Ir al menú principal Ir al contenido principal Ir al pie de página Para Medicare Para Proveedores Para Agentes Para Empleadores English Para individuos y familias: Para individuos y familias Médica Dental Otros seguros complementarios Explorar cobertura a través de tu empleador Cómo comprar seguros de salud Tipos de seguro dental Período de Inscripción Abierta vs. Período Especial de Inscripción Ver todos los temas Comprar planes de Medicare Guía para miembros Buscar un médico Ingresar a myCigna
Inicio Centro de información Biblioteca del bienestar Spinal Fusion for Scoliosis

Spinal Fusion for Scoliosis

Surgery Overview

Scoliosis is a problem with the curve in the spine. Some curves in the spine are normal. But sometimes a spine makes a large curve from side to side in the shape of the letter "S" or the letter "C." If this curve is severe, it can cause pain and make it hard to breathe. Spinal fusion is surgery that helps straighten the curves. It can relieve pain, make breathing easier, and give the spine a more normal appearance.

In spinal fusion for scoliosis, rods, hooks, wires, or screws are attached to the curved part of the backbone, and the spine is straightened. Small pieces of bone, called grafts, are then put over the spine. Bone for grafts is often taken from other parts of the body, like the hipbone. The grafts will grow together with the spinal bone, fusing it into the proper position. Spinal fusion is major surgery. It usually takes several hours to complete.

Different techniques can be used to do spinal fusion. But the basic procedure is the same.

The surgical technique most often used to straighten and stabilize the spine is to do surgery from the back. This is called the posterior approach.

What To Expect

What To Expect

Antibiotics to prevent infection are usually given at the start of surgery.

Most people spend several days in the hospital after surgery. They slowly increase their movement over those several days. Depending on which technique was used, some people may be fitted for a brace. But this is much less common now than in the past.

By the time a person leaves the hospital after surgery, they may be able to dress, bathe, feed themself, and walk around. A child may not return to school for a month or more.

Medicine used to reduce pain will be gradually decreased over a few weeks.

Activity

After surgery, it's important to avoid any extreme bending, twisting, stooping, or lifting of objects that weigh more than 10 lb (4.5 kg). You can expect to spend the first weeks at home with rest periods now and then throughout the day.

Activities that could jar the spine—such as competitive sports, ice skating, roller skating, and skiing (water or snow)—are restricted for several months. Cycling and swimming can often be resumed in a few months as long as you don't need a brace or cast.

Why It Is Done

Why It Is Done

Surgery may be done if:

  • Your child has a moderate to severe curve or yours is severe, and the curve is getting worse.
  • You have pain or trouble doing your daily activities.
  • Bracing can't be used or doesn't work.

Other factors considered before surgery include:

  • Age, skeletal age, and status of puberty.
  • Location of the curve.

Surgery may be considered in some situations, such as:

  • An adult who has trouble breathing or who has disabling back pain caused by scoliosis.
  • A very young child who has a severe spinal curve.

Experts have different opinions about the timing of surgery to treat scoliosis in young children. Some experts believe that surgery should be delayed until the child is older. That's because surgery stops the growth of the part of the spine that is fused. But in some situations, early surgery can't be avoided.

Learn more

How Well It Works

How Well It Works

Whether surgery is successful depends on many factors, including the flexibility of the curve and the technique that was used.

Multiple-hook, multiple-screws (that may also include hooks), and double-rod systems improve the shape of the spine and back as seen from the back and side.

The goal of surgery is not a perfectly straight spine but a balanced one, in which fusion prevents the curve from getting worse.

After surgery, back pain in adults usually gets better or goes away.

Risks

Risks

Risks of surgery include neurological complications, infection, and lung problems.

Surgery in an adult carries a higher rate of complications and risks than in a child or teen, including blood clots, infection, and neurological complications.

