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Treatment of Scoliosis in Germany

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If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Diagnostic tests for scoliosis
1961.85
Dorsal and ventral spondylodesis of scoliosis
59758.75
Dorsal spondylodesis for scoliosis
59995.1

Werner Wicker Clinic Bad Wildungen

9.8/10
location_onGermany, Bad Wildungen

Department of Adult and Pediatric Spinal Surgery, Scoliosis Treatment

The Werner Wicker Clinic Bad Wildungen offers modern medical services for the diagnostics and treatment of various spinal diseases. The clinic was founded in 1978 and during this time has won the status of one of the best medical facilities in this field both in the national and international medical arena. An experienced team o
Diagnostic tests for scoliosis
2066.55
Dorsal and ventral spondylodesis of scoliosis
59758.75
Dorsal spondylodesis for scoliosis
59995.1

Schoen Neustadt Clinic Neustadt in Holstein

9.5/10
location_onGermany, Neustadt in Holstein

Department of Adult and Pediatric Spinal Surgery, Scoliosis Treatment

The Schoen Neustadt Clinic Neustadt in Holstein is a private medical facility that provides first-class medical services in the treatment of musculoskeletal diseases. The clinic has 10 specialized departments with more than 900 highly qualified employees. Particularly outstanding results are demonstrated by specialists from the
Diagnostic tests for scoliosis
2076.7
Dorsal and ventral spondylodesis of scoliosis
70703.35
Dorsal spondylodesis for scoliosis
70250.95

University Orthopedic Hospital Hannover-Annastift MHH

9.8/10
location_onGermany, Hannover

Department of Spinal Surgery and Conservative Orthopedics

As an academic hospital at the Hanover Medical School, the University Orthopedic Hospital Hannover-Annastift MHH offers a first-class medical care corresponding to the highest level of university medicine. The hospital is fitted out with the advanced medical equipment, an innovative X-ray unit, five modern operating rooms and th
Diagnostic tests for scoliosis
2189.8

University Hospital Mainz

9.7/10
location_onGermany, Mainz

Department of Adult and Pediatric Orthopedics, Trauma Surgery

The University Hospital Mainz is one of the best maximum care medical facilities in Germany and an internationally recognized scientific center. There are more than 60 departments and institutes, which represent all fields of modern medicine. The hospital serves more than 68,000 inpatients and more than 273,000 outpatients annua
Diagnostic tests for scoliosis
2186.9

ATOS Clinic Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Adult and Pediatric Spinal Surgery

Founded in 1991, the ATOS Clinic Heidelberg combines top-quality service and cutting-edge medicine. It keeps track of the latest scientific developments and contributes to the development of new treatments.
Diagnostic tests for scoliosis
2742.25
Dorsal and ventral spondylodesis of scoliosis
70445.25
Dorsal spondylodesis for scoliosis
70091.45
| from Booking Health GmbH

Scoliosis is a lateral spinal curvature with rotation of the vertebrae around the longitudinal axis. Pathology is often accompanied by torsion (twisting) – a change in the shape and internal structure of the vertebrae. Scoliosis may cause the formation of not one, but two or three arcs of curvature. Scoliosis treatment in Germany is carried out using conservative and surgical techniques. Even in the most severe cases, German doctors get good results by restoring the spinal shape in one or more operations. The successful treatment of scoliosis is possible at any age, including in adult patients.

Content

  1. Types of scoliosis
  2. Conservative treatment
  3. Surgery

Types of scoliosis

 

In most cases, the causes of the disease remain unclear. Therefore, patients are diagnosed with idiopathic scoliosis.

It can also be secondary: symptomatic, namely developed due to other pathologies: rickets, neurological disorders, hip joint lesions.

Depending on the direction in which the bulge of the arch is turned, scoliosis can be of the following types:

  • levoscoliosis;
  • dextroscoliosis.

Depending on the location of body parts, scoliosis can be:

  • balanced – shoulder girdle over the pelvis, and the pelvis over the feet;
  • off-balanced or decompensated – the proper relations between body parts are impaired.

