Spine surgery with rods is a specialized procedure aimed at correcting spinal deformities and stabilizing the spine. This type of surgery is particularly common in children and adolescents diagnosed with conditions like scoliosis, where the spine curves abnormally.
As a spine surgeon with over 25 years of experience, I’ve seen firsthand how this surgery can dramatically improve a patient’s quality of life. The primary goal is to correct the spinal curvature and prevent further progression of the deformity.
The rods, typically made of titanium or stainless steel, are implanted along the spine, supporting and straightening it as the patient grows. This procedure is vital for young patients whose spines are still developing, as it helps maintain proper alignment and allows for continued growth.
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There are several conditions that necessitate the use of rods in spine surgery. Scoliosis is the most common, affecting about three in 100 people in the U.S. Other conditions include spinal instability caused by spondylolisthesis, where one vertebra slips over another, and congenital spinal deformities that can compromise the structure of the spine.
In such cases, spine surgery with rods is performed to stabilize the spine, correct the abnormal curvature, and improve the patient’s posture and function. The expected outcomes of this surgery include a significant reduction in spinal curvature, improved spinal stability, and, in some cases, enhanced respiratory function, especially in patients with thoracic deformities.
This surgery can also prevent the progression of spinal deformities, which, if left untreated, could lead to more severe complications.
In my practice at Long Island Neuroscience Specialists, we use various types of rods depending on the patient’s specific needs. Traditional growing rods are often used in young children who are still growing. These rods are surgically lengthened periodically to keep up with the child’s growth.
The Vertical Expandable Prosthetic Titanium Rib (VEPTR) is another option, particularly for children with thoracic insufficiency syndrome. This condition affects the rib cage’s ability to support proper lung development, and the VEPTR helps expand the rib cage while correcting spinal deformities.
The MAGEC system is a more recent innovation that uses magnetic technology to lengthen the rods non-invasively. Instead of multiple surgeries, a remote control is used to adjust the rods as the child grows. The choice of rod type can significantly impact both the surgery and the recovery process, with each type offering unique benefits tailored to the patient’s condition.
Spine surgery with rods typically begins with thorough preoperative preparation, including imaging tests like X-rays or MRIs and a detailed physical examination. The surgical procedure involves making small incisions along the spine, through which the rods are inserted and secured to the vertebrae using screws.
In many cases, we employ minimally invasive techniques, which reduce muscle damage and promote faster recovery. Advanced imaging technologies, such as fluoroscopy, are used during the procedure to ensure precise placement of the rods.
Postoperative care is crucial, with a focus on pain management, infection prevention, and gradual mobilization of the patient. The recovery process varies depending on the patient’s age, overall health, and the complexity of the surgery, but most patients can expect to resume normal activities within a few months.
As with any surgical procedure, there are risks associated with spine surgery with rods. These include potential adverse reactions to anesthesia, significant blood loss during surgery, and the risk of infection, even with small incisions.
Specific to rod implantation, there is a risk of rod breakage or failure, which may require revision surgery. Another concern is the possibility of spinal nerve damage during the procedure. However, these risks are mitigated by careful surgical planning, the use of advanced imaging, and close postoperative monitoring.
It’s essential to manage these risks effectively to ensure the best possible outcome for the patient. Regular follow-up appointments are necessary to monitor the rods’ position and the spine’s alignment, addressing any complications early.
The recovery process following spine surgery with rods involves a hospital stay of a few days, during which the patient’s pain and mobility are carefully managed. Most children can return to school within a few weeks, although participation in sports and other physical activities may be restricted for a longer period.
Pain management is a critical component of the recovery process, and patients are often prescribed pain medications to help manage discomfort. Physical therapy is also essential in helping the patient regain strength and mobility.
Follow-up care is crucial, particularly for patients with growing rods that require periodic adjustments. The typical recovery timeline varies, but with proper care, most patients can expect to return to their normal activities within a few months, with long-term monitoring to ensure continued spinal health.
Not every patient with a spinal deformity is a candidate for spine surgery with rods. This procedure is typically recommended for children and adolescents who have significant spinal curvature and are still growing.
Patients with conditions like scoliosis, kyphosis, or spinal instability may benefit from this surgery, especially if nonsurgical treatments have been ineffective. However, it’s crucial to assess each patient’s overall health and growth potential before proceeding with surgery.
In some cases, alternative treatments, such as bracing or physical therapy, may be recommended. A thorough consultation with a spine specialist is essential to determine the best course of action for each patient. Click Here to know more
If you’re considering spine surgery with rods for your child, it’s important to ask your surgeon several key questions. You should understand the specific type of rods that will be used, the surgical technique involved, and the surgeon’s experience with this type of procedure.
Discuss the potential risks and complications, as well as what to expect during the recovery process. It’s also important to ask about the long-term outcomes and whether additional surgeries may be needed in the future.
Understanding the costs involved, including insurance coverage and any potential out-of-pocket expenses, is also crucial. These discussions will help you make an informed decision about your child’s treatment.
The long-term outcomes of spine surgery with rods are generally positive, with many patients experiencing significant improvements in spinal alignment, pain relief, and overall quality of life. Success rates vary depending on the type of rods used, the patient’s condition, and the surgeon’s expertise.
In my practice, we’ve seen high levels of patient satisfaction and successful long-term results, particularly with the use of advanced techniques like the MAGEC system. However, it’s important to note that some patients may require additional surgeries as they grow, especially if there are complications such as rod breakage or if the spinal curvature continues to progress.
Regular follow-up care is essential to monitor the spine’s health and address any issues promptly. In comparison to other treatment options, spine surgery with rods offers a unique combination of stability, growth potential, and long-term benefits, making it a preferred option for many patients with spinal deformities.
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285 Sills Road
Building 5-6, Suite E
East Patchogue, NY 11772
(631) 475-5511
184 N. Belle Mead Road
East Setauket, NY 11733
(631) 675-6226
GET IN TOUCH +
285 Sills Road
Building 5-6, Suite E
East Patchogue, NY 11772
(631) 475-5511
184 N. Belle Mead Road
East Setauket, NY 11733
(631) 675-6226
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