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What Is Scoliosis Surgery?
Scoliosis surgery is a medical procedure used to treat severe scoliosis, a condition in which the spine curves sideways instead of remaining straight. In a healthy spine, the bones of the back form a straight line when viewed from behind. In scoliosis, the spine bends into an “S” or “C” shape, which can affect posture and body alignment.
Mild scoliosis often does not require surgery and may be managed with observation, exercise, or braces. However, surgery may be recommended when the spinal curve becomes severe, usually around 40 to 50 degrees or more, or when the condition continues to worsen over time.
The main goal of scoliosis surgery is to straighten the spine as much as possible and prevent the curve from worsening. The most common surgical method is spinal fusion, where two or more vertebrae (spine bones) are joined together using metal rods, screws, or bone grafts.
Scoliosis surgery is usually performed by orthopaedic spine surgeons or neurosurgeons in a hospital setting. The procedure is done under general anaesthesia and may take several hours depending on the severity of the spinal curve. Although it is a major surgery, modern techniques have improved safety and outcomes for many patients.
Who May Need Scoliosis Surgery?
A doctor may recommend scoliosis surgery in the following situations:
● Severe spinal curvature (usually more than 40–50 degrees)
● Rapidly worsening spinal curve
● Persistent back pain caused by scoliosis
● Breathing problems due to spine deformity
● Significant body imbalance or posture problems
● Failure of non-surgical treatments such as braces
● Progressive scoliosis during growth in children or teenagers
Doctors carefully evaluate each patient before recommending surgery.
Types of Scoliosis Surgery
There are several types of scoliosis surgery, depending on the patient’s age and the severity of the spinal curve.
1. Spinal Fusion Surgery
This is the most common scoliosis surgery. In this procedure, the surgeon joins two or more vertebrae together using bone grafts and metal implants such as rods and screws. This helps straighten and stabilise the spine.
2. Vertebral Body Tethering (VBT)
This newer technique uses flexible cords attached to the spine to gradually correct the curve as the patient grows. It is mostly used in children and adolescents.
3. Growing Rod Surgery
This procedure is often used for young children whose spines are still developing. Adjustable rods are attached to the spine to guide growth and control the curve.
The choice of surgery depends on the patient’s age, curve severity, and overall health.
Scoliosis Surgery Procedure
The scoliosis surgery procedure usually takes several hours and is performed under general anaesthesia.
Before the surgery, doctors perform detailed tests such as X-rays, MRI scans, or CT scans to understand the shape and severity of the spinal curve.
During the operation, the surgeon makes an incision along the back to reach the spine. Special medical instruments are used to adjust the position of the vertebrae and correct the abnormal curve.
In spinal fusion surgery, metal rods, screws, or hooks are attached to the vertebrae. These implants help hold the spine in a straighter position. A bone graft is then placed between the vertebrae so that they grow together and form a solid bone over time.
The fusion process helps stabilise the spine and prevents the curve from getting worse in the future.
After the procedure is completed, the incision is closed with stitches or surgical staples. Patients are then moved to a recovery room where doctors monitor their condition.
Most patients stay in the hospital for about 4 to 7 days after the surgery for observation and initial recovery.
Recovery & Aftercare
Recovery after scoliosis surgery takes time because it is a major spinal procedure.
During the first few days after surgery, patients may experience pain, weakness, or limited movement. Doctors provide pain medication and physical support during this time.
Patients usually begin gentle movement and walking within a few days after surgery under medical supervision. However, heavy activities such as lifting, bending, or twisting must be avoided for several weeks.
Most people can return to light daily activities within 2 to 4 weeks, but full recovery may take 6 to 12 months depending on the patient’s condition and healing process.
Doctors often recommend the following aftercare steps:
● Follow all medical instructions carefully
● Attend regular follow-up appointments
● Avoid heavy physical activities during early recovery
● Perform recommended physical therapy exercises
● Maintain a healthy lifestyle to support healing
With proper care, many patients experience improvements in their posture, pain relief, and spinal stability.
Risks & Possible Complications
Scoliosis surgery is generally safe when performed by experienced surgeons. However, like any major surgery, it may involve certain risks.
Possible complications may include:
● Infection after surgery
● Bleeding or blood clots
● Nerve damage or weakness
● Implant problems with rods or screws
● Failure of spinal fusion
● Lung or breathing problems after surgery
● Rare risk of paralysis
Some patients may also develop long-term issues such as stiffness in the fused part of the spine or additional stress on nearby spinal segments.
Doctors discuss these risks with patients before surgery to help them make an informed decision.
Frequently asked questions
What is scoliosis surgery?
Scoliosis surgery is a procedure used to correct severe spinal curvature. The surgeon straightens the spine and stabilises it using implants such as rods, screws, or bone grafts.
When is scoliosis surgery needed?
Surgery is usually recommended when the spinal curve becomes severe, typically around 40–50 degrees, or when the curve continues to worsen despite other treatments.
Is scoliosis surgery safe?
Scoliosis surgery is generally considered safe when performed by experienced surgeons. However, like any major surgery, it carries risks such as infection, bleeding, or nerve injury.
How long does scoliosis surgery take?
The surgery usually takes several hours depending on the severity of the spinal curve and the complexity of the procedure.
How long does recovery take after scoliosis surgery?
Initial recovery may take a few weeks, but complete healing and spinal fusion may take 6 to 12 months.
Will scoliosis surgery completely straighten the spine?
Surgery may not completely straighten the spine, but it can significantly reduce the curve and prevent it from getting worse.
Can children undergo scoliosis surgery?
Yes, children and teenagers with severe scoliosis may undergo surgery if the spinal curve continues to progress as they grow.