Other risks of surgery

Early complications of surgery include the following:

  • Collapse of a small portion of the lung is a possible problem after surgery. Frequent turning of the person and deep breathing and coughing help prevent this.
  • Deep wound infections are rare but may require another surgery.

Late complications after surgery include the following:

  • Back pain.
  • Failure of the fusion. A rod or instrument that breaks usually indicates that not enough bone has formed to fully fuse the bones together. But if there is no pain and the curve seems stable, a broken rod does not need to be removed.
  • Loss of lumbar lordosis (flat-back syndrome). Loss of the normal curve in the low back causes the upper body to tilt forward, so standing up straight is hard to do. It takes more energy to stand this way, and that can lead to fatigue in the upper back. Some people bend their hips and knees a little to help them straighten up, which can lead to pain around those joints. And there can be severe pain in the upper back, lower neck, and areas of the low back that were not fused.
  • Although neurological complications are rare, they can occur. To reduce the risk, most centers use intraoperative electronic monitoring of spinal cord functioning.

This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content.

© 1995-2022 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.

<cipublic-spinner variant="large"><span>Loading…</span></cipublic-spinner>

Page Footer

Quiero...

Obtener una tarjeta ID Presentar un reclamo Ver mis reclamos y EOB Verificar la cobertura de mi plan Ver la lista de medicamentos con receta Buscar un médico, dentista o centro dentro de la red Encontrar un formulario Encontrar información del formulario de impuestos 1095-B Ver el glosario de Cigna Contactar a Cigna

Audiencias

Individuos y Familias Medicare Empleadores Agentes Proveedores de cuidado de la salud

Sitios seguros para miembros

Portal myCigna para miembros Health Care Provider portal Cigna for Employers Client Resource Portal Cigna for Brokers

Información de la compañía Cigna

Acerca de Cigna Perfil de la compañía Empleos Sala de prensa Inversionistas Distribuidores Administradores externos Internacional Evernorth

 Cigna. Todos los derechos reservados.

Privacidad Información legal Divulgaciones de productos Nombres de la compañía Cigna Derechos de los clientes Accesibilidad Aviso sobre no discriminación [PDF] Asistencia idiomática [PDF] Reportar un fraude Mapa del sitio

Divulgaciones

Los planes de seguro médico y dentales, tanto individuales como familiares, están asegurados por Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc. y Cigna HealthCare of North Carolina, Inc. El seguro de salud de grupo y los planes de beneficios de salud están asegurados o administrados por CHLIC, Connecticut General Life Insurance Company (CGLIC) o sus afiliados (consulta la lista de entidades legales que aseguran o administran HMO grupal, HMO dental y otros productos o servicios en tu estado). Los planes o pólizas de seguro para lesiones accidentales, enfermedades críticas y cuidado hospitalario son distribuidos exclusivamente por o a través de subsidiarias operativas de Cigna Corporation, son administrados por Cigna Health and Life Insurance Company y están asegurados por (i) Cigna Health and Life Insurance Company (Bloomfield, CT), (ii) Life Insurance Company of North America (“LINA”) (Philadelphia, PA) o (iii) New York Life Group Insurance Company of NY (“NYLGICNY”) (New York, NY), anteriormente llamada Cigna Life Insurance Company of New York. El nombre Cigna, logotipo y otras marcas de Cigna son propiedad de Cigna Intellectual Property, Inc. LINA y NYLGICNY no son afiliadas de Cigna.

Todas las políticas de seguros y los planes de beneficios grupales contienen exclusiones y limitaciones. Para conocer la disponibilidad, costos y detalles completos de la cobertura, comunícate con un agente autorizado o con un representante de ventas de Cigna. Este sitio web no está dirigido a los residentes de New Mexico.

Al seleccionar estos enlaces, saldrás de Cigna.com hacia otro sitio web que podría ser un sitio web externo a Cigna. Es posible que Cigna no controle el contenido ni los enlaces de los sitios web externos a Cigna. Información detallada