Spinal osteotomies

Spinal Osteotomies Treatment in Begur

Spinal Osteotomy is done to treat spinal abnormalities. To address long, progressive kyphosis curves, such as those caused by Scheuermann's kyphosis or ankylosing spondylitis, bone is taken from the rear of the vertebral arch in this case. The majority of treatments for spinal abnormalities include osteotomies. These include vertebral column resection(VCR), pedicle subtraction osteotomy (PSO), and posterior column osteotomy (PCO). 

When is a Spinal Osteotomy Performed?

• For the spine to operate without discomfort, proper spinal alignment is essential. The body's centre of gravity is maintained across the pelvis due to the coordination of these curves.

• Spinal misalignment is caused by either an excess of kyphosis in the upper area of the spine (referred to as hyperkyphosis) or a decrease in lordosis in the lower part of the spine (also recognised as a flatback syndrome).

• Sagittal imbalance is what this is, and it may make you tired, hurt, and put pressure on your organs like your heart and lungs.

• A surgeon evaluates spinal flexibility while developing a therapy strategy. Other surgical treatments may be considered in place of a spinal osteotomy if the discs cannot sustain it.

Procedure

• A spinal osteotomy is performed while the patient is asleep and under general anaesthesia. They are positioned face down on the operating table, and the surgeon incisions across the spine to expose the spinal column's bones. 

• The surgeon first inserts screws into the vertebrae below and above the affected location to remove the bone. 

• Rods may be held in place by the screw heads. The surgeon will place rods at the end of the procedure to keep the spine immobile while it recovers in its new position.

• The surgeon takes off bony protrusions that stick out from the vertebral bodies. Next, the surgeon cuts off the lamina, or backbone, of the vertebrae and the facet joints in between vertebrae that will be straightened.

• The vertebrae must then be realigned at that point. In this case, the surgeon uses implants to move the patient's spine into the required adjustment. 

• As soon as the surgeon has established alignment, they insert rods into the screws inserted at the start of the procedure. 

• The rods' purpose is to keep the spine's bones in their surgically-achieved position while they recover. 

• The surgeon will cover the vertebrae with a bone graft or transplanted bone. The vertebrae and the bone transplant will combine to create one solid bone. Long-term stability depends on successful bone fusion.

After a Spinal Osteotomy

You could have a few concerns after completing the spinal osteotomy treatment. 

• After a spinal osteotomy treatment, patients often remain in the hospital for 5-7 days.

• The surgeon may sometimes recommend a brace or collar if a neck osteotomy is done.

• Following the spinal osteotomy, painkillers may be provided if discomfort is felt.

• As soon as you feel comfortable, you may start walking. More demanding exercises will have to wait until the healing process is complete.

• Physical therapy will undoubtedly play a role in your rehabilitation.

• Depending on your specific spinal osteotomies treatment in Begur, you could have less mobility after your fusion.