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Deformity of spine or spinal deformity is any abnormality of the formation, alignment, or shape of the vertebral column.
The spine is made up of over 25 small bones called vertebrae that support the upper body. The cervical spine (C-spine) is the upper portion, composed of seven vertebrae. It supports the neck and head.
The thoracic spine (T-spine) is composed of 12 vertebrae, which connect to the rib cage and support the torso. The lumbar spine (L-spine) has five large vertebrae that support most of the body’s mass and weight.
The sacrum is the base of the spine, and in most people, is composed of two to four partially fused bones terminating in the coccyx (commonly known as the tailbone) within the pelvis.
The normal human spine has gentle curvatures, but when those curves are exaggerated, extreme, or displaced they’re considered deformities. Some deformities are subtle and not easily detected in a growing child.
DESUN Hospital, Kolkata, India is equipped with the latest and advanced technology for Correction of Curved Spine. Advanced technology compliments our team of Neuro surgeons to perform complex Neuro surgery but at an affordable cost. At DESUN Hospital, the cost of Correction of Curved Spine Surgery is one of the lowest when compared with the other centres in Kolkata, India.
Best service at Affordable cost
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All procedures are completed within given estimated cost.
For patients coming from far away districts, other states & outside India we can help you in finding accommodation of accompanying patient parties at Guest House/ Hotels near the hospital.
Signs or observable conditions of scoliosis may include:
Symptoms of scoliosis that can be felt by the person with the condition vary
Scoliosis is not a single disease. It falls along a spectrum, from mild to moderate to severe. Symptoms include pain or stiffness in the mid-to-lower back, and numbness or weakness in the legs or feet. Not all adults with degenerative scoliosis experience pain. When pain does occur, a pinched nerve is typically the cause, not the curvature.
In more severe cases, scoliosis can cause shooting pain down the leg (sciatica), an inability to stand up straight, and an inability to walk more than a short distance. Symptoms of severe, progressive scoliosis are similar to those of stenosis, but with visible spinal imbalance. This imbalance can result in strain on the hips and knees, the inability to walk a straight line, and falls.
Patients with kyphosis lose their ability to stand up straight. Hunched over while standing, they may become quickly fatigued and have difficulty talking to others or maintaining eye contact. They also may have difficulty lying flat.
Mild to moderate spinal deformity is common in older adults, but it can also affect adults in their 50s and younger. An estimated 60% of people over age 60 may have mild degenerative scoliosis.
As a person gets older, his or her bones undergo degenerative changes that are part of the natural aging process. When joints deteriorate, arthritis can develop and the spinal column can shift sideways. Other conditions that might cause degeneration include:
The aging of joints, combined with a fracture at a level above a previous fusion, can also cause a significant deformity. Simply removing material from the spine can cause a problem down the road. It may reduce or eliminate pain in the near term, but symptoms can return later because of instability of the spine. Early treatment helps in supporting the patient’s overall balance and mobility.
A physical examination by the doctor is necessary to determine a deformity of the spine. Screening evaluations of children are routinely done in physician offices and at schools. These evaluations commonly involve a diagnostic test called the Adam’s forward bend test.
A scoliometer can be used to measure the degree of curvature in the spine. However, the results are not completely accurate. When spinal deformities are suspected and if further investigation is needed and tests include the following:
X-rays create images of the bones in the spine and show whether any of them are too close together or whether the patient has arthritic changes, bone spurs, fractures, or slippage of the vertebrae. Special flexion and extension x-rays are taken to measure misalignment of the bones and curve progression.
Computed Tomography (CT) scan is a non-invasive test that uses an x-ray beam and a computer to make 2-dimensional images of the spine. It may or may not be performed with a dye (contrast agent) injected into the bloodstream. It is useful for viewing changes in bony structures.
Magnetic resonance imaging (MRI) scan is a non-invasive test that uses a magnetic field and radiofrequency waves to give a detailed view of the soft tissues of the spine. Unlike an x-ray, nerves and discs are clearly visible. It may or may not be performed with a dye (contrast agent) injected into the bloodstream. MRI is useful in evaluating soft-tissue damage to the ligaments and discs, and assessing spinal cord injury.
