Correction of Spinal Deformities

Spine By Jalaj Correction of Spinal Deformities

Correction of Spinal Deformities

Spinal deformities can occur across all age groups, from early childhood to old age. We specialize in addressing congenital scoliosis in pediatric patients, starting from as young as 1-2 years old up to adolescence. Dr. Jalaj, a renowned spine surgeon based in Jaipur, India, places significant importance on restoring both global and regional spinal balance. Our surgical procedures integrate state-of-the-art spinal cord monitoring techniques overseen by neurophysiologists in the operating rooms, ensuring the utmost levels of patient safety. Navigation technology is also employed for intricate deformities, enhancing precision and effectiveness in treatment.

We specialize in treating a wide range of conditions, including

Additionally, we have extensive experience in managing elderly patients who develop degenerative scoliosis due to age-related factors and osteoporosis.

  • Adult degenerative scoliosis
  • Adult idiopathic scoliosis
  • Congenital deformities
  • Failed-back syndrome
  • Kyphotic deformities
  • High-grade spondylolisthesis
  • Ankylosing spondylitis
  • Rheumatoid arthritis
SCOLIOSIS

Scoliosis, characterized by abnormal sideward curvature of the spine, stems from diverse causes. Around 30% of cases have a genetic origin. It's important to note that factors like heavy school bags or posture issues don't cause scoliosis, contrary to common belief. Based on the cause, scoliosis is categorized as

  • Congenital scoliosis
  • Neuromuscular scoliosis
  • Syndromic scoliosis
  • Idiopathic scoliosis
  • Degenerative scoliosis

Congenital scoliosis manifests from birth and results from abnormalities in the formation or development of the vertebral bones. It requires prompt and thorough evaluation due to its common association with anomalies in the spinal cord, brain, as well as other organs such as the heart, kidneys, gastrointestinal tract, and additional bones.

Neuromuscular scoliosis develops as a result of muscular and nervous system abnormalities, such as cerebral palsy, muscular dystrophy, and spinal muscular atrophy. The weakened muscles and nerves fail to adequately support the spine, resulting in its curvature. X-rays of the spine typically reveal a distinct long 'C' shaped curve.

Syndromic scoliosis is linked to syndromes such as connective tissue disorders and neurofibromatosis. In this patient group, scoliosis often progresses rapidly, necessitating close monitoring and early intervention for effective management.

Idiopathic scoliosis is the most prevalent type where the exact cause remains unknown. It typically affects girls more than boys and is often detected after the age of 10 until they reach skeletal maturity.

Degenerative scoliosis arises from wear and tear of the spinal discs and facet joints, typically occurring after the age of 50. Unlike other forms of scoliosis, degenerative scoliosis is characterized by back pain and radiating leg pain.
Symptoms

Common symptoms of scoliosis include.
It's worth noting that pain is relatively rare in scoliosis, especially in mild to moderate cases.

  • Tilted or uneven shoulders (one higher than the other)
  • Asymmetry of the rib cage
  • Uneven waistline and hip level
  • Hunched back, particularly in severe cases
  • Unequal limb size in some cases

Treatment Options For Scoliosis

Treatment options for scoliosis depend on factors such as the severity of the curvature, the age of the patient, and the potential for further progression. Here are common treatment options:

  • Observation with periodic evaluation: For mild cases or cases where the curvature is not expected to progress significantly, regular monitoring by a healthcare provider may be sufficient.
  • Bracing: Bracing is often recommended for moderate scoliosis, particularly in growing children and adolescents. The brace helps prevent further progression of the curvature as the spine continues to develop.
  • Physiotherapy: Physical therapy can help improve flexibility, strengthen muscles, and correct posture. It is often used in conjunction with bracing or as a standalone treatment for mild cases.
  • Surgical deformity correction: In severe cases of scoliosis, especially when the curvature is progressing rapidly or causing significant deformity, surgical intervention may be necessary. The goal of surgery is to correct the curvature and stabilize the spine using various techniques such as spinal fusion, instrumentation, or vertebral body tethering.