Scoliosis Surgery

Question

What is Scoliosis and Deformity Correction ?

Answer 1

If your curve is greater than 45 to 50 degrees, surgery would likely be recommended, however, several factors may influence the decision. The surgery is performed not only to improve the cosmetic deformity in your back but it will also improve your lung function. In your Scoliosis surgery, spinal fusion is done, where the curved vertebrae are fused together so that they heal into solid bone. This will prevent the curve from getting worse.

After the physical assessment, you shall be medically investigated for your spinal problem, which shall include MRI and special full spine x-ray. Once investigations and medical assessment are completed your surgery shall be planned. You would be encouraged to ask any questions you may have regarding surgery, hospital stay or recovery and activities after surgery.

The procedures involve fusion with titanium rods and screws with the assistance of 3D C Arm and spine navigation. Most surgeries last from 4 to 8 hours, depending upon the size of patient’s curves and how much of the spine needs to be fused. Usually first few days after surgery, you may experience pain, but you would improve rapidly by 3rd or 4th day and can also walk around with the help of support. Mild pain may persist, but by three to six weeks after surgery, pain medicine should no longer be necessary, you may resume routine activities within 4 to 6 weeks after surgery

Answer 2

Day 1:
The procedure is thoroughly explained to the patient or their relative, and informed consent is obtained. A pre-anesthesia checkup (PAC) is conducted, and an intravenous line (IV) is established to administer fluids. You will then be transferred to the operating room (OT) for the procedure. Anesthesia is administered before surgery begins. Following the procedure, you will be transferred to the Post Anesthesia Care Unit (PACU). Once you are fully awake, you will be moved to the Intensive Care Unit (ICU) for overnight observation.
Day 2:
You will be transferred to a regular room. It’s common to experience pain, fever, and a reduced appetite from post-surgical day 2 to day 4, which is normal. You will be closely monitored in your room and provided with appropriate medication, including pain relievers. You may have a Patient Controlled Analgesia (PCA) pump for pain management. Additionally, you will have a drain in your back (Hemovac) and a catheter to assist with urination.
Day 3:
The IBS Hospital’s rehabilitation team and nursing staff will assist you in sitting and standing. You may also be able to have a sip of water or other liquids and hospital food.
Day 4:
You will be gradually mobilized by the rehabilitation team and receive mild physiotherapy. Your pain should have decreased by this point. The catheter will be removed, and you will be encouraged to use the regular restroom.
Day 5:
Your medications will be adjusted, and it’s likely you will transition to oral medication. The rehabilitation team will continue to assist with your mobility, and you will also receive ongoing physiotherapy.
Day 6:
You will be monitored for progress by the rehabilitation team and will continue to receive physiotherapy.
Day 7:
Your incision will be inspected, and if the wound has healed, stitches or staples will be removed. You will continue to have the bandage for another day. The discharge process will be initiated. You will be informed about the discharge medication, home exercises, and follow-up instructions. You will be discharged in a stable condition.

Answer 3

The first follow-up will be scheduled three weeks after the surgery, followed by checkups at six weeks and six months postsurgery. Afterward, you can have follow-up appointments anytime if you have questions or concerns about your recovery.

During this period, you should gradually ease back into your normal routine. However, returning to work or school immediately may be challenging. It’s important to refrain from smoking. You can resume rigorous activities after four to six months following the surgery.