Surgical treatment of scoliosis in Central Hospital

Surgical treatment for scoliosis at Central Hospital in Istanbul, Turkey, provides advanced options to correct spinal curvature and restore balance. The facility holds ISO accreditation and uses high-level medical tools like AI-powered imaging and a 3 Tesla MRI for precise diagnosis. Patients receive care in a center known for its focus on spinal health and robotic-assisted technology.

Advanced Surgical Techniques

The medical team selects a method based on the patient's age and the severity of the spinal curve. Common surgical options include:

• Posterior Spinal Fusion (PSF): The surgeon inserts titanium screws and rods to stabilize the spine. Bone grafts are placed between vertebrae to create a permanent fusion.
• Vertebral Body Tethering (VBT): This newer technique is designed for adolescents. It corrects the curve using a flexible cord instead of bone fusion, which helps keep the spine mobile.
• Anterior Approach: In specific cases, the surgeon reaches the spine through the abdominal or thoracic cavity to address the curvature.

Safety and Diagnostic Standards

Before surgery, doctors use the Adam's forward bend test and full spine X-rays to calculate the Cobb angle. An MRI check follows to look at the spinal cord and nerve roots. During the actual operation, the hospital uses neuromonitoring. This technology tracks the nerves and spinal cord in real time to help protect them throughout the procedure.

Recovery and Hospital Stay

Patients typically stay in the hospital for 4 to 7 days. The first 48 hours focus on pain control and beginning short walks with a physiotherapist. After discharge, the recovery follows a gradual timeline:

• 2–6 weeks: Patients continue short walks at home but must avoid long periods of sitting or driving.
• 6–12 weeks: Return to school or desk work is usually possible, and formal physiotherapy starts.
• 6–12 months: Bone fusion is mostly complete, allowing a return to activities like swimming or cycling.
• 1–2 years: Patients reach full recovery and can often participate in high-intensity sports.

Treatment by Severity

The hospital follows specific protocols based on the degree of curvature. Mild cases between 10 and 25 degrees require regular observation and X-rays every 6 to 12 months. Moderate curves up to 45 degrees may involve wearing a brace to slow progression during growth. Surgery is generally recommended for severe curves of 45 degrees or more to prevent long-term health issues. To learn more about treatment options, you may leave a request on Bookimed.