- See:
Scoliosis Menu:
- Discussion:
- frequently double curves balance out & do not produce cosmetic deformity;
- they do not tend to progress unless
> 60 deg at skeletal maturity;
-
operative indications:
- marked progression of curves;
-
disadvantages of surgery:
- instrumentation must be applied to almost the entire spine;
- long spinal fusions may lead to:
- degenerative changes below level of fusion leading to chronic pain;
- pseudarthrosis
- loss of lordosis;
- kyphotic deformity:
- develops secondary to degeneration of the discs;
- esp common in females approaching menopause;
- because kyphosis may narrow of spinal canal, secondary
spinal stenosis may also develop as well;
