Episode 139: What is a Harrington Rod?

Introduction: Welcome to another enlightening episode of "Scoliosis Treatment with Dr. Tony Nalda." Today, we delve deep into the world of scoliosis, focusing on a common treatment option—spinal fusion. We'll explore what spinal fusion involves, when it's recommended, and how we can proactively manage scoliosis to potentially avoid surgery.

What is a Harrington Rod? A Harrington rod is a device used in spinal fusion surgeries for scoliosis treatment. It's designed to halt the progression of spinal curvature. Originally, its primary goal was to prevent further curvature, but advancements in surgical techniques, like the introduction of pedicle screws, now allow for some straightening of the spine as well.

Understanding Scoliosis Categories:

• Mild Scoliosis (<25 degrees): Typically monitored without intervention.
• Moderate Scoliosis (25-45 degrees): In adults, the watch-and-wait approach continues; adolescents may receive a brace to slow progression.
• Severe Scoliosis (>45 degrees): Qualifies for spinal fusion, especially if rapid progression occurs in adolescents or if adults experience significant pain or discomfort.

Conservative vs. Traditional Treatment Approaches: Traditional scoliosis treatment often involves waiting until the curvature is severe enough to warrant surgical intervention. In contrast, the conservative approach advocated by Dr. Nalda focuses on early intervention to manage and reduce curvature proactively, aiming to keep it below surgical thresholds.

The Realities of Spinal Fusion: Spinal fusion involves fixing the spine with rods and screws, a process that does not cure scoliosis but manages its progression. Even post-surgery, there's no guarantee against further curvature progression, and issues with hardware longevity and spinal flexibility can arise.

Proactive Treatment Philosophy: Dr. Nalda emphasizes the importance of treating scoliosis proactively at any stage—mild, moderate, or severe—to prevent the curve from reaching a point where surgery becomes the only option. This approach can significantly reduce the likelihood of undergoing spinal fusion and its associated long-term consequences.

Conclusion and Resources: In conclusion, while spinal fusion is a common and sometimes necessary treatment for severe scoliosis, understanding and managing the condition early with conservative methods can provide alternative pathways that may prevent the need for such invasive procedures.

Artlist.io 847544

Podcast: Play in new window | Download

Subscribe: RSS