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Groundbreaking techniques for scoliosis treatment in children

Groundbreaking techniques for scoliosis treatment in children

| from Booking Health GmbH | New in medicine abroad

Scoliosis is a disease developing mainly during childhood. Scoliosis is characterized with the frontal curvature of the spine and vertebrae rotation (turning). One may ask if scoliosis is a curable condition. Yes, the disease can be cured at  stages 1-2 with the help of conservative treatment. The angle of the curvature does not exceed 25°...

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Scoliosis is a disease developing mainly during childhood. Scoliosis is characterized with the frontal curvature of the spine and vertebrae rotation (turning).

One may ask if scoliosis is a curable condition. Yes, the disease can be cured at  stages 1-2 with the help of conservative treatment. The angle of the curvature does not exceed 25 ° at the initial stages of the illness. Therefore, it is possible to stop the progression of scoliosis with the help of gymnastics, massage, physiotherapy and special corsets. More radical measures such as surgery are required to cure stages 3 and 4 of scoliosis in children. 

There are no ideal treatment methods so far which would allow for a complete cure of scoliosis, that  has a high safety profile as well as a good tolerance by patients. Research is constantly ongoing in this very direction. They develop and evaluate the efficiency of new surgery types and drug-free treatment strategies. You are welcome to find out how they cure scoliosis in the foreign hospitals in this article.                                 

Conservative methods of treatment scoliosis in children

Conservative methods of treatment scoliosis in children are efficient to cure stages 1 and 2 of the illness when the curvature angle does not exceed 25°. Scoliosis of stage 1 requires physiotherapy and therapeutic gymnastics. Treatment strategy of stage 2 scoliosis is not different from that of stage 1. A course of massage therapy can be prescribed by the doctor to each individual child if there is such a need. Normally, exercises for scoliosis are selected individually and represent a 15-minute exercise set. Therapeutic physical training for treatment scoliosis in children helps to relieve the spinal tension, strengthen the muscles of the back and eliminate asymmetry. Swimming is also an efficient kind of therapy for scoliosis treatment.

Wearing a spinal brace (back brace, orthopedic corset) is one of the ways to treat stage 1 and 2 scoliosis. In the foreign hospitals braces are being made individually for each patient. Please, remember that even the conservative treatment methods should be prescribed by the doctor only. Independent exercising without a specialist consultation can lead to  the eventual deterioration of the patient's condition.

        

Groundbreaking techniques for scoliosis treatment in children

       

Surgical methods of treatment scoliosis in children

How should scoliosis of stage 3 and 4  be treated in children? When curvature of the child’s spine is 26° degrees and more – the medical solution would be to undergo surgery. 

Spinal Fusion is one of the most popular types of spinal surgery for scoliosis treatment. A fixation of the vertebrae using a special device is done during the surgery. Thus, several vertebrae are completely stabilized. This intervention has a side effect - the amplitude of patient movements decreases due to the static nature of this spine segment. The limitation of movements depends on which zone the curvature is located in. This small limitation is justified for many patients, because thanks to Spinal Fusion, one can get rid of stages 3 and 4 spinal curvature, as well as of the concomitant effects.

Scoliosis surgery using ApiFix implant. This is an innovative device which is a small metal construction with two screws. The screws are screwed into the vertebrae on both sides of the curvature and secured with washers. After the hospitalization period (2-3 days) is over, the patient goes home. Two weeks later, in order for the implant to begin to function, it is necessary to begin exercise therapy. Special exercises make the spine stretch in a curved place, while ApiFix fixes even minimal improvements. Gradually, the vertebrae take the right position, and the device supports it.

Vertical Expandable Prosthetic Titanium Rib. Recently, VEPTR titanium implants for the support of the ribs have been approved for the treatment of scoliosis in children. They increase the distance between the vertebrae on the concave side, stabilize the structure between the ribs and vertebrae. The length of these rods is adjustable and they are adjusted every 4-6 months. Now doctors have the opportunity to correct the strain of the spine during the growth of the child's body. Modern dynamic VEPTR systems are actively used in German hospitals. They allow simultaneous correction of deformation of the spine and chest.

