Description

Scoliosis This is case of congenital scoliosis which has been surgically corrected by Dr Mukesh Haritwal. The child was suffering for last 13 years. Associated problems were teatehred cord and split cord malformation further complicating the surgery. However, surgery had been performed successfully without any complication. What is scoliosis? Scoliosis is lateral/sideways deviation of spine. What are causes? 1.congenital (by birth) 2. Idiopathic (No cause) 3. Neuromuscular 4. Syndromic Idiopathic scoliosis is the most common cause of scoliosis. It predominantly affects girls. Which scoliosis has best prognosis? Idiopathic scoliosis has best prognosis. What are treatment options? Plaster cast/ bracing- if the curve is less than 40 degree usually responds to bracing and plaster cast. Greater degree of scoliosis usually don't respond. Surgical correction- Greater degree of scoliosis more than 40 degree usually need surgical correction at final stage. When these child need surgery? Surgical correction usually should be performed after the age of 10 years and before peak height velocity. How successful is this operation? 99 percent of the times this operation is successful. Due to recent advances in surgical technology there are usually no complications. How do we prevent neurological problems during surgery? We have most advanced neuromonitoring system which guides the surgeon and gives real time feedback during surgery and prevents complications.