Description
When the spine is curved from side to side, rotated, or curved forward too much, a spinal fusion may be recommended to help restore the spine’s normal position, prevent future problems, and provide treatment for pain such as may occur in adults. There are many ways to reconstruct a curved spine. The type of surgery depends on the degree of the curve, where the curve is located within the spine, concomitant stenosis, patient age, patient general health and other factors.

 

Reconstruction generally involves the use of screws, hooks or wires put into the vertebrae. The curve is then straightened as much as possible by attaching a rod to the screws or hooks. Sometimes an interbody fusion is also performed. The fusion helps to shape the spine and/or make it stable.  Surgery is generally performed from the back, similar to a posterior lumbar fusion.  If a stiff curve is involved, surgery may also be performed from the front with the assistance of a general surgeon, similar to an anterior lumbar fusion.  If surgery will be performed from the front and back, the procedures may be scheduled at the same time, or on separate days.