spine Fusion Systems: The phrase minimally invasive refers to relatively small surgical incisions, minimal and muscle or other soft tissue damage during the surgical procedure. Minimally invasive spine surgery generally requires a small incision and less traumatization of paraspinal musculature when compared to open spinal fusion surgery. Minimally invasive spine surgery with fusion should be able to accomplish the same fusion as an open technique with the exception that instead of making one long incision, multiple smaller incisions are performed. In some cases, an endoscope, which is a small camera mounted onto a tube can be used to view the spine through a small incision. The image from the camera can be enlarged onto a viewing format in the operating room so that the attending spine surgeon and their support staff can see the operative procedure.
Scoliosis is a relatively common condition characterized by a lateral curvature of the spine. A few individuals with scoliosis require stabilization of the curvature. Most young patients with severe progressive scoliosis can be treated with progressive bracing to slow progression of the abnormal spinal curves. Curvature that reaches 40 degrees more before the child reaches the level of skeletal maturity can be expected to progress further and contribute to significant health problems including crowding of the contents of the chest and/or abdomen depending on the location of the curvature.
There are spine surgeons who specialize in the correction of scoliosis in children and adults. Scoliosis correction is quite extensive and uses a number of different procedures. One procedure requires the use of a medical hook-and-rod instrumentation system such as Cotrel-Dubousset or TSRH, which offers better correction of the scoliosis when compared to older techniques such use of the Harrington rods. Once the spine is straightened the surgeon can then graft bone into place while correcting the spine into a more straightened position. Patients usually wear plastic braces during healing of their spinal fusion. The development of an artificial disc may play a role in scoliosis reconstructive surgery in the near future.
Criteria for Successful Fusion: Suitable and successful bone graft must be available to serve as a bridge to connect adjacent vertebrae. An appropriate location must be present to place the bone graft and allow it to heal across the adjacent vertebral segments.
A properly prepared bone graft can then be placed. This often requires removing the outside covering of the bone referred to as the cortex and exposing underlying cancellous bone which also has better blood supply allowing for stronger fusion. There must be adequate immobilization during the healing process so that the graft develops strong enough.
Minimally Invasive Spine Fusion Systems: The phrase minimally invasive refers to relatively small surgical incisions, minimal and muscle or other soft tissue damage during the surgical procedure. Minimally invasive spine surgery generally requires a small incision and less traumatization of paraspinal musculature when compared to open spinal fusion surgery. Minimally invasive spine surgery with fusion should be able to accomplish the same fusion as an open technique with the exception that instead of making one long incision, multiple smaller incisions are performed. In some cases, an endoscope, which is a small camera mounted onto a tube can be used to view the spine through a small incision. The image from the camera can be enlarged onto a viewing format in the operating room so that the attending spine surgeon and their support staff can see the operative procedure.
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