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 patients 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
• Structural is caused by neuromuscular diseases,
  certain infections, birth defects,
• injury, connective tissue disorders,
  metabolic diseases, rheumatic diseases, tumors
  and other unknown factors.
• Nonstructural or functional scoliosis is
  reasoned by underlying conditions such as a
• difference in leg length, muscle spasms, or
  inflammatory conditions including appendicitis.
• 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
• Congenital scoliosis  is a rare type of
  scoliosis caused by an abnormally shaped bone
  that present since birth. 
• 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. 
• 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 Asias 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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