Episode 80: Permanent Restrictions After Spinal Fusion Surgery

When patients are diagnosed with scoliosis, one thing that always comes into their mind is will I need scoliosis surgery?

Scoliosis is a progressive condition that worsens during key phases of life, notably in adolescence and later stages. Surgical intervention becomes a consideration when curves become severe.

What is Spinal Fusion Surgery?
Spinal fusion is a major surgery aimed at stopping the progression of scoliosis by fusing the most tilted vertebrae. It involves rods, screws, and bone grafts to immobilize and fuse the spine. The primary goal of spinal fusion is to halt the progression of scoliosis by stabilizing and immobilizing the spine in the most tilted region.

But just like any surgery, there are inherent risks involved such as:

1. Decreased Range of Motion - Spinal fusion surgery often leads to a significant decrease in the range of motion in the fused area.
2. Limitations in Activities - Fused areas impose restrictions on the types of activities a person can perform.
3. Pain at the Site of Fusion - Patients may experience pain not only at the skin level but also at an internal joint level where the fusion has taken place.
4. Premature Aging and Degeneration - Fusion concentrates forces and movement into specific areas of the spine, potentially causing premature aging and degeneration in those regions.
5. Cosmetic Results - Issues like rib deformation may persist, contributing to ongoing cosmetic concerns.
6. Non-Functional Approach - The focus is on stopping curve progression rather than maintaining natural spinal function.
7. Limited Reversibility - The structural changes to the spine, including the insertion of rods and screws, make reversing the procedure complex.
8. Risk of Complications - Associated risks include nerve damage, excess blood loss, infection, adverse reactions, hardware failure, and decreased range of motion.

Choosing Between Surgery and Conservative Treatment
Surgery is typically considered for curves of 40 degrees or greater in growing adolescents. For adults, surgery is an option if there's severe impairment and disability resulting from scoliosis. Patients should be aware of the trade-offs involved in spinal fusion surgery, considering not only the potential benefits but also the challenges and limitations that may arise post-surgery. The decision to undergo surgery should be well-informed, taking into account individual circumstances and preferences. Proactive treatment of scoliosis at an earlier stage can lead to more positive outcomes and potentially avoid the need for future spinal fusion.

Torn between having spinal fusion surgery or not? Check out Dr. Tony Nalda’s post to help you make informed decisions about your health and your life.

Artlist.io 847544

Podcast: Play in new window | Download

Subscribe: RSS