Doctor insights on:
Kyphoscoliosis Surgery Child
Not many people have: Scoliosis surgery in adulthood is not common for obvious reason scoliosis is growing skeleton disease, some ignore that so they have problem in adulthood, and another reason some congenital scoliosis also could have surgery in this age. Traumatic scoliosis could happen in adulthood. ...Read moreSee 1 more doctor answer
Seeking non-surgical treatment options for adolescent bilateral grade 3 spondylolysis (pars defects) with herniated l5-s1 disc?
Options: Congenital variety genetic origin occuring in 6% us population in particularly in certain high level athletes like swimmers, gymnasts, pitchers, football linemen to name a few. Most treated non operatively including associated with herniated disc with bracing, physical therapy & medication and activity modification. Epidural steroid injections can also be considered with 90% treated nonop. ...Read moreSee 1 more doctor answer
Having scoliosis surgery and fusion to thoracolumbar spine to pelvis and l5/s1 decompression with multilevel osteotomies. What happens in surgery ?
Lumbar scoliosis: Simple. Incision made in back to visualize spine to be fused. Length of incision appropriate for fusion. The facet joints are removed and the bone prepared for fusion. At l5-s1, facet and disk removed, and spacer placed into disk along with bone graft. Multiple laminectomy and facet excisions (osteotomy) to make spine more flexible. Rods/screws placed to maintain correction. Bone graft placed. ...Read moreSee 1 more doctor answer
Spine Stabilization : Spine fusion surgery locks adjacent vertebral segments together permanently. Except in the neck, it should be reserved for patients with symptomatic instability of the spine (i.e. Fracture, severe deformity, slipped vertebra pinching a nerve). In the neck, because the surgical approach to treat a pinched nerve is often through a disk, fusion without significant instability is appropriate. ...Read moreSee 2 more doctor answers
Fused not flexible: The reason for scoliosis surgery is to correct the deformity and/or prevent any worsening. To do this, a fusion is done which essentially stops any motion through those fused areas. However, flexibility in terms of bending can be maintained by keeping your leg and hip muscles flexible ...Read moreSee 1 more doctor answer
Procedure of choice: The Nuss procedure is now the procedure of choice for repair of pectus excavatum. The Ravitch or open repair is still utilized with good results at some centers, but in most cases is reserved for complex chest wall deformities (concurrent pectus excavatum and carinatum) or when severe asymmetry exists. ...Read moreSee 1 more doctor answer
Many things : Careful positioning to avoid pressure on certain body areas, various monitoring device placement like nerve & oxygen levels, blood loss control techniques, appropriate imaging when indicated, careful counting & assessment of levels operated on, careful handling of all tissues, avoiding too much stress with instrumentation on the bone interfaces & on over lentghening the spinal cord & a correct fix. ...Read moreSee 1 more doctor answer
Delivery after scoli: Depends on the levels of your fusion. Presumably you were treated in adolescence. Most adolescent fusions stop around t12 or l1. Lumbar curves may require fusion to L4 or l5. Neither would narrow the birth canal. The lower fusion may predispose to some back pain during pregnancy due to loss of lumbar flexibility and inability to compensate for that baby out front. ...Read more
Pain! how to treat, chiro? X-ray shows spina bifida occulta@l5, grade1 anterolisthesis of L5 w/spondylosis, mild disc space height loss@l4-5&l5-s1
Too little info: As dr. Hines says, a neurosurgeon can help differentiate all of the above and provide you with the best treatment options for your condtion. There are many factors to consider- your age, how much spondylosis, pain location, duration, relief, exacerbation, general health, etc. See a neurosurgeon for some good answers. Best of luck to you. ...Read moreSee 1 more doctor answer
Wide variations: The details of the extent of necessary correction and possible organ involvement and other issues would make big differences. Also, the area of the country and specifics about the hospital and surgeon's policies and any coverage you might be entitled to. In my opinion, it's too wide a range to even guess. Ask local providers and hospitals. Best! ...Read more
Mild uncovertebral joint hypertrophy c5c6 eccentric to right; mild t-spine scoliosis, bilat pars defect l4, foram stenosis at l4l5 - is surgery needed?
It varies: It depends on the cause of the kyphosis. For example, kyphosis from an osteoporosis fracture is treated with a minimally invasive kyphoplasty, which has almost no recovery time. A kyphosis from a structural, non fracture deformity is similar to a scoliosis type surgery and has an approximate 12 week recovery until return to full activity. Thank you for the question. ...Read moreSee 1 more doctor answer
Very few: This is entirely up to your surgeon of course, and will depend on the reason the shunt was put in to begin with, but shunts are put in to improve lifestyle and mobility. So barring anything unforseen, you should enjoy increased activity not limitations. ...Read more
Mom has severe osteoarthritis in spine. Had cerv. Laminectomy. Lumbar surgery to put rod in recommended. Consequences of no surgery?
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