Spine Surgery (Spinal surgery)
Congenital or acquired curvature of the spine when viewed from the front (scoliosis), forward curvature or kyphosis (humpback) when viewed from the side, and Schuermann's kyphosis, spondylolisthesis, spinal stenosis and degenerative (calcification-related) problems that occur with aging of the spine, ankylosing spondylitis, osteolysis porosis ( ) related humpbacks and fractures and their treatment with vertebroplasty and kyphoplasty, vertebral fractures and dislocations caused by accidental spine injuries, all kinds of infections of the spine, tumors involving the spine and their treatment are in the field of spine surgery. With the increasing technology, more trouble-free solutions can be produced by working on the 3D versions of the bones.
Disorders treated within the scope of spine surgery:
- Scoliosis
- Kyphosis (humpback)
- Narrow Canal (Spinal Stenosis)
- Spine Traumas
- Spinal Injuries and Fractures
- Spine Stress Fracture (Without Spondylolysis)
- Spine Shift (Spondylolisthesis)
Scoliosis
The human spine is not perfectly straight when viewed from the side. There is a slight depression (lordosis) in the neck and waist region and a slight hump (kyphosis) in the back region. When viewed from behind, it should be perfectly straight. Scoliosis (curvature of the spine) refers to the right or left curvature of the spine. Scoliosis occurs in approximately 2 to 4 percent of our society. Most of them are low-grade curvatures. It can be seen 8-10 times more frequently in girls than boys. However, only 10 percent of people with spinal curvature progress to the point that they need treatment. It is more common in the young than in the elderly.
Causes of Scoliosis
- Unknown (most common)
- Weakness of bone and muscle structure,
- Being sedentary for a long time
- Posture and sitting disorders.
Types of Scoliosis
- Idiopathic (unknown cause)
- Neuromuscular (nerve/muscle origin)
- congenital
- Traumatic
- tumors
- Other
- Postural scoliosis
- Depends on leg length differences
- hip joint welded
- Inflammatory causes
Scoliosis Symptoms
The diagnosis of scoliosis can be made simply by visual inspection, so mothers are suspicious during the bath. Lateral curvature of the spine, back or lower back pain, shortness of breath, fatigue, asymmetry in the waist and back, one shoulder blade being ahead of the other, imbalance between leg lengths, sliding of the rib cage to the right or left compared to the body, ribs during bending the slope between, the asymmetrical position of the clothes on the individual.
Treatment
Scoliosis treatment is a disease that can be resolved with early diagnosis and appropriate treatment. For this reason, patients who are treated for scoliosis when symptoms begin to appear, receive special treatment according to their physical characteristics. During the treatment of scoliosis, this discomfort may progress or disappear in a short time in line with the patient's behavior. Therefore, scoliosis treatment will only work if the patient makes an active effort, not just the doctor. The treatment is basically shaped according to the age of the patient. Three different methods are used in the treatment of scoliosis. These;
Observation and Physical Therapy:
If the curvature of the spine is below 20 degrees and the patient is close to completing his development, this patient is taken under observation as a scoliosis treatment. Sports are encouraged. Exercise programs are prepared under the control of a specialist physiotherapist. The patient's spine is checked at regular intervals according to his age. This observational scoliosis treatment continues until the patient's skeletal development is completed.
Corset treatment:
Another scoliosis treatment is a corset treatment method. The aim here is to prevent the increase in the curvature of the patient's spine and to allow the skeleton to get used to its normal shape. This scoliosis treatment is usually applied in children with a curvature of more than 20 degrees.
Surgical treatment:
This scoliosis treatment is usually applied to children with spinal curvature of 40 degrees or more. Because this curvature is an increasing curvature outside the growth period of the child. Therefore, surgical intervention is required. Surgical scoliosis treatment is necessary to stop the rapid progression of the disease in childhood and to make the development healthy.
After the treatment, both patients receiving corset treatment and patients undergoing surgical intervention should receive rehabilitation services for a while accompanied by specialist physiotherapists. However, after physical therapy, the patient should not think that the disease is completely gone and should not stop the exercises. He should continue to do half of the movements made in physical therapy (what he can do on his own) until the body fully recovers and skeletal development is completed.