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  • Q&A with Australian Health Practitioners

    What is the success rate for twisted spine correction surgery?

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    Back & Neck Pain Pain
    The patient is 73 y old lady and would do Keyhole surgery
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    Thanks

    Dr Ryan Hislop

    Chiropractor

    Ryan Hislop is the Clinical Director at the Orange Chiropractic Health and Wellness Centre. As an experienced and evidence-based diagnostician, Ryan works largely by medical … View Profile

    Surgery is the final treatment option for curves greater than 45° and its goals are to obtain safe correction, to produce a solid spinal fusion of the curve region, and to bring the spine and body into a more balanced position.

    I have not been able to find any studies pertaining to the age bracket to the person you mention, although here are some studies. 

    Bracing in adolescent males had unsuccessful results in 76 percent of the cases, with 46 percent requiring surgery for idiopathic scoliosis. The overall surgical rate for failed bracing was 23 percent when used as a treatment for idiopathic scoliosis.6  The mean age of the patients was 15.2 years."

    “40% of operated treated patients with idiopathic scoliosis were legally defined as severely handicapped persons” 
    Gotze C, Slomka A, Gotze HG, Potzl W, Liljenqvist U, Steinbeck J. Long-term results of quality of life in patients with idiopathic scoliosis after Harrington instrmentation and their relevance for expert evidence. Z Orthop Ihre Grenzgeb 2002 Sep-Oct;140(5):492-8

    “The psychological health status is significantly impaired.”
    Quality of Life and Back Pain: Outcome 16.7 Years After Harrington Instrumentation
    Spine 2002 Jul 1;27 (13) :1456-63 Gotze et al, Dept. of O Surg, Hamm,Germany

    Lou E, Hill D, Hedden D, Mahood J, Moreau M, Raso J. An objective measurement of brace usage for the treatment of adolescent idiopathic scoliosis. Medical Engineering and Physics, 2010;33(3):290-294.
    Dolan LA, Weinstein SL. Surgical rates after observation and bracing for adolescent idiopathic scoliosis: an evidence-based review. Spine, 2007;32(19S):S91-S100.

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