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Surgical Procedures for Scoliosis
- Stop the progression of scoliosis
- Lessen the curve
- Avoidance of complications in adulthood, such as lung disease due to restriction of a deformed chest cavity
- Efforts to restore some symmetry to the torso and pelvic areas.
- Supporting the vertebrae.
- This can be done with or without hardware, such as steel rods, screws, or hooks.
- Procedures can be done with or without spinal fusion.
- Epiphysiodesis—This procedure is designed to stop growth on one side of the spine. The other side of the spine will continue to grow. There will be slow, progressive correction.
- Vertebral body stapling—Staples are used through thoracoscope and insterted into the spine. The staple acts as a clamp to stabilize the spine. Depending on the severity of the curve, a rod may be used to stabilize the spine while it heals.
- Vertebral wedge osteotomy—A wedge-shaped portion of the bone in the spine is cut out on one side of the curve. The open space left in the spine is then closed together. A temporary rod is inserted while the bones heal.
- Magnetically controlled growing rods—A rod is implanted to straighten the spine. Growth adjustments to the rod are done with a magnet, minimizing invasive surgical procedures.
Altaf F, Gibson A, et al. Adolescent idiopathic scoliosis. BMJ. 2013;346:f2508..
Idiopathic scoliosis in children and adolescents. American Academy of Orthopedic Surgeons Ortho Info website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00353. Updated March 2010. Accessed November 22, 2013.
Kim KT, Park KJ, et al. Osteotomy of the spine to correct spinal deformity. Asian Spine J. 2009;3(2):113-123.
Maruyama T, Takeshita K. Surgical treatments of scoliosis: A review of techniques currently applied. Scoliosis. 2008;3:6.
Reddi V, Clarke DV Jr, et al. Anterior thoracoscopic instrumentation in adolescent idiopathic scoliosis: a systematic review. 2008;33(18):1986-1994.
Scoliosis. EBSCO DynaMed website. Available at: https://dynamed.ebscohost.com/about/about-us. Updated October 29, 2013. Accessed November 22, 2013.
Trobisch P, Suess O, et al. Idiopathic scoliosis. Dtsch Arztebl Int. 2010 Dec;107(49):875-883.
- Reviewer: Michael Woods, MD
- Review Date: 11/2013
- Update Date: 11/22/2013