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