Kyphosis Correction Surgery for abnormal kyphosis is most often the last treatment option after nonsurgical treatments like physical therapy has failed to yield positive results. Especially when pain & other symptoms of kyphosis do not improve even after several months of nonsurgical treatments, doctors may often suggest surgery for correction as the last option.
Criteria taken into consideration for kyphosis correction surgery include the following.
- Severity of Curve – Severity of curve depends upon where the patient’s spine is having the hyperkyphotic curve. Curves within the thoracic spine (mid-back) which are greater than 80 degrees are usually considered severe while mid back to thoracolumbar region (lower back) curves which are between 60 – 70 percent are considered severe. Thoracolumbar curves are generally found to give patients more severe & noticeable deformities. This is why they are considered severe at 60 – 70 degrees.
- Curve Progression – When curve is rapidly getting worse despite nonsurgical treatments, doctors usually recommend kyphosis correction surgery in order to correct & cure the curve from getting worse.
- Balance – For kyphosis patients, leaning forward can affect their balance. Therefore, when the curve is making it difficult for them to go through the normal daily activities due to balance, they may require to undergo kyphosis correction surgery in order to restore balance to spine.
- Neurological Symptoms – Kyphosis can also affect nerves within spine due to changes like vertebral fractures which often cause pinched nerves. This may eventually develop tingling, numbness or weakness among severe cases of kyphosis where correction surgery is recommended. Patients may also have bladder or bowel dysfunction in such instances.
Kyphosis correction surgery has several main goals including the following. Spine surgeons in India will make best recommendations for kyphosis correction surgery based upon these goals.
- Reducing Deformity
- Reducing Pain
- Reducing Neurological Symptoms
- Preventing Curve from Worsening
These are some typical surgeries which are employed for correction of kyphosis.
- Osteotomy – Bones are usually cut to correct angular deformities during osteotomy procedures. Bone ends are subsequently realigned & allowed to heal during the recovery process. Spinal fusion & instrumentation procedures are also often combined with osteotomy so as to stabilize the spine during healing.
- Spinal Instrumentation & Fusion – After the spine has been realigned through osteotomy, surgeons will need to provide stability in order to heal the spine in the new position. In order to make it possible, spine surgeons will have to create an environment, wherein the bones of the patient’s spine will fuse together over time. This process of healing may last over several months or even longer for the bones to completely fuse. In order to promote fusion, surgeons typically use bone grafts, including using donor bones or biological substances stimulating bone growth. Fusion of spinal vertebrae is meant to stop movement between discs in order to provide long-term stability.
During the spinal instrumentation procedure surgeons may utilize plates, rods, screws, cables & wires so as to increase stability of bones during the process of fusion. Since these instruments are small & cannot be seen as they are located inside the body, they are most often left in place unless they are causing irritation to the surrounding tissues.
Spine surgeons may choose to perform kyphosis correction surgery from the front by using the anterior approach, or from the back using the posterior approach, or utilize a combination of both the anterior-posterior approaches. However, the approach for surgery will be chosen based upon the severity & location of the kyphotic curve.
India is one of the best places in the world to undergo affordable kyphosis correction surgery without compromising on the quality of surgery. Spine surgeons in India are globally reputed & have been efficiently delivering outcomes which are at par with the best in the world. Orthopaedic Surgery India is associated with the best spine surgeon in India & accredited multispecialty hospitals so as to arrange affordable treatment packages for international patients without any waiting period.