Scoliosis and kyphosis are sideways and forward deformities of the spine that can lead to both aesthetic and functional issues for patients. Patients who suffer from scoliosis or kyphosis stand stooped forward or leaning to the side and may have difficulty with day to day activities due to mechanical pain and/or nerve irritation. Patients who are in the advanced stages of these deformities may even have problems with breathing and digestive tract function.However, surgery for these and other spinal deformity conditions is a major undertaking and patients are well advised to carefully consider their options and make an informed decision.
Spinal deformities could result from a variety of causes and in a majority of adolescents, the exact cause is unknown (idiopathic). Other causes for a spinal deformity are vertebral anomalies that occur by birth or as a manifestation of some other disease (eg neurofibromatosis, polio, cerebral palsy and Marfans syndrome). In adults, spinal deformity can be due to degenerative conditions, previous spinal surgery or even childhood deformities that have persisted.
Treatment for Scoliosis and Kyphosis :
Surgical treatments for scoliosis and kyphosis may be recommended to alleviate the symptoms, reduce the spinal curve/straighten the posture, and improve function In general, the initial operation is a major undertaking with substantial risk. It is important for patients to have realistic expectations for the outcome of their surgery.
- Observation -
Serial radiographs (xrays) to assess progression
- Brace -
Usually recommended during the growing stages in children and adolescents.
- Surgery -
Surgery is indicated when curve progressive occurs or is anticipated, or to correct a cosmetic deformity that is unacceptable to the patient. In adults, pain relief and improving function may be additional considerations