The spine develops very rapidly over the period of up to 2 years. The next peak of growth occurs at the age of 10-13 years. Then the formation of the skeleton is completed. These growth phases are taken into account when choosing the terms and methods of scoliosis treatment. Children, adolescents, and adults undergo various surgical operations. Depending on the age at which scoliosis developed, it can be:

  • infantile – up to 4 years;
  • juvenile – developed up to 10 years;
  • teenage – over 10 years old.

Scoliosis is rare in adults. As a rule, the lateral curvature of the spine in these patients is an uncured juvenile or teenage scoliosis.

According to the type of clinical course, scoliosis can be:

  • self-resolving;
  • advanced.

According to severity, depending on the angle of curvature, scoliosis can be:

  • 1 grade – up to 10 degrees;
  • 2 grade – up to 25 degrees;
  • 3 grade – up to 50 degrees;
  • 4 grade – over 50 degrees.

Conservative treatment

 

Conservative therapy is used in the early stages, and also complements the surgical treatment of severe scoliosis. The treatment aims to:

  • curb the progression of scoliosis; 
  • prevent respiratory and cardiac disorders, thereby creating favorable conditions for the follow-up surgical intervention;
  • provide a better quality of life for those who are not eligible for surgery.

Patients receive symptomatic drug therapy, physiotherapy, massage, electromyostimulation (electrical muscle stimulation). Corsets and therapeutic exercises are often used.

Cheneau corsets are widely used around the world. This is an active corrective device that puts pressure on the convex parts of the spine. It corrects its shape in three planes, while not worsening the function of breathing and not causing muscle atrophy. The corset is made individually. In developed countries, a 3D scan of the torso is performed instead of the standard method of taking a plaster cast, and then a corset is made based on a virtual model of the torso.

The use of corset therapy reduces the risk of disability and reduces the number of patients who require surgical treatment. High-quality corsets have the following benefits:

  • they do not limit the activity of the child;
  • they can be used independently, without the help of adults;

they do not cause deformities of the jaw, or cervical spine.

Surgery

 

Indications for surgery are:

  • ineffectiveness of therapeutic measures;
  • initially gross deformations;
  • rapid progression of pathology.

As a rule, surgery is a treatment method for scoliosis in the 3rd, and 4th grades, as well as for scoliosis of the lumbar spine. Arguments in favor of surgery include cardiovascular dysfunction, trunk imbalance, aesthetic defect, chronic pain, and rib hump.

Expansion thoracoplasty is often performed with the use of a vertical expandable prosthetic titanium rib (VEPTR). Such interventions must be performed no later than 6 months before the end of skeletal maturation. Surgery is not performed in late adolescence and beyond to avoid respiratory failure. Titanium prostheses need to be lengthened every 6 months. Repeated operations are less traumatic; and are performed through an incision of about 3 cm. At the age of 11-13 years, the rods are removed.

Some clinics use magnetically controlled growing rods (MCGR). To change their length, doctors do not have to perform additional operations. The rods are enlarged with magnets.

Dorsal-ventral fusion surgery is carried out to balance the vertebral bodies and stop the progression of the deformation of the spinal column. Doctors motionlessly connect the vertebrae. They can no longer move relative to each other.

Other scoliosis treatment options in Germany are:

  • skeletal traction;
  • pedicular shortening vertebrectomy (wedge-shaped vertebral excision);
  • resection of the residual rib hump (performed for aesthetic purposes 2 years or more after spinal correction).

The choice of operation is determined individually, based on the characteristics of the spinal curvature and the age of the patient (before or after the maturation of the skeleton). Many people require multiple surgeries as part of their scoliosis surgery. Upon the completion of treatment, good results are usually achieved: the progression of the pathology stops, the balance of the trunk is restored, there is no pain, patients can lead an active life without restrictions, and go in for sports and physical labor.

You can undergo diagnostics, rehabilitation, and conservative and surgical treatment of scoliosis of the thoracic region or any other region of the spine in Germany. You are welcome to use the Booking Health service to find out how much is the price of surgery in different clinics in Germany specializing in scoliosis treatment and book a medical care program at the best prices.

 

Authors: 

The article was edited by medical experts, board-certified doctors Dr. Vadim Zhiliuk and Dr. Sergey Pashchenko. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!

 

Sources:

SPINE-health

Medical News Today

NORD - National Organization for Rare Disorders




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