Scoliosis is a medical condition characterized by an abnormal curvature of the spine. While many cases are mild and can be managed through non-surgical treatments, severe cases may require surgical intervention. If you or a loved one has been diagnosed with scoliosis, it’s crucial to understand when surgery becomes a necessary option. At Big Apple Spine & Orthopedics, our team, led by Dr. Arutyunyan, a highly experienced NYC Orthopedic Spine Surgeon, specializes in advanced back pain treatment in NYC, including scoliosis correction procedures.

Understanding Scoliosis

Scoliosis is a spinal condition that causes the spine to curve sideways, typically forming an “S” or “C” shape. The severity of scoliosis varies, and while some individuals may not experience significant discomfort, others may suffer from pain, limited mobility, and even complications affecting the lungs and heart.

Common Causes of Scoliosis

• Idiopathic Scoliosis: The most common type, often diagnosed in adolescents, with no clear cause.
• Congenital Scoliosis: Present at birth due to abnormal spinal development.
• Neuromuscular Scoliosis: Linked to conditions like cerebral palsy or muscular dystrophy.
• Degenerative Scoliosis: Occurs in older adults due to spinal degeneration.

Non-Surgical Treatment Options

Before considering surgery, a spine surgeon will explore non-invasive methods to manage scoliosis. These treatments are often recommended for mild to moderate cases:

• Bracing: Especially effective for children and adolescents with growing spines, braces can help prevent further curvature.
• Physical Therapy: Strengthening exercises improve posture and alleviate discomfort.
• Pain Management: Medications and injections can reduce pain and inflammation.
• Chiropractic Care: Some patients find relief through spinal adjustments and manipulation.
• Lifestyle Adjustments: Maintaining a healthy weight, practicing good posture, and staying active can help prevent worsening symptoms.

When Is Scoliosis Surgery Necessary?

Despite conservative treatments, some scoliosis cases progress to a point where surgery is the best option. Here are some key indicators that scoliosis surgery might be necessary:

1. Severe Spinal Curvature

Doctors typically use the Cobb angle to measure the severity of scoliosis. If the curvature exceeds 40-50 degrees, surgical intervention is often recommended to prevent further progression and complications.

2. Persistent and Severe Pain

While mild scoliosis often does not cause pain, severe cases may result in chronic discomfort, requiring surgical correction.

3. Breathing Difficulties

A significant spinal curve can compress the lungs, making it difficult to breathe. In such cases, surgery can help restore proper lung function.

4. Progressive Worsening of the Condition

If scoliosis continues to worsen despite bracing and therapy, a spine specialist may recommend surgery to prevent long-term complications.

5. Impact on Daily Life and Mobility

If scoliosis significantly limits mobility or affects the ability to perform everyday tasks, surgical intervention can improve quality of life.

Types of Scoliosis Surgery

At Big Apple Spine & Orthopedics, Dr. Arutyunyan, a leading NYC Orthopedic Spine Surgeon, performs various scoliosis surgeries tailored to each patient’s condition.

1. Spinal Fusion

The most common scoliosis surgery, spinal fusion, involves joining two or more vertebrae together using bone grafts, rods, and screws to stabilize the spine.

2. Growing Rods

For children with severe scoliosis, growing rods can be implanted to correct the curve while allowing spinal growth. These rods are adjusted periodically as the child grows.

3. Vertebral Body Tethering (VBT)

A minimally invasive procedure that uses a flexible cord instead of rigid rods, VBT allows for greater spinal flexibility and is often an option for adolescents.

What to Expect from Scoliosis Surgery

Pre-Surgery Preparation

• Consultation with Dr. Arutyunyan to determine the best surgical approach.
• Pre-operative imaging to assess the spine’s condition.
• Medical clearance to ensure overall health before undergoing surgery.

Surgery and Recovery

• The procedure typically lasts several hours under general anesthesia.
• Hospital stay ranges from 3-7 days depending on the complexity of the surgery.
• Recovery includes physical therapy and activity restrictions for several months.
• Most patients experience significant improvement in posture and pain relief.

Choosing the Right Spine Surgeon in NYC

When considering scoliosis surgery, it’s essential to work with an experienced specialist. At Big Apple Spine & Orthopedics, Dr. Arutyunyan has extensive expertise in back pain treatment in NYC and advanced scoliosis correction procedures. Our team is dedicated to providing compassionate, patient-centered care using state-of-the-art techniques to ensure the best possible outcomes.

Conclusion

Scoliosis surgery is a significant decision that should be made after thorough evaluation and consultation with a qualified spine surgeon. If you or a loved one is experiencing severe scoliosis symptoms, reach out to Big Apple Spine & Orthopedics for expert guidance. Dr. Arutyunyan, a top NYC Orthopedic Spine Surgeon, is here to help you achieve better spinal health and an improved quality of life.

For more information or to schedule a consultation, contact Big Apple Spine & Orthopedics today!