Early Onset Scoliosis Surgery: Treatment Options and Considerations

Early Onset Scoliosis Surgery: Treatment Options and Considerations

Subheading: Understanding Early Onset Scoliosis and the Role of Surgery in Pediatric Patients

Introduction:

Early onset scoliosis (EOS) is a condition in which abnormal curvature of the spine occurs in children under the age of 5. While some cases can be managed with non-surgical interventions, surgery becomes necessary when the curvature progresses rapidly or exceeds a certain threshold. In this article, we will explore the various surgical treatment options and considerations for early onset scoliosis, providing valuable information for parents and caregivers.

Types of Early Onset Scoliosis Surgery:

Growing Rods Surgery:

This procedure involves the placement of rods alongside the spine, which are lengthened periodically to accommodate the child's growth.

Regular follow-up surgeries are required to adjust the rods and monitor the progress of the spine.

VEPTR (Vertical Expandable Prosthetic Titanium Rib) Surgery:

VEPTR is a surgical technique that involves attaching a titanium rib-like device to the ribs to stabilize the spine and promote normal growth.

This procedure allows for expansion as the child grows, reducing the impact of scoliosis on lung development.

Shilla Growth Guidance System:

The Shilla technique combines traditional growing rods with a special screw system, allowing for growth modulation while simultaneously correcting the curvature.

It provides stability to the spine and maintains growth, reducing the need for frequent surgeries.

Benefits and Considerations:

Improved Spinal Alignment: Early onset scoliosis surgery aims to correct the abnormal curvature of the spine, enhancing overall alignment and posture.

Respiratory Function Improvement: Surgery can alleviate the pressure on the lungs, allowing for improved respiratory function and capacity.

Enhanced Quality of Life: By correcting the spine's alignment, surgery can help alleviate pain, improve mobility, and enhance the child's overall quality of life.

Potential Risks: As with any surgical procedure, there are potential risks involved, such as infection, bleeding, implant-related issues, or neurological complications. The surgeon will discuss these risks with the parents or caregivers and address any concerns.

Post-Surgery Care:

Regular Follow-up: Close monitoring is essential after early onset scoliosis surgery. The child will require regular check-ups, imaging tests, and adjustments of any implanted devices.

Rehabilitation and Physical Therapy: Physical therapy plays a crucial role in the child's recovery, helping to rebuild strength, improve flexibility, and restore mobility.

Psychological Support: Surgery and the associated condition can be emotionally challenging for both the child and the family. Seeking psychological support can help cope with the emotional impact and ensure overall well-being.

Conclusion:

Early onset scoliosis surgery provides a valuable treatment option for children with severe or rapidly progressing spinal curvature. While surgical procedures offer benefits in terms of spinal alignment, respiratory function, and quality of life improvement, it is essential for parents and caregivers to weigh the risks and benefits in consultation with a specialized healthcare professional. By understanding the available surgical options and considerations, parents can make informed decisions regarding the best course of action for their child's health and well-being.