 

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Additional methods of treatment scoliosis in children

O-ARM CT scan system is a robotic computer tomography system, capable of creating high resolution 2D and 3D images. The system makes a prediction of surgical intervention.

Applying Mazor Robotics Renaissance robotic system. This system helps a surgeon to conduct spinal fusion surgery.

Robot’s tasks include:

  • Plan a surgery by creating a 3D-model on the basis of images
  • Navigation during the implants installation
  • Positioning and insertion of surgical instruments

Applying robotic systems for spinal surgeries helps to provide maximum safety to the patient. Many sensitive sensors follow the operation and the whole process is carefully planned. In addition, such systems exclude the human factor - where the hand of the surgeon can tire or shudder, the robot will conduct manipulations with 100% accuracy.

New surgical wound closure technique. A new method of closing a surgical wound was developed at one of the US medical centers, which allows a significant reduction in the risk of infectious complications after the establishment of corrective devices. Usually, the infection develops in a "dead space" - a zone of confluence of the patient's own tissues with devices.

The essence of the method is the multilayer closure of the surgical wound. At the same time, the blood supply is saved from the donor site to the recipient site. It is expected that this technique will reduce the risk of infectious complications after surgery to 1%. It is precisely these data that the researchers point out in their publication.

Magnetically Controlled Growing Rods (MCGR) is the latest method of treatment, which reduces the need for surgical interventions. When using the VEPTR system it is necessary to perform an intervention to correct the length of the rods. But after installing telescopic rods, controlled by magnets, there will be no such a need.

The procedure for elongation of the rods is carried out on an outpatient basis with the help of strong magnets. It is safe for the patient and reduces the number of interventions, avoids general anesthesia, reduces the risk of bleeding or infectious complications. In addition, the method provides better tolerability of treatment for the child.

Spinal surgery for scoliosis in German hospitals

As with any surgical intervention, operations for scoliosis may lead to certain restrictions for the patient. In the long term follow-up, they can lead to a restriction of mobility. In most cases, this does not affect any area of ​​life significantly. However, practicing some sports after such an operation should be excluded.

Other consequences of surgery for scoliosis are associated with the risk of infection. However, when performing an operation for scoliosis in a foreign clinic, this risk does not exceed 1%.

Booking Health recommends treating scoliosis in Germany. In this country, already proven methods are used, research is being carried out, and new developments are being introduced into the medical practice. We have selected the best German centers for the treatment of scoliosis:

  1. Werner Wicker Clinic Bad Wildungen, Department of Adult and Pediatric Spinal Surgery, Scoliosis Treatment
  2. Asklepios Children's Hospital Sankt Augustin, Department of Pediatric Orthopedics
  3. Schön-Neustadt Clinic Neustadt in Holstein, Department of Adult and Pediatric Spine Surgery, Scoliosis Treatment
  4. University Hospital Mainz, Department of Adult and Pediatric Orthopedics, Trauma Surgery
  5. University Orthopedic Hospital Hannover-Annastift MHH, Department of Spinal Surgery and Conservative Orthopedics

The estimated cost of treatment is as follows:

Treatment abroad with Booking Health

Booking Health will help you undergo treatment in the selected foreign clinic. The tasks of Booking Health include:

  • Choosing the right hospital based on the annual qualification profile
  • Direct communication with the attending physician
  • Making an appointment at the desired date
  • Preliminary elaboration of a treatment program without repeating previous examinations
  • Providing favorable costs of the medical program, without additional coefficients for foreign patients (saving up to 50%)
  • Monitoring the medical program at all stages
  • Assistance in purchasing and shipping medicines and other medical products
  • Communication with the hospital after treatment completion
  • Control of invoices from the hospital, return of unspent funds
  • Organization of additional examinations and rehabilitation, if indicated
  • Booking accommodation, plane tickets, transfer, translation services

 

Choose treatment abroad and you will for sure get the best results!

 


Authors: Dr. Nadezhda IvanisovaAlexandra Solovey

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