
What is a Spinal Osteotomy?
Spinal osteotomy is a specialized surgical procedure to correct severe spinal deformities like abnormal curves, hunchbacks (kyphosis), or swaybacks (lordosis). This procedure involves removing or reshaping parts of the vertebrae to restore the natural alignment of the spine.
It is often used when:
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Non-surgical treatments, such as braces or physiotherapy, are not effective.
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The deformity causes significant pain, limited mobility, or affects the functioning of other organs like the lungs or heart.
Who Needs Spinal Osteotomy?
Spinal osteotomy is recommended for patients with:
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Kyphosis: Severe forward curvature of the spine.
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Flat-Back Syndrome: Loss of the natural lumbar curve.
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Ankylosing Spondylitis: A condition where the spine becomes stiff and bent.
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Post-Traumatic Deformities: Spinal misalignment due to previous injuries.
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Failed Spine Surgery: Correction of complications from earlier procedures.
Types of Spinal Osteotomy
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Smith-Petersen Osteotomy (SPO):
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Removes small sections of bone from the spine’s back.
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Used for mild to moderate deformities.
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Pedicle Subtraction Osteotomy (PSO):
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Removes a triangular section of bone to allow significant spinal realignment.
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Suitable for severe kyphosis or rigid deformities.
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Vertebral Column Resection (VCR):
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Removes an entire vertebra for correcting complex or multi-directional deformities.
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Ideal for the most severe cases.
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How is the Procedure Performed?
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Anesthesia: General anesthesia ensures the patient is asleep and pain-free.
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Osteotomy Execution:
1. The surgeon removes or reshapes specific vertebrae to realign the spine.
2. Fixation devices like rods and screws stabilize the spine in its new position.
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Final Adjustments: Bone grafts may be used to promote fusion and ensure long-term stability.
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Closure: The incision is closed, and the patient is moved to recovery.
Recovery After Spinal Osteotomy
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Hospital Stay: Patients typically stay in the hospital for 5-7 days for monitoring.
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Pain Management: Medications are provided to manage post-surgical discomfort.
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Physical Therapy: Rehabilitation exercises help regain strength and mobility.
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Gradual Return to Activities: Most patients can resume light activities within 6-8 weeks, with full recovery taking several months.
Risks and Complications
Like any major surgery, spinal osteotomy has potential risks, including:
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Infection
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Blood loss
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Nerve injury
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Implant issues (rare)
With Dr. Acharya’s expertise and the advanced facilities at Sir Gangaram Hospital, these risks are minimized, ensuring safe and successful outcomes.
Is spinal osteotomy painful?
Patients are under anesthesia during the procedure and receive effective pain management during recovery.
How long is the recovery period?
Recovery varies but most patients resume normal activities within 6-12 weeks, with continued improvement over several months.
Can elderly patients undergo spinal osteotomy?
Yes, if the patient is in good health, age is not a barrier.
How do I prepare for surgery?
Follow your doctor’s pre-surgery guidelines, including any dietary or medication adjustments.
Is this procedure expensive?