Surgery is usually the last option for treating adult degenerative scoliosis New York City. Most patients do not require surgical treatment, since the curve is not likely to progress to cause a deformity, or disrupt functioning of the lungs or heart. Therefore, in most cases the goal of surgical treatment is to reduce pain and help maintain mobility for carrying out daily activities.
When is Surgery the Best Option for Adult Degenerative Scoliosis for New York City?
Surgery is recommended in the following conditions:
• When non-surgical procedures have failed to relieve pain or improve mobility
• In patients whose curves have progressed to more than ten degrees and/or subluxation is more than 3mm
• Patients whose lumbar curves are more than thirty to forty degrees and/or olisthesis of 6 mm
• Patients experiencing severe leg pain while walking due to neurogenic claudication and lumbar stenosis
Surgeries for Adult Degenerative Scoliosis New York City
Usually patients suffering from lumbar stenosis due to adult degenerative scoliosis are candidates for decompression surgery of the spine. However, due to the curvature, this surgery might itself cause more instability and worsening of the curvature. Hence, a procedure called spinal fusion is done along with the decompression.
As the name suggests, fusion procedure involves fusing the two portions of the affected joints to stop motion. This surgery is usually recommended for patients who are relatively young in the age group of 55 to 65 years, since they can tolerate the surgery in a much better way compared to elderly patients.
Risks in Surgery for Adult Degenerative Scoliosis New York City
Surgery for adult degenerative scoliosis is usually complicated compared to surgery for adolescent scoliosis due to various factors:
v Since patients are older and usually have other medical problems, there are more chances of pre and postoperative complications.
v In most patients, osteoporosis is the underlying condition, which makes it difficult to fuse bone with instrumentation.
v The surgery will be quite extensive when fusion is required at multiple levels. The approach will have to be from both back and front to attain a proper fusion.
v Healing process takes time and could be difficult, especially when the fusion is done right down to the sacrum.
Other Risks include:
̧ Neurological injury
̧ Intense postoperative pain
̧ Excessive blood loss
̧ The instrumentation dislodging or rods breaking when the patient has osteoporosis
̧ Failure of spinal fusion