Myelogram is a specialized X-ray where contrast dye is injected into the spinal canal. A fluoroscope then records the images formed by the dye. Myelograms can show a nerve being pinched by a disc, bony overgrowth or stenosis. The dye gives a picture of the spinal canal, spinal cord, and nerves in detail. A CT scan follows the test.
For the most part, non-operative treatments are recommended before surgery is considered. Non-operative treatments include pain medications, physical therapy (including gait and posture training), and certain braces.
Surgery is considered if:
Treatment for mild to moderate spine deformity in adults is determined by the severity of the symptoms, not the size of the curve. It begins with a trial period of pain management, physical therapy, and nonsurgical options. If pain is caused by inflammation of the facet joints, treatment involves facet joint therapy. If the curvature is mild, the deformity is not treated. If the curvature is severe, complex spinal surgery may be recommended. Barring serious "red flags," such as a neurologic impairment, conservative care is used for 3 to 6 months before surgery is considered.
Selfcare: Using correct posture and keeping the spine in alignment are the most important things the patient can do for his or her back. The lower back (lumbar curve) bears most of the weight, so proper alignment of this section can prevent injury to the vertebrae and discs. The patient may need to make adjustments to his or her daily standing, sitting, and sleeping habits.
Bone density: Since good bone density reduces the risk of fractures in aging adults, the patient may be asked to undergo a bone-density scan to determine the strength of the bones.
Physical therapy: Exercise and strengthening exercises are key elements to treatment and should become part of the patient’s life-long fitness. Physical therapists instruct the patients on proper lifting and walking techniques, and work with them to strengthen the back, leg, and stomach muscles.
Medication: Over-the-counter and prescription medications can help the patient cope with back pain.
Epidural Steroid Injection(ESI): This minimally invasive procedure involves an injection of corticosteroid and an analgesic-numbing agent into the epidural space of the spine to reduce the swelling of the spinal nerves. Many patients have some relief after an ESI, although the results tend to be temporary. If injections are helpful, they can be repeated.
Facet injection: This minimally invasive procedure involves an injection of corticosteroid and an analgesic-numbing agent into the painful facet joint.
Bracing: Wearing a brace is often used for childhood scoliosis, but it does not straighten the adult spine. A brace may help reduce pain in the short-term, but it also allows the muscles to get weaker, eventually leading to more back pain.
Chiropractic care: Chiropractors apply pressure to an area to align bones and return joints to a more normal motion. Patients with spinal deformity might benefit from tissue massage for a muscle spasm, traction for a pinched nerve, or ultrasound for tight muscles. Dry needling or acupuncture might also prove helpful.
Surgery: Surgical options vary depending on the severity of the symptoms, the number of levels affected, and the type of deformity. A combination of different fusion and instrumentation techniques are used to treat the patient’s specific condition.
Decompression: If the scoliosis is mild and is causing a pinched nerve at one level, only that level is treated with a laminectomy.
Fusion: A patient suffering from foraminal stenosis and scoliosis usually requires a fusion to restore disc height when a vertebra has collapsed on a nerve. Fusion makes the vertebrae square in relation to each other and restores proper alignment.
Minimally invasive fusion: A lateral lumbar interbody fusion (LLIF) surgery is an option for some patients with scoliosis. The surgeon operates through a tube incision at the waist and avoids cutting the back muscles.
Spinal reconstruction: Complex deformities and kyphosis often require the cutting of bone (osteotomy) and stabilization with long rods and screws in staged operations.
The goals of surgery are to relieve symptoms and to align and stabilize the spine. However, since spinal deformity varies from patient to patient, no two surgical treatments will be the same.
Signs or observable conditions of scoliosis may include:
Symptoms of scoliosis that can be felt by the person with the condition vary
Scoliosis is not a single disease. It falls along a spectrum, from mild to moderate to severe. Symptoms include pain or stiffness in the mid-to-lower back, and numbness or weakness in the legs or feet. Not all adults with degenerative scoliosis experience pain. When pain does occur, a pinched nerve is typically the cause, not the curvature.
