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Spine Deformity Correction
Spinal Deformity Correction Treatment In Delhi
SpinaA spinalrmity is an abnormal alignment or curve of the bony vertebral column.
Spinal deformity is of two types:
- Scoliosis: Scoliosis is an abnormal side-away curvature of the spine. Also called a ‘Crooked spine’
- Kyphosis: An excessive outward curve of the spine results in an abnormal rounding of the upper back. The condition is sometimes known as "round-back" or—in the case of a severe curve—as "hunchback."
The spinal deformity can occur in the pediatric as well as in the adult age group.
Pediatric scoliosis or kyphosis is a cosmetic problem that usually progresses as a child grows and can present as deformed back, shoulder asymmetry, chest wall and back asymmetry, and waist asymmetry noticed by parents or school teachers. In cases of severe deformity, a child may present with breathing difficulty. Back or neck pain is not the usual presenting symptom.
Management Outline of Pediatric Scoliosis:
The general goal is to prevent curve progression and to achieve a balanced spine. The treatment options depend on the size and progression of the curve, the age of the patient and the aetiology of scoliosis.
The three O’s
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Observation: When curve deformity is less than 25 degrees
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Orthotics: when curve deformity is between 25-40 degrees
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Operation: When curve deformity is more than 50 degrees
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For the curve, less than 25° in an immature child, 6 monthly or yearly Observation is recommended.
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Orthotic (braces) is recommended for immature patients with progressive curves between 25-50°. Bracing, however, does not permanently improve or correct the curve but tries to prevent it from worsening.
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Operation: Curve >45-50° requires surgical correction and the type of surgical correction depends on the age of the patient. Instrumented correction and fusion surgery is the gold standard of treatment for adolescent scoliosis while in early-onset scoliosis (age < 8 years) surgical correction requires a growth rod or growth guidance techniques. Not all children with scoliosis require surgical correction. Moreover, complete correction of the deformity is not necessary and sometimes risky too. Surgery aims to stop progression and obtain a balanced spine.
Experience world-class healthcare at Manipal Hospitals. Our expert team of doctors and state-of-the-art facilities ensure personalized and advanced treatments. Take the first step towards wellness. Book an appointment today.
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