The necessity for scoliosis surgery in adults is normally due to degenerative spinal pain and from a breakdown of vertebral segments causing any of the conditions found in surgery section under the lumbar spine (degenerative spondylolysthesis, foramenal collapse and many others).
The scoliosis surgery is designed to take a deformed spine, straighten it somewhat and fix it so that the spinal curve will not progress. Essentially, in kids, the deformed but movable spine is traded for a straightened but stiff spine. In adults, the spine is normally stiff and cannot be straightened as much. Flexibility is lost with aging and the vertebra themselves will deform over time.
The straightening is performed with screws that are placed into each vertebra, removal of the facets which loosens the spine and finally two rods which, when attached to the screws, allows for a repositioning of the spine. The rods and screws hold the spine in the appropriate position while the fusion takes place. In most cases, after about 8-12 months the fusion is complete. There is no need normally to remove the instrumentation.
Scoliosis surgery for adults is normally more complex than children as the spine is more degenerative, deformed and will not straighten as well. The complexity is that taking the deformed spine and straightening it can stretch a nerve root and create new nerve pain as some nerves will be tethered and not stretch to accommodate the newly straightened spine. This pain typically resolves after 2-3 months but occasionally can last longer.
Dr. Donald Corenman is a Colorado spine surgeon and world-wide expert on scoliosis and scoliosis surgery. To learn more about scoliosis, pleasecontact Dr. Corenman at 970-479-5895.
- Lumbar Microdiscectomy
- Transforaminal Lumbar Interbody Fusion (TLIF)
- Anterior Cervical Decompression and Fusion (ACDF)
- Lumbar Laminectomy or Laminotomy
- Lumbar Fusion Types
- Failed Spine Surgery Correction
- Cervical Laminectomy, Laminoplasty and Posterior Cervical Fusion
- Scoliosis Surgery
- Pars Fracture Repair
- Posterior Cervical Foramenotomy
- Artificial Disc Replacement (ADR) for Cervical Spine
- Artificial Disc Replacement (ADR) for Lumbar Spine
- X-Stop Procedure