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Deformity Spine

Deformity Spine

  • Various deformities of spine like kyphosis ( congenital, post traumatic, post infection, ankylosing spondylitis) , scoliosis
  • Various diagnostic methods , its prognosis and various methods of treatment like conservative , braces, physiotherapy, various types of surgical intervention and rehabilitation
  • Surgery should be considered in patients with pain with curve progression or have neurologic symptoms including weakness, numbness or bowel or bladder dysfunction.
  • Progressive worsening of the curvature is a common reason for surgery and is the reason that patients are followed with yearly x-rays.
  • Counselling regarding the treatment methods , prognosis, follow up
  • Scoliosis is an abnormal curvature of the spine that can occur in any age group. Kyphosis is seen when a person’s spinal balance has moved too far forward to allow the spine to effectively carry the body weight . Simply Bending Forward is Kyphosis. Most of these deformities are childhood deformities and they tend to progress in the growing period to present with multiple problems. Kyphosis can also occur along with scoliosis causing Kyphoscoliosis. Symptoms vary with age of onset and severity of the curvature; cosmetic problems including sitting imbalance, breathing difficulty or delayed development is common findings in infants and young children. A rib prominence, pelvic or shoulder height imbalance tend to common in the adolescent group. Intractable back pain, sciatica, leg weakness or numbness and gait difficulty are common reasons for surgical correction in adults especially in Kyphosis.
  • Severe curves are felt to be unstable and tend to worsen despite all efforts at non-operative treatment, beyond a certain point it cannot be stopped without surgical intervention.The surgeries for deformity are the most risky surgeries in spine.

Here are some common deformity spine surgeries :

  • Scoliosis : Scoliosis is a lateral (side-to-side) curvature of the spine. The spine may curve to the left or right, and it can be classified as congenital (present at birth), idiopathic (of unknown cause, often appearing during adolescence), or degenerative (developing later in life due to wear and tear on the spine).
  • Kyphosis : Kyphosis is an excessive forward curvature of the spine, leading to a rounded or hunched back. While some degree of kyphosis is normal, excessive curvature can result from conditions such as Scheuermann's disease, osteoporosis, or congenital malformations.
  • Lordosis : Lordosis is an exaggerated inward curvature of the spine, typically in the lumbar (lower back) or cervical (neck) regions. It can be caused by factors such as obesity, poor posture, muscle imbalances, or conditions like spondylolisthesis.
  • Flatback Syndrome : Flatback syndrome is a condition where the normal curvature of the spine is reduced or flattened, causing an imbalance in the spine. This can lead to problems with posture, gait, and overall spinal alignment.
  • Neuromuscular Scoliosis : Scoliosis can also be associated with neuromuscular conditions such as cerebral palsy or muscular dystrophy, where muscle weakness or imbalance contributes to spinal curvature.
  • Adjacent Segment Disease : This is a degenerative condition that can occur after spinal fusion surgery. It involves the development of problems in the spinal segments adjacent to the fused area, leading to changes in curvature and alignment.

Treatment options for spinal deformities depend on the type and severity of the deformity, as well as the individual's age and overall health. Conservative treatments may include physical therapy, bracing, and pain management. In more severe cases or when conservative measures are ineffective, surgery may be considered. It's essential for individuals with spinal deformities to consult with orthopedic specialists or spine surgeons for a comprehensive evaluation and personalized treatment plan. The choice of treatment will depend on the specific characteristics of the deformity and the individual's overall health and lifestyle.