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Operating techniques
About the treatment
Adolescent scoliosis surgery
Procedure
Scoliosis is corrected in 3 stages:
1. Placement of screws in the vertebral pedicles.
2. The screws are connected to a curved rod using 3D software.
3. Reduction of vertebrae to realign and restore spinal curvature.
Special provision
PEMN-type neuromonitoring (monitoring of spinal cord function during surgery).
3D neuron navigation (3D-controlled positioning of screws in vertebrae).
Urine catheterization with thermal control.
Steps and Benefits
- Neuromonitoring (PEMN) to safeguard the spinal cord.
- Screws placed under 3D control using Neuro Navigation.
- Realignment of the vertebrae restores the natural shape of the spine and reduces deformities.
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Hospitalisation
Hospital stay: 6 days.
Pain management with morphine pump and specific anesthetic protocol.
Pain gradually decreases to a tolerable level by day 3.
First up the same day or the following day.
The urinary catheter is removed after 24 to 48 hours, and the surgical drain is removed on day 3.
Return Home
Return by ambulance, preferably lying down if more than 30 km away.
Provide a high bed or medical bed (prescription available).
Post-Operative Care
Home nursing with anticoagulants for 3 weeks.
Dressing redone every 2 days, staples removed in 2 stages (12th and 14th day).
Physiotherapist at home 1 or 2 times a week for gentle rehabilitation.
Re-education by physiotherapist after one month, as prescribed by the surgeon.
Back to school or back to work
Return to school after 2 months, quiet activity recommended.
Total exemption from sport for 6 months, then gradual resumption (cycling, swimming).
Post-operative follow-up at 1, 6 months, 1 and 2 years, with follow-up X-ray.
Rehabilitation/ Physiotherapy
Start: 1 month.
Duration: 1 to 3 months, depending on recovery.
Pace: 2 to 3 weekly sessions (30-60 min), with daily exercises.
Nature: Pain-relieving physiotherapy, muscle strengthening, relaxation, posture.
Respect for the no-pain rule.
No need for a corset except in special cases.
Neurological complications: Less than 1%.
The neurological risk is estimated at 0.1%.
This risk is mainly linked to vascular causes during reduction, affecting the vessels of the spinal cord.
Intraoperative neuromonitoring helps prevent these complications.
3D neuro-navigation of vertebral screws ensures secure positioning.
Infection: 0.3%
Early infections require surgical cleaning and prolonged antibiotic therapy.
Chronic or late infections may require re-operation to remove or change the implanted material.
Hemorrhagic complications
Bleeding of varying severity during or after the operation, sometimes requiring a blood transfusion.
Mechanical Complications
Adjacent syndrome: decompensation of neighboring vertebral levels, especially in the case of rigid scoliosis or surgery before the end of growth.
This may require reoperation to extend the set-up.
Risk of Pseudarthrosis
Pseudarthrosis is a bone fusion defect, but in adolescents this risk is low due to good graft uptake.
A further operation may be necessary if fusion fails.
FAQ
Answers for our patients
If you have any further questions, please do not hesitate to contact us.
How can I make an appointment?
You can book an appointment directly on our website or by telephone on 04 72 43 03 43 (choice 1).
How long does it take to get an appointment?
Appointments take around 1 to 2 months. In an emergency, your GP can contact us directly by email.
How does the first consultation work?
At your first consultation, you will complete an iPad questionnaire in the waiting room so the doctor has your information in advance. The consultation will then determine whether surgical or non-surgical treatment is needed.
What documents should I bring to my visit?
Please bring your carte vitale, your GP's referral letter, and any radiological examinations already carried out.
