Lumbar deformity correction refers to surgery to correct deformed spine structures due to a number of different conditions. These can include both scoliosis and kyphosis, though the underlying cause of these conditions can range from defects not corrected at birth to injury, trauma and accidents. Deformity correct straightens curved sections of the spine and fuses the vertebras to ensure further movement does not occur. To discuss your options in terms of lumbar deformity correction or another spinal treatment, contact Dr. Chetan Patel at AdventHealth Medical Group Spine Health by calling Call407-303-5452 for a consultation.
What Causes Spinal Deformities?
Spinal deformities come in many different forms, including scoliosis and kyphosis. Birth defects can play a role here, but many patients develop these conditions after being involved in an accident or the victim of trauma.
Sports injuries, auto accidents, falls from heights, gunshot wounds and other events can cause damage to the spine, encouraging curvature outside the norm. Most of the time, these conditions fall into one of the two categories mentioned above. However, “flatback” syndrome is also a form of deformity and can be treated through deformity correction surgery.
- Scoliosis – Scoliosis is a condition in which portions of the spine turn sideways and curve, creating the signature “S” shape.
- Kyphosis – Kyphosis is a condition in which the spine begins to curve and resemble a “C” or a “U”.
How Does Deformity Correction Work?
The exact method of deformity correction will depend on your situation and the assessment made by Dr. Chetan Patel when you visit AdventHealth Medical Group Spine Health for a consultation. However, the vast majority of patients will need to undergo a corpectomy or discectomy and spinal fusion with the use of hardware and bone grafts.
What Does Spinal Fusion Do?
Spinal fusion provides stabilization for a spine that continues to curve. Patients with a curve that does not worsen over time may not require fusion or surgery at all. If the curve is less than 45-degrees and is not worsening, most surgeons will recommend treatment through physical therapy, exercise and other nonsurgical methods. However, for patients who have a worsening curve, fusion is a good option.
During fusion, Dr. Chetan Patel will remove the disc (or discs) from between the affected vertebras. Once the discs have been removed, the space will be filled with bone graft material (either natural bone or genetically engineered bone replacement). To hold the bone graft in place and encourage fusion, as well as to provide support and stabilization until fusion is complete, hardware will be installed. This usually takes the form of screws and plates that are installed over the levels being fused. In some instances, wires and screws or wires and hooks may be used, though pedicle screws are becoming the preferred option for many. Over time (usually three or more months), the treated vertebra will begin to fuse and stabilization will be completed (at the cost of flexion in between the vertebra).
To determine what type of deformity correction is right for you, contact Dr. Chetan Patel at AdventHealth Medical Group Spine Health by calling Call407-303-5452.