In more severe cases, scoliosis can cause shooting pain down the leg (sciatica), an inability to stand up straight, and an inability to walk more than a short distance. Symptoms of severe, progressive scoliosis are similar to those of stenosis, but with visible spinal imbalance. This imbalance can result in strain on the hips and knees, the inability to walk a straight line, and falls.
Patients with kyphosis lose their ability to stand up straight. Hunched over while standing, they may become quickly fatigued and have difficulty talking to others or maintaining eye contact. They also may have difficulty lying flat.
Spinal fusion is very successful in stopping the curve from growing. Today, doctors are also able to straighten the curve significantly, which improves the patient’s appearance.
In a spinal fusion, the curved vertebrae are fused together so that they heal into a single, solid bone. This will stop growth completely in the abnormal segment of the spine and prevent the curve from getting worse. All spinal fusions use some type of bone material, called a bone graft, to help promote fusion. Generally small pieces of bone are placed into the spaces between the vertebrae to be fused. The bone grows together- similar to when a broken bone heals.
Metal rods are typically used to hold the spine in place until fusion takes place. The rods are attached to the spine by screws, hooks, and/or wires.
After spinal fusion most people have enough motion in their backs to perform all activities of daily living and most sports. If you participate in activities which require a tremendous amount of flexibility, it may take awhile to adapt. Most people find that within a year or so their back begins to feel normal while doing activities.
No, it should not. There have been many studies by experts on scoliosis and pregnancy, and none have shown difficulties in conceiving in those patients.
At Desun Hospital, the surgery and hospital stay package prices are one of lowest in comparison to other corporate hospitals, and 24x7 availability of Specialist Surgeons & Consultants under one roof ensure prompt treatment. Every patient receives the highest standards in care which are cost-effective, time-saving and lead to quick recovery. Desun Hospital has a holistic approach to patient care with an end to end integration of various processes, starting from consultation to diagnosis, surgery and finally complete post-operative care.
Desun Hospital Kolkata is premium superspeciality hospital in Eastern India with state of art health care infrastructure. Desun Hospital Kolkata is NABH and NABL accredited and follow strict quality parameters as per requirements.
Desun Hospital is among the very few hospitals in India where there is more than 700 comprehensive surgery packages available. The composite surgery packages are all inclusive of the important things that are a part of any surgery process starting from information seeking by patient or patient party to the post operative care that may continue even after discharge from hospital. The surgery packages at the hospital have been developed by experienced medical team so that it is all inclusive and comprehensive.
The surgery packages at Desun Hospital Kolkata are affordable as per cost and quality. High quality health care services in a hospital in India at affordable cost are a combination that is indeed helpful to patients visiting the hospital from all over India, West Bengal and certainly Kolkata. People also visit the hospital from parts of the world like Bangladesh, Nepal, Bhutan and South East Asia.
The excellent patient service team and 24 hours emergency response also brings in local Kolkata residents and people from parts of West Bengal and North Bengal whose relatives, sons or daughters stay outside India. NRI’s and NROB’s have facility to enroll their parents and elders under the Desun Senior Citizen Card scheme that enables them to take care of the hospitalization and health care needs of their senior citizen elders and parents back home in India. All payments and procedures of admission, discharge etc can be concluded online or over phone.
Desun Hospital has facilities for latest surgeries and all modern equipments, OTs (Steel OT’s) and updated facilities to deliver excellence in terms of latest surgery techniques , modern well maintained equipments and over all top level health care infrastructure. Laparoscopic surgeries (lap) , key hole , minimally invasive and invasive surgeries all are conducted in the hospital. The hospital has advanced health care facility.
Highly experienced doctors, well trained staffs, active patient care team alongside the best surgery facilities provide a very good experience at Desun. This is evident from the numbers of people and families who recommend this hospital in Kolkata, India as a very dependable place for undergoing latest surgeries at an affordable cost. There are many success stories at Desun Hospital those published and discussed even in leading national and local newspapers and news media in television. Desun’s medical team with it’s dedication and help pf advanced health care facilities at the hospital have done surgeries that are popular among hospital impact stories in India.
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