Internationally, scoliosis surgical solutions include both spinal fusion and non-fusion techniques. Spinal fusion, traditionally the gold standard, involves fusing vertebrae to correct the curve and stabilize the spine. Non-fusion techniques like Vertebral Body Tethering (VBT)and the ApiFix system, focus on growth modulation in younger patients and correcting the curve without a complete fusion.
• Posterior Spinal Fusion:
The most common approach, where bone grafts, rods, and screws are used to fuse vertebrae, typically from the back.
• Anterior Fusion:
Less common, involving the front of the spine, may be used in specific cases.
• Spinal Decompression Surgery:
May be performed to relieve pressure on the spinal cord or nerve roots, often in conjunction with fusion.
• Minimally Invasive Surgery (MIS):
Smaller incisions and specialized tools may be used to reduce tissue trauma and recovery time.
• Vertebral Body Tethering (VBT):
A technique primarily used in young, growing patients, where tethers are placed on the outside of the curve to guide spinal growth and correction.
• ApiFix System:
An internal bracing system attached to the spine, allowing for correction and further adjustments over time.
• Expanding Rods:
Used for rapidly progressing scoliosis in children, these rods can be lengthened as the child grows.
• Vertebral Wedge Osteotomies:
Involves cutting and reshaping vertebrae to correct the curve, often used in conjunction with other techniques.
• Minimally Invasive Scoliosis Surgery:
Uses smaller incisions and specialized tools to reduce tissue trauma and recovery time