Corrective Surgery for Kyphosis/Scoliosis

Steps Involved in IVF:

Procedure Description

Corrective surgery for kyphosis and scoliosis involves realigning the spine to correct abnormal curvature. Kyphosis typically presents as an exaggerated forward rounding of the back, whereas scoliosis is characterized by a side-to-side curvature. Depending on the severity of the deformity and the patient’s overall health, different surgical techniques may be employed.

In the case of scoliosis, a common approach is spinal fusion surgery, where the curved sections of the spine are fused together using bone grafts, rods, screws, or plates to promote proper alignment. Surgeons often make incisions along the patient's back to access the spine and work on correcting the curve. The goal is to reduce the degree of curvature while maintaining as much spinal flexibility as possible.

For kyphosis, surgery may focus on spinal osteotomy, where a wedge of bone is removed to allow the spine to be straightened. In severe cases, pedicle subtraction osteotomy (PSO) might be used, where parts of vertebrae are removed, enabling the surgeon to adjust the spinal curve. This technique is typically reserved for cases where the kyphosis is more rigid and conservative treatments have failed.

In both surgeries, surgeons use rods, screws, and plates to stabilize the spine while it heals in its new alignment. Advanced technology, such as real-time imaging and navigation systems, ensures precision throughout the procedure. Patients undergoing these surgeries typically require a thorough pre-surgical evaluation to assess their readiness for the operation and manage any underlying conditions that could affect recovery.

Procedure Duration

The length of corrective surgery for kyphosis and scoliosis varies depending on the complexity of the spinal deformity and the surgical technique used. On average, the surgery can take between 4 to 8 hours, though more extensive procedures may require additional time.

The process can be broken down into three key phases. First, the preparation phase, where patients undergo pre-surgery evaluations, including imaging tests like MRI or CT scans to map the spine and create a surgical plan. This phase can last several weeks as it also involves preoperative consultations with surgeons and anesthesiologists.

Next is the surgery itself. After anesthesia is administered, the surgical team works to correct the spinal deformity, either through fusion or osteotomy, depending on the condition being treated. The surgery requires meticulous attention to ensure spinal nerves are protected and alignment is achieved.

The final phase is recovery. Most patients spend 4 to 7 days in the hospital, during which they are monitored closely for complications such as infection or nerve damage. Physical therapy usually begins shortly after surgery to help regain strength and mobility. Full recovery from surgery can take anywhere from 6 months to a year, depending on the patient’s age, health, and the extent of spinal correction. During this period, follow-up visits are critical to ensure the spine is healing properly and the implants remain secure.

Benefits

  • Improved posture and appearance: Corrective surgery can significantly enhance a patient's physical appearance by straightening the spine and improving posture.
  • Pain relief: Many patients experience substantial pain reduction after surgery, especially those who suffered from nerve compression due to spinal deformity.
  • Increased mobility: Correcting the spine can lead to improved range of motion and greater flexibility in daily activities.
  • Prevention of further deterioration: Surgery halts the progression of spinal curvature, preventing future complications or worsening of the condition.
  • Enhanced quality of life: With reduced pain, better mobility, and improved posture, patients often experience a dramatic improvement in their overall quality of life.

Potential Destinations

  • Germany
    Germany is renowned for its advanced medical technologies and expertise in orthopedic surgery. With state-of-the-art facilities and experienced surgeons, it is an ideal destination for corrective spine surgery. Patients can benefit from precision technologies like computer-assisted navigation during surgery, ensuring optimal outcomes.
  • South Korea
    South Korea is a global leader in minimally invasive spinal surgery. The country’s hospitals are known for their high success rates, innovative techniques, and comprehensive post-operative care, making it a top destination for medical tourists seeking scoliosis or kyphosis correction.
  • Turkey
    Turkey has become a prominent hub for orthopedic procedures, offering world-class care at competitive prices. Many hospitals are accredited by international bodies, and the country’s surgeons are experienced in dealing with complex spinal deformities. Turkey’s combination of quality and affordability makes it an attractive option for medical tourists.
  • India
    India offers a blend of affordability and top-tier medical expertise in orthopedic surgeries, including spinal correction. The country has a vast network of hospitals equipped with modern facilities, and many surgeons have trained internationally, making India a reliable choice for kyphosis or scoliosis surgery.
  • United States
    Although more expensive than some other destinations, the United States is home to some of the world’s leading spine specialists. Advanced medical centers across the country offer the latest in surgical techniques and post-operative care, making it a preferred destination for those seeking the highest level of care.

Risks & Considerations

  • Infection: As with any major surgery, infection is a potential risk. It can usually be managed with antibiotics, but in severe cases, additional surgery may be required.
  • Nerve damage: Spinal surgeries carry the risk of nerve injury, which could result in numbness, weakness, or paralysis. Surgeons take great care to avoid nerve damage, but patients should be aware of this potential complication.
  • Implant failure: The rods, screws, or plates used in surgery may break or move over time, which could require a second surgery to correct.
  • Blood loss: Corrective spine surgeries can involve significant blood loss, necessitating blood transfusions during the operation. Surgeons may use blood management techniques to minimize this risk.
  • Limited flexibility: Some patients may experience a reduction in spinal flexibility after surgery, especially if a large section of the spine is fused. Surgeons aim to balance correction with mobility preservation, but some stiffness is common.

How to Choose the Right Doctor and Hospital

Choosing the right surgeon and facility for kyphosis or scoliosis correction is critical for achieving the best outcome. Patients should prioritize doctors with specialized training in spinal deformities and extensive experience in corrective surgeries. It's essential to ask about the surgeon's success rates, the number of similar procedures they have performed, and their approach to post-operative care.

Hospitals equipped with the latest technology, such as real-time imaging and robotic-assisted surgery, should also be prioritized. Patients may want to consider facilities that offer multidisciplinary care, including rehabilitation and physical therapy services, to ensure comprehensive support throughout the recovery process.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.

Embryoscope©

Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

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