When Does Scoliosis Require Surgery?

Dec 8, 2020

Scoliosis and its Impact on Daily Life

Scoliosis is a medical condition characterized by an abnormal curvature of the spine. While many cases of scoliosis can be managed with conservative treatments, such as bracing and physical therapy, there are instances where surgery may be necessary. Understanding when scoliosis requires surgery is crucial for patients and their families to make informed decisions regarding their health.

Assessing the Severity of Scoliosis

The decision to proceed with surgery for scoliosis is typically based on several factors, including the degree of curvature, the age of the patient, the presence of pain or discomfort, and the potential for progression of the condition. Orthopedic specialists like Dr. Foley James D MD play a vital role in evaluating the severity of scoliosis and determining the appropriate course of action.

Curvature Angle and Progression

The degree of curvature, measured in degrees with the Cobb angle method, is an essential factor in determining the need for surgery. Mild cases of scoliosis with a curvature below 25 degrees generally do not require surgical intervention. However, for more severe cases with a curvature exceeding 40 to 50 degrees or cases that continue to progress despite conservative treatments, surgery may be recommended.

Age and Skeletal Maturity

Age is another critical consideration when deciding whether scoliosis surgery is necessary. In children and teenagers who are still actively growing, surgery may be recommended if the spine's curvature is progressing rapidly or if it reaches a severe degree. The aim is to correct the curvature before skeletal maturity is attained to prevent further complications and deformity.

Pain and Discomfort

Scoliosis can cause varying degrees of pain and discomfort depending on the individual and the severity of the condition. If conservative treatments fail to alleviate the symptoms and the pain significantly affects the patient's quality of life, surgical intervention may be considered as a viable option to alleviate pain and improve function.

Treatment Options and Considerations

When surgery is deemed necessary to address scoliosis, several treatment options may be considered:

Spinal Fusion

Spinal fusion is one of the most common surgical procedures for scoliosis. It involves fusing two or more vertebrae together using bone grafts, rods, and screws to correct the curvature and stabilize the spine.

Growth-Friendly Surgeries

In some cases, growing children may undergo growth-friendly surgeries. These procedures aim to correct the curvature while allowing for continued growth and development. Examples include growth rods, vertical expandable prosthetic titanium ribs (VEPTR), and magnetic growing rods.

Minimally Invasive Techniques

Advancements in surgical techniques have led to the development of minimally invasive scoliosis surgeries. These procedures involve smaller incisions, reduced muscle disruption, and shorter recovery times compared to traditional open surgeries. While not suitable for all cases, they can be a viable option for certain patients.

Expert Guidance and Care from Foley James D MD

When it comes to scoliosis management and decision-making regarding surgery, it is essential to consult with an experienced orthopedic specialist like Dr. Foley James D MD. With years of expertise in treating scoliosis patients, Dr. Foley and his dedicated team are committed to providing the highest quality care tailored to each patient's specific needs.

Comprehensive Evaluation and Diagnosis

Dr. Foley James D MD conducts comprehensive evaluations to assess the severity and progression of scoliosis. Through a combination of physical examinations, X-rays, and other diagnostic tests, he determines the most suitable treatment approach for each patient. Utilizing the latest advancements in medical technology, accurate diagnoses are made to guide surgical decisions.

Personalized Treatment Plans

No two patients with scoliosis are exactly alike, which is why Dr. Foley James D MD takes a personalized approach to treatment. With a deep understanding of the condition and its impact on daily life, he develops individualized treatment plans that may include surgical intervention when necessary.

Compassionate Care and Support

At Foley James D MD, we understand the emotional and physical challenges that come with scoliosis. Dr. Foley and his team provide compassionate care and ongoing support throughout the treatment journey. Patient and family education are prioritized as we believe in empowering individuals to make well-informed decisions about their health.

In Conclusion

Scoliosis requiring surgery is a complex decision that involves careful evaluation of various factors. The severity of the curvature, age of the patient, presence of pain, and potential for progression are among the key considerations. With the guidance of an experienced orthopedic specialist like Dr. Foley James D MD, scoliosis patients can rest assured knowing that their treatment plans are tailored to their specific needs, promoting improved quality of life and overall well-being.