Thank you dr. for your helpful explanation. You can see in my last image of x-rays both curves in standing position. When they first notice my scoliosis I was 14 years old and had curve about 37 degrees.
Now I am 44 years old and it is about 55 degrees.
Yes, my neurosurgeon is familiar with scoliosis surgery and he done it many times and also in more complicated cases. I was also confused when he said that he will fuse me only in problematic L5/S1 segment. He said: “we shall see if this is rhe main problem of your pain, and if pain persists we must fuse scoliosis“. But also, didn’t you mention in your article about surgical menagment of degenerative scoliosis next: “If surgery for a curvature of the spine is necessary, surgical treatment may only need to involve the localized individual painful problem such as a herniated disc or a degenerative spondylolysthesis with stenosis”
I was from the first step opinion that my whole scoliosis with spondy must be fused, and that also said first orthopedic surgeon when I went to him. But when I come to hospital for surgery, they said he quit job in hospital and is not working. Other orthopedic surgeons said that “it is not in my interest to have scoliosis surgery now“.
After that I gone to neurosurgeon who is only one in Serbia who perform this kind of surgeries.
We shall see what will he decide after I do CT and MRI. He ordered only LS part of spine to be examined. I have now only two questions:
1.What do you think dr., should I insist on fusing the whole scoliosis spine, and can it be performed only posterior with anterior mobilization?
2. If first lumbar fusion to T10 is done, can it be later (if needed) extended to T3/T4? How will this mine current fusion be extended?
I also think that fusing me only to T10 will give bigger problems to thoracic part later.
Thanks a lot for understanding
NIkola
P.S. I also found one nice article/study about treating adult scoliosis via Posterior only approach:
internaf.org/ataxia/adult_scoliosis.html
