Perspective - Journal of Orthopedic Surgery and Rehabilitation (2023) Volume 7, Issue 5
Surgical management of neuromuscular scoliosis: Outcomes and complications.
Department of Paediatric Surgery
- *Corresponding Author:
- Johanna Raitio
Department of Paediatric Surgery
University of Turku
Received:24-Aug-2023,Manuscript No. AAOSR-23-115159; Editor assigned:28-Aug-2023,PreQC No. AAOSR-23-115159(PQ); Reviewed:11-Sept-2023,QC No. AAOSR-23-115159; Revised:16-Sept-2023,Manuscript No. AAOSR-23-115159 (R); Published:22-Sept-2023,DOI: 10.35841/ aaosr-7.5.164
Citation: Raitio J.Surgical management of neuromuscular scoliosis: Outcomes and complications.J Ortho Sur Reh.2023;7(5):164
A complex spinal deformity known as neuromuscular scoliosis is frequently seen in people with neuromuscular diseases such cerebral palsy, muscular dystrophy, and spinal cord injuries. In order to treat the growing curvature of the spine and related health problems, surgical intervention is frequently recommended. The main conclusions about the results and side effects of surgical therapy..
According to a thorough evaluation of the research, surgically correcting neuromuscular scoliosis can result in considerable enhancements to spinal alignment and cosmesis. The surgical procedures that are most frequently used are anterior spinal release, posterior spinal fusion with instrumentation, and, occasionally, growth-friendly systems. The Cobb angle has significantly decreased over time, and sagittal balance has improved, according to long-term follow-up studies, which has led to improvements in quality of life and functional gains. The surgical treatment of neuromuscular scoliosis, however, is not without difficulties and potential risks..
This study emphasises the value of meticulous preoperative assessment, patient choice, and surgical planning. These procedures frequently result in problems such as infection, instrumentation failure, implant prominence, and pseudoarthrosis. Even though they are rather uncommon, neurological problems following surgery demand close attention. In order to improve surgical results for patients with neuromuscular scoliosis, this presentation emphasises the importance of multidisciplinary teamwork amongst orthopaedic surgeons, neurologists, anesthesiologists, and rehabilitation specialists. Physical therapy and bracing are essential components of postoperative care for preserving corrections and avoiding problems. With significant gains in spinal alignment and quality of life, surgical intervention is still an important therapeutic option for neuromuscular scoliosis..
To guarantee the best outcomes for this difficult patient population, healthcare professionals and researchers must continue to improve surgical techniques, reduce complications, and improve patient selection criteria. The complicated spinal deformity known as neuromuscular scoliosis usually affects people with underlying neuromuscular illnesses such cerebral palsy, muscular dystrophy, and spinal cord injuries. Neuromuscular scoliosis, which is characterized by lateral curvature of the spine, can cause a variety of physical and functional issues, such as hampered mobility, decreased quality of life, and limited respiratory function. A crucial therapeutic strategy for slowing the advancement of the deformity, reducing the health risks that come with it, and improving the general wellbeing of those who are affected has emerged as surgery. Within Orthopaedics and spine surgery, the surgical care of neuromuscular scoliosis is a complex and developing topic. While achieving spine realignment and maintaining a balanced posture are surgery's main goals, the results and potential side effects of these procedures have been the focus of continuous research and clinical attention. In-depth investigation of the results and side effects of surgical procedures in individuals with neuromuscular scoliosis is the goal of this thorough evaluation. We will delve into the many facets of surgical care while highlighting the significance of individualized treatment plans made to meet the specific requirements and clinical manifestations of each patient .
We will specifically look at the many surgical methods frequently used, such as anterior spinal release, posterior spinal fusion with instrumentation, and the use of growth-friendly devices. We will also look at the long-term implications of surgical correction on sagittal balance, the curvature of the spine, and, most importantly, the influence on the general quality of life for those who are impacted. Even though surgical intervention has shown great promise in resolving the issues caused by neuromuscular scoliosis, it is important to be aware of any risks and consequences that might develop before, during, or after surgery. We'll talk about difficulties like equipment failure, surgical site infections, and implant-related problems like prominence and pseudoarthrosis. We'll also talk about neurological problems, which are rare but serious and call for attentive intraoperative monitoring and therapy..
The COVID-19 epidemic, according to one theory, has reverberated in the wait times for all elective orthopaedic procedures as well as in the ways that urgent surgery and injuries are handled. Information technology equipment has recently improved in terms of quality and use while becoming less expensive. These adjustments have made it possible for Video Consultation (VC) to grow as an alternative to In-Person Consultation (IPC).
This review emphasises the critical importance of interprofessional cooperation in the effective surgical therapy of neuromuscular scoliosis. To ensure that patient selection, surgery planning, and postoperative care are as effective as possible, orthopaedic surgeons, neurologists, anaesthesiologists, and rehabilitation specialists must work closely together. Physical therapy, bracing, and continued monitoring are all part of the postoperative phase, which is crucial for maintaining the maintenance of modifications made during surgery and avoiding problems. In conclusion, surgical care of neuromuscular scoliosis is a dynamic and developing discipline with enormous promise to enhance the lives of those who are affected. In order to improve patient outcomes and quality of life, this review aims to provide a thorough exploration of the outcomes and complications connected with surgical interventions. It does this by highlighting the current state of knowledge, the problems that remain, and the opportunities for additional research and clinical improvement.
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