Dr. Ratish Kumar Mishra is a highly skilled and dedicated Consultant Orthopaedic and Spine surgeon currently associated with Sanjivini Hospital in Gomti Nagar, Lucknow. His areas of expertise include Neck Pain, Back Pain, Sciatica Pain, Slipped Disc, Lumbar Canal Stenosis, Spondylolisthesis, Fractures in the Spine, Spinal Cord Injury, Spine Tumors, and infections in the spine. He is also skilled in Scoliotic spine surgery and Deformity correction surgeries. He is well-versed in open, Minimally Invasive, and Endoscopic spine surgeries. He can perform anterior and posterior Cervical, Thoracic, and Lumbar spine surgery.”

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Scoliosis Surgery

Scoliosis Surgery

Scoliosis surgery is a medical intervention designed to correct the curvature of the spine in individuals with scoliosis, a condition characterized by an abnormal sideways curvature. This comprehensive overview explores the principles, indications, surgical techniques, and expected outcomes associated with scoliosis surgery.

Principles of Scoliosis Surgery:

  1. Curvature Correction:
    • The primary goal of scoliosis surgery is to correct the abnormal curvature of the spine, preventing further progression and improving overall spinal alignment.
  2. Stabilization:
    • The surgery aims to stabilize the spine by fusing vertebrae together, reducing the curvature and preventing it from worsening.

Indications for Scoliosis Surgery:

  1. Severe Curvature:
    • Scoliosis surgery is typically considered when the curvature exceeds a certain degree, often around 40 to 50 degrees, and is still progressing despite non-surgical interventions.
  2. Respiratory Compromise:
    • If scoliosis affects the function of the lungs, leading to respiratory issues, surgery may be recommended to improve lung capacity.
  3. Pain and Discomfort:
    • Individuals experiencing severe pain or discomfort due to scoliosis may opt for surgery to alleviate symptoms and improve their quality of life.

The Surgical Process:

  1. Incision:
    • Scoliosis surgery is usually performed under general anaesthesia. The surgeon makes an incision along the spine, exposing the vertebrae.
  2. Instrumentation:
    • Metal rods, screws, and hooks are attached to the vertebrae to provide stability and correct the curvature.
  3. Bone Grafting:
    • Bone grafts, either from the patient’s own body (autograft) or a donor (allograft), are placed along the spine to promote fusion between the vertebrae.
  4. Spinal Fusion:
    • The surgery induces a controlled fusion between the vertebrae, preventing further movement and maintaining the corrected alignment.
  5. Implant Removal (Optional):
    • In some cases, especially with modern instrumentation, implants may be removed after the spine has fused adequately.
  6. Closure:
    • The incision is closed with stitches or staples, and the patient is closely monitored during the postoperative period.

Expected Outcomes:

  1. Improved Spinal Alignment:
    • Scoliosis surgery aims to significantly improve the alignment of the spine, preventing further progression of the curvature.
  2. Pain Relief:
    • Surgery often results in pain relief, especially for individuals who experienced discomfort or pain due to the scoliotic curvature.
  3. Enhanced Functionality:
    • With the corrected alignment, individuals typically experience improved functionality and range of motion.

Risks and Considerations:

  1. Infection:
    • As with any surgical procedure, there is a risk of infection at the surgical site.
  2. Hardware Complications:
    • Issues related to the implanted hardware, such as screws or rods, may occur and may require additional interventions.
  3. Non-Union:
    • In some cases, spinal fusion may not fully succeed, resulting in a condition known as non-union. This may necessitate additional surgeries.
  4. Neurological Complications:
    • There is a slight risk of neurological complications, such as nerve damage, during the surgery.

Conclusion:

Scoliosis surgery is a significant intervention aimed at correcting spinal curvature and improving the overall quality of life for individuals with severe scoliosis. While the surgery carries certain risks, the potential benefits in terms of spinal alignment, pain relief, and improved functionality can be transformative. Patients considering scoliosis surgery should engage in thorough discussions with their healthcare team to understand the procedure, potential risks, and expected outcomes based on their specific condition.

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    Patient’s Reviews

    Dr. Ratish is an exceptional Orthopedic Surgeon whose expertise and dedication truly stand out. His meticulous attention to detail, coupled with his compassionate patient care, make him a remarkable choice for anyone seeking orthopedic treatment. With a deep commitment to improving his patients' quality of life, Dr. Ratish’s skill and professionalism are truly admirable.

    Shefali Chimnani

    Patient

    Dr Ratish is an exceptional specialist in spine care. His expertise is evident in his precise diagnoses and effective treatments. His dedication to patient well-being and extensive experience makes him a top choice for anyone seeking spine-related medical assistance.

    Aman Ahuja

    Patient