Scoliosis is a deformity in the spine that causes an abnormal C-shaped (one curve) or S-shaped curvature (two curves). Depending on the cause of the scoliosis, a variety of treatment plans are available including non-surgical options such as bracing or physical therapy. If the disease progressively worsens, surgical options may be necessary. ONE® Brain & Spine Center® in Newport Beach, Southern California is experienced in treating complex problems of pediatric and adult scoliosis.
Scoliosis can also be congenital or it may develop as a result of another neurological condition such as cerebral palsy, split spine or “spina bifida,” or spinal muscular atrophy. Because the causes of adult lumbar degenerative scoliosis are broad, diagnosis by a spine surgeon expert in minimally invasive surgery (MIS) is important.
Infantile scoliosis – Occurs from birth to three years of age.
Juvenile scoliosis – Develops between four and nine years of age.
Adolescent scoliosis – Presents from 10 years old and until growth is complete and the most common form of scoliosis.
If the curve is small when first diagnosed, it can be observed and followed with routine clinical evaluation and X-rays. You may return to see you doctors at ONE® Brain & Spine Center® every three to four months to check for any worsening of the curve. Additional X-rays may be repeated each year to obtain new measurements and check for progression of the curve. If the curve stays below 25 degrees, no further treatment is required. If the curve is between 25-40 degrees and you are still growing, a brace may be recommended. If the curve is greater than 40 degrees, then a minimally invasive surgery may be recommended.
Traditional approaches involve making a long incision over the curve to be corrected and cutting and retracting the muscles and tissues over the spine to gain access to the vertebrae that need to be fused.
With advancements and innovations in endoscopic and minimally invasive surgical techniques, surgeons can achieve the same goals as open surgery, yet with much less trauma to the surrounding muscles and tissues through minimally invasive scoliosis surgery.
Minimally invasive scoliosis surgery is an endoscopic procedure in which surgery is performed through a few small incisions rather than one long incision. It achieves the same goals as traditional surgery, but with less trauma to the surrounding tissues and muscles. In endoscopic procedure, a thin instrument with an endoscope, a tiny video camera, is inserted through one of the small incisions. This provides the surgeon with internal images of the patient’s body projected on a screen in the operating room and guides the the surgeon in performing the surgery through the small incisions. The use of endoscope and fluoroscope improves visualization of the chest cavity and spinal column and allows greater flexibility for placement of the instrumentation in the spine.
Additional advantages of minimally invasive surgery include:
- Minimal to zero scarring
- Less blood loss during surgery
- Less post-operative pain
- Shorter hospital stay
- Reduced risk of infection
- Shorter recovery time
- Quicker return to work, daily chores or activities
Offering the latest in innovative, minimally invasive spine procedures and orthopedic care in Southern California, the team at ONE® Brain & Spine Center® is focused on helping our patients live the best life possible while making informed decisions about their healthcare. Call (949) 383-4190 or Contact Us today for an appointment.