Acıbadem Ankara Hospital Spine and Spinal Cord Center
SPINAL DISORDERS SCOLIOSIS SURGERY

Scoliosis Surgery

When/to whom is it administered?

Surgical treatment in scoliosis is administered to patients with advanced scoliosis which exceeds a certain degree.

Scoliosis exceeding a certain limit (40 in the waist, 50 in the back) has two important characteristics:

  1. After these degrees scoliosis becomes a cosmetic issue that can be noticed by others.
  2. It can progress even if the patient's height growth is complete.

How is it carried out?

There are two main practices in scoliosis surgery:

Today, when we mention implants, the first picture that emerges is the one with screws and connecting rods applied to the vertebrae. In implants, the screws hold the bones and when they are connected to the rods placed in a correct position, they enable the spine to take the form of the rod.

The first option is administered for people who have completed their growth (2 years after the first period for girls, and 2 years after the voice deepening for boys). For children under 8 years of age, as the elongation of their body (not their height, their body) will be negatively impacted by such a surgical intervention, the second option is administered. The period between eight years and puberty (around 11 years) considered a grey area, and the overall development level and bulk of the child become factors that affect the method selection.

What are the benefits?

As scoliosis operations are serious and extensive surgeries , it is important that they are conducted at the right time and in the right way.  Surgery may rescue patients from the psychology of disability, and may be life-saving in very advanced curvatures when other treatments fail and with the correct indication. 

Healing process:

Following scoliosis surgery in children and young adults (apart from some limited exceptions) the standard procedure is:

After the first year, (last routine check) the patient is free to do whatever he/she wants, except fighting sports and especially dangerous activities (parachuting, bungee jumping, etc.)

 

The body perception is subjective!

Scoliosis is does not pose a medical problem up to 80 degrees. However the body perception can still become an issue for people with lighter scoliosis. The sight that scoliosis creates in a person, its perception by the patient and his/her family, and the importance attached to it may be different from other people's perception.

20-30 degrees light scoliosis is usually noticed by a family member or following an X-ray, and some people start perceiving themselves as disabled or ugly. The body image, which is no different than the previous week, can be considered a problem following the diagnosis and the patient may feel psychological discomfort.

If the scoliosis exceeds 40-50 degrees and becomes noticeable on the outside, the body perception also varies according to the individual. People who are at peace with the way they look do not seek surgery. However, people who are not happy with this image, may seek surgical correction. This surgical request, which is considered "cosmetic" by the specialists, needs to be heeded and taken into account to create a positive body perception for the patient. The surgical requests of those people at 40-50 degrees are evaluated based on the individual's request.

However, even if a middle-aged individual has 40-50 degrees scoliosis, weight gain in later years may cause scoliosis-induced pain. Some patients in this age group can also complain about their images. These patients may seek surgical treatment to prevent future pain, to change their negative body perception and to have early treatment.

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