Scoliosis Surgery
Scoliosis surgery involves comprehensive spinal deformity correction to improve balance, function, and reduce pain. Using advanced techniques and individualized planning, this complex procedure addresses adult spinal deformity with careful attention to maintaining quality of life and neurological safety.
Why Greenberg Spine
Dr. Marc Greenberg's fellowship training at Mayo Clinic, Johns Hopkins, and Brown University, combined with our focus on robotics, endoscopy, and motion-preserving philosophy, ensures you receive the most advanced outpatient spine care available.
Indications
- Progressive adult scoliosis with pain
- Sagittal imbalance affecting posture and function
- Neurological symptoms from nerve compression
- Significant functional impairment
- Failed conservative management
How the Procedure Works
- Comprehensive pre-operative planning with 3D imaging
- Multi-level spinal fusion with instrumentation
- Gradual deformity correction using specialized techniques
- Real-time neuromonitoring for safety
- Bone grafting to promote solid fusion
Benefits
- Improved spinal balance and posture
- Significant pain reduction
- Enhanced functional capacity
- Prevention of further curve progression
- Improved quality of life and self-image
Risks & Considerations
- Infection, bleeding, or anesthesia risks
- Neurological injury (rare with monitoring)
- Non-union or hardware complications
- Adjacent level problems
- Extended recovery period
Recovery Timeline
Day 0 (Surgery Day)
Hospital stay 3-7 days, early mobilization with assistance
Week 1-6
Walking with assistance, no lifting >10 lbs, wound care
Week 6-12
Independent walking, light activities, physical therapy
3-12 Months
Gradual return to activities, fusion healing, full recovery
Ideal Candidates
- Progressive adult scoliosis with symptoms
- Good overall health for major surgery
- Realistic expectations about outcomes
- Commitment to extended recovery process
- Failed conservative treatment options
Alternatives
- Physical therapy and core strengthening
- Pain management and injections
- Bracing for curve stabilization
- Limited decompression without fusion
Conservative Options
Before considering scoliosis surgery, Dr. Greenberg typically recommends a comprehensive conservative approach including physical therapy, core strengthening, pain management, and activity modification. Surgery is only recommended when conservative treatments have been exhausted and the deformity significantly impacts quality of life, function, or is progressing rapidly.
What to Expect
- Pre-op visit: Extensive imaging, planning, and medical optimization
- Anesthesia: General anesthesia with neuromonitoring
- Incision size: Variable based on levels treated
- Discharge plan: 3-7 day hospital stay
- First follow-up: 2 weeks with X-rays
Frequently Asked Questions
When is surgery needed for adult scoliosis?
Surgery is considered when curves progress, cause significant pain, or affect balance and function despite conservative treatment.
How long is recovery from scoliosis surgery?
Initial recovery takes 3-6 months, with full fusion occurring over 6-12 months depending on the extent of surgery.
Can scoliosis be completely corrected?
While complete correction may not always be possible, significant improvement in curve, balance, and pain is typically achieved.
What is neuromonitoring during surgery?
Real-time monitoring of spinal cord and nerve function during surgery to ensure safety during correction.
Will I be taller after scoliosis surgery?
Many patients gain some height as the spine is straightened and decompressed during correction.
Ready to Improve Your Spinal Balance?
Schedule a consultation to discuss scoliosis treatment options.
Related Information
Disclaimer: Information is educational, not medical advice. Outcomes vary. Individual results depend on many factors including age, health status, and adherence to post-operative instructions.