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How is Abnormal Spinal Curvature Corrected?

Published in Spinal Deformity Correction 3 mins read

Correcting abnormal spinal curvature, which can manifest as an excessively straight spine (loss of natural curves) or abnormal sideways or exaggerated forward/backward curves, often involves specific medical interventions. For significant deformities, spinal fusion surgery is a well-established procedure designed to correct alignment and stabilize the spine.

Understanding Spinal Curvature

The human spine naturally features gentle curves that help absorb shock, maintain balance, and allow for flexibility. When these curves are either lost (leading to a spine that is "too straight" in certain segments, like in flatback syndrome) or become abnormally exaggerated (such as in scoliosis or severe kyphosis), it can lead to pain, functional limitations, and progression of the deformity.

Spinal Fusion Surgery: A Common Correction Method

For cases requiring surgical intervention, the primary approach described for correcting spinal curvature and preventing its worsening is spinal fusion. This procedure aims to join two or more vertebrae permanently into a single, solid bone, thereby eliminating motion between them and correcting the abnormal alignment.

The surgical process involves several key components and steps:

  • Metallic Implants for Correction: The procedure uses metallic implants, such as rods and screws. These implants are strategically placed along the affected area of the spine. Their primary role is to immediately correct some of the existing curvature and hold the spine in the desired, more aligned position during the initial healing phase.
  • Bone Graft for Permanent Fusion: A bone graft is then carefully placed in the area of the curve. This graft can be taken from the patient's own body (autograft), from a donor (allograft), or be a synthetic material. The bone graft acts as a bridge, stimulating new bone growth.
  • Consolidation and Permanent Fusion: The rods and screws hold the spine in the correct position until the bone graft consolidates. Over time, the bone graft matures and permanently fuses the adjacent vertebrae together. This fusion prevents any further curvature in that segment of the spine, ensuring long-term stability and correction of the deformity. (08-Jul-2019)

Purpose of the Surgery

The overarching goals of spinal fusion surgery for abnormal curvature are:

  • To correct existing spinal deformities, restoring a more natural and functional spinal alignment.
  • To prevent further progression of the abnormal curvature, which is crucial in conditions that tend to worsen over time.
  • To alleviate symptoms such as pain, nerve compression, or balance issues that may arise from the spinal deformity.

This complex surgical approach is typically considered for severe cases where conservative treatments have failed or when the deformity is progressive and likely to cause significant health issues if left unaddressed.