Surgical Treatment for Advanced Spinal Curvatures
What is Advanced Spinal Curvature?

Advanced spinal curvature is a condition where the curve exceeds 80 degrees, requiring serious treatment. Curvatures of this degree can lead to severe problems such as:

  • Significant deformity in the rib cage and spinal structure

  • Difficulty breathing and reduced lung capacity

  • Limitations in daily life activities

  • Progressive pain and discomfort

  • Pressure on internal organs

These types of curvatures often result from:

  • Congenital spinal problems

  • Neglected scoliosis cases

  • Neuromuscular diseases

  • Some genetic syndromes

Treatment Specifics
Why is Specialized Treatment Needed?

The treatment for advanced spinal curvatures differs from standard scoliosis surgeries because:

  • Simple Screw Insertion is Insufficient:

    • The spine is very stiff and rigid

    • Correction is not possible with just screws and rod systems

    • Special bone-cutting procedures (osteotomies) are required

  • The Need for Osteotomy:

    • Performing controlled bone cuts in the spine

    • Reshaping the spine to correct the curvature

    • Cuts can be made at different levels

  • Procedures Requiring High Expertise:

    • Special surgical techniques

    • Operating room equipment requiring advanced technology

    • Need for an experienced surgical team

Risks and Precautions
Important Risk Factors

There are some significant risks in advanced spinal curvature surgeries:

  • Neurological Risks:

    • The risk of spinal cord injury is higher than in standard surgeries

    • Temporary or permanent nerve damage can occur

    • Therefore, special nerve monitoring systems are used during surgery

  • Bleeding Risk:

    • The amount of bleeding may increase due to major bone cuts

    • Blood transfusion may be required

    • Modern blood conservation techniques are used

  • Other Risks:

    • Infection

    • Implant-related issues

    • Delays in the recovery process

Risk Reduction Methods:

  • Detailed pre-operative preparation

  • Application of halo traction

  • Modern neuromonitoring

  • Blood conservation techniques

  • Experienced team

Preparation and Recovery
Pre-Operative Preparation

A comprehensive preparation process is required before advanced spinal curvature surgeries:

  • Detailed Evaluation:

    • Full-body MRI and CT imaging

    • Pulmonary function tests

    • Cardiac assessment

    • Neurological examination

  • Halo Traction Therapy:

    • Can be applied for 2-6 weeks before surgery

    • Gradual correction of the spine

    • Preparing the body for surgery

    • Reducing risks

  • Patient Preparation:

    • Nutritional support

    • Breathing exercises

    • Psychological preparation

    • Family education

Recovery Process:

  • Close monitoring in the intensive care unit

  • Early-stage physiotherapy

  • Regular check-ups

  • Patient and careful rehabilitation

Each patient's condition is unique, and the treatment plan is prepared on an individual basis. For a successful outcome, the active participation of the patient and family in the treatment is very important.