Having Minimally Invasive Scoliosis Surgery (Child)
Minimally invasive scoliosis surgery is a type of surgery done to fix an abnormal curve of the spine known as scoliosis. Surgery is usually recommended if the scoliosis has a curvature of 45 degrees or more. Before the curve is this severe, a brace is often used to prevent worsening of the curvature. Minimally invasive surgery uses two or more small cuts (incisions) instead of one large incision. This may lead to less pain after surgery, and faster recovery. Minimally invasive scoliosis surgery is not available at all hospitals or other places that do surgery.
What to tell the healthcare provider
Tell your child’s healthcare provider about all the medicines your child takes. This includes over-the-counter medicines such as aspirin. Tell the provider about any recent changes in your child’s health, such as a fever.
Tests before the surgery
Before the surgery, your child may need imaging tests. These may include X-rays or MRI.
Getting your child ready for the surgery
Talk with your child’s healthcare provider about how to help your child get ready for surgery.
Your child may need to stop taking some medicines ahead of time.
Follow any directions your child is given for not eating or drinking before surgery.
Follow any other instructions the healthcare provider gives your child before the surgery.
On the day of your child’s surgery
The procedure is done by an orthopedic surgeon. He or she can help explain the details of your child's surgery. A typical surgery may go like this:
Your child may be given general anesthesia. This is to stop pain and cause your child to sleep during the surgery. Or your child might have a type of anesthesia that only numbs part of his or her body. Your child will receive a medicine so that he or she will be very relaxed but awake during the surgery.
Your child may be given antibiotics before and after the procedure. This is to help prevent infection.
A healthcare provider will carefully watch your child's vital signs, like heart rate and blood pressure.
During the procedure, the surgeon will use a special type of X-ray to view your child’s spine.
The surgeon will make several small incisions on your child's back.
The surgeon will put a tubular retractor into this incision. This will let the surgeon reach the area of the spine with the problem.
The surgeon will pass special small tools through this retractor. These include a tiny camera and a light.
The surgeon will partly straighten the spine. This is done using screws, rods, and wires.
The surgeon may use a bone graft to complete the repair. Bone is used from your child’s hip or from a donor.
The surgeon will remove the tools and tube.
The surgeon will close the incisions. He or she will put a small bandage on the wound.
After your child’s surgery
Your child will likely need to stay in the hospital for a few days or so. He or she may have some pain after the surgery. This is treated with pain medicine. Talk with your child’s healthcare provider about any over-the-counter pain medicines you can give your child. In most cases, the pain goes away quickly. Your child can eat a normal diet as soon as he or she is able.
Recovering at home
The healthcare provider will give you instructions about how your child can use his or her back right after the surgery. Your child might need to limit movements that involve a lot of lifting or bending.
The healthcare provider can let you know how long to expect your child’s recovery will be. Your child may be able to return to school in 1 to 2 weeks. It may take a few months before your child can resume all of his or her normal activities. Over time, your child should be able to return to all activities, including contact sports. Check with your child’s healthcare provider first.
Your child will likely still have a slight curve in his or her spine after the surgery, but it should no longer be very noticeable. The healthcare provider will closely watch your child to make sure the surgery was successful. Follow all of the healthcare provider's instructions about your child’s follow-up appointments.
When to call your child’s healthcare provider
Call your child’s healthcare provider right away if your child has any of these:
Fever of 100.4°F (38.0°C) or higher, or as directed by your child's healthcare provider
A lot of fluid leaking from the incision
Pain that is getting worse
Numbness, tingling, or weakness to the arms or legs
Symptoms of a deep venous thrombosis, such as swelling, pain, or both in one leg.
August 15, 2018
Sarwahi V, Wollowick AL, Sugarman EP, et al. Minimally invasive scoliosis surgery: an innovative technique in patients with adolescent idiopathic scoliosis. Scoliosis. 2011;6:16., Scherl SA. Treatment and prognosis of adolescent idiopathic scoliosis. UpToDate.
Hanrahan, John, MD,Joseph, Thomas N., MD