Surgery might be necessary if the scoliosis curve is severe or does not respond to bracing. The goals of surgery are to stop the curve from progressing and to help correct the curve.
Spinal Instrumentation and Fusion
The most common surgery for adolescent idiopathic scoliosis requires the surgical implantation of a spine system. The implant system consists of an anchor to the spine (hooks or screws), which gets attached to two rods. The system is then used to correct the curve and hold the spine in that corrected position until the spine fuses together. Only the part of the spine with scoliosis is fused. The remaining part of the spine does not undergo surgery, and the vertebrae remain mobile.
To perform the surgery, our doctors use implant systems, such as the TSRH® SILO™ 5.5 Spinal System, which was introduced by the hospital in 2005. It's a modified design of our previous spinal system and is smaller, more versatile and easier to use. This should result in shorter surgery, improved correction of the curves and less need for reoperation.
Scoliosis surgery usually takes several hours. Most children go home within a week of surgery and don't need postoperative bracing or casting. They can usually return to school three weeks after the surgery and should be able to resume all regular activities within six months.
Your doctor can answer more specific questions and give you information about other surgery options.
Before spine surgery
After spine surgery
Magnetic Spinal Rod System
TSRHC physicians recently performed the hospital’s first noninvasive adjustment of an implanted spinal rod system using groundbreaking magnetic technology. This system is designed to minimize the progression of specific cases of early-onset scoliosis.
This revolutionary device is called MAGEC (MAGnetic Expansion Control) System®, distributed by Ellipse Technologies, Inc.
The FDA cleared the system for commercial use in 2014. It is composed of an implantable rod and an External Remote Controller (ERC). After the MAGEC rod has been implanted, a physician simply places a “MAGEC wand,” or locator, over the patient’s spine. The wand locates the magnet on the implanted rod and allows the physician to make a noninvasive adjustment. An X- ray or ultrasound of the spine is then used to confirm the procedure’s success.
Thus, adjustments that once required a patient to undergo anesthesia, surgery and recovery are now performed in the clinic in a matter of minutes.
The frequency of such sessions is customized to meet the needs of each patient until the desired result is achieved. TSRHC is excited to be at the forefront of institutions in the U.S. providing patients with this revolutionary, nonsurgical adjustment technology.
For more information on the MAGEC Rod, please watch the video below: