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Adult Spinal Deformity Surgery

What is Adult Spinal Deformity Surgery?

Adult spinal deformity (ASD) refers to abnormal curvatures or misalignments of the spine, often causing chronic pain, mobility issues, and reduced quality of life. Surgery aims to restore alignment, relieve nerve compression, and stabilize the spine.

What are the Main Causes of Adult Spinal Deformity (ASD)?

Adult spinal deformities develop due to progressive structural changes or underlying conditions. Key causes include:

  • Degenerative Changes – Disc collapse, arthritis, or osteoporosis fractures causing misalignment.
  • Untreated Childhood Scoliosis – Progressive curvature from adolescence.
  • Failed Prior Spine Surgery – Non-union, hardware issues, or adjacent segment disease.
  • Neuromuscular Disorders – Cerebral palsy/Parkinson’s weakening spinal muscles.
  • Trauma/Infections – Fractures or spinal TB damaging vertebrae.
  • Idiopathic – No known cause (e.g., late-onset scoliosis).

Early diagnosis of Adult Spinal Deformity is crucial to prevent severe progression and irreversible damage. For expert evaluation and personalized treatment, consult best spine surgeon in Hyderabad - Dr. GPV Subbaiah, renowned for advanced deformity correction techniques and successful outcomes.

What are the Types of Adult Spinal Deformity Surgery?

There are some main types of adult spinal deformity surgery:

  1. Spinal Fusion with Instrumentation
    • Purpose: Stabilizes the spine using rods, screws, and cages.
    • Best for: Severe scoliosis/kyphosis requiring rigid correction.
  2. Osteotomies (Bone Reshaping)/ Osteotomy-Based Corrections
    • Pedicle Subtraction Osteotomy (PSO): Removes a wedge of bone to correct rigid curves.
    • Vertebral Column Resection (VCR): For extreme deformities (full vertebra removal).
  3. Minimally Invasive Deformity Correction
    • Lateral Approaches (LLIF/XLIF): Corrects curves through small incisions.
    • Navigation-Guided Surgery: Enhances precision in screw placement.
  4. Hybrid Techniques
    • Combines fusion with motion-preserving implants (e.g., artificial discs at select levels).
  5. Revision Deformity Surgery
    • Fixes failed prior surgeries (e.g., broken rods, non-union).

Consult a top spine deformity specialist in Hyderabad to determine the optimal surgical approach based on your specific spinal curvature, flexibility, and medical history.

When is Adult Spinal Deformity Surgery Needed?

Surgery becomes necessary when spinal misalignment causes:

  1. Severe Pain – Unresponsive to 6+ months of conservative treatments:
    • Physical therapy (PT)
    • Medications
    • Injections
  2. Progressive Deformity – Worsening curvature:
    • Scoliosis >40°
    • Kyphosis >60°
    • Risking organ/lung function
  3. Neurological Deficits – Symptoms from nerve/spinal cord compression:
    • Numbness
    • Weakness
    • Balance issues
  4. Failed Non-Surgical Care – Continued disability despite:
    • Bracing
    • Therapy
  5. Quality of Life Decline – Inability to:
    • Stand upright
    • Walk
    • Perform daily activities

Early intervention prevents irreversible damage. Consult Dr. GPV Subbaiah for personalized evaluation, who is the best doctor for spinal deformity treatment in Hyderabad.

Advanced Technologies in Adult Spinal Deformity Surgery:

Modern deformity correction utilizes cutting-edge tools for precision, safety, and faster recovery:

  1. Robotic & Navigation Guidance
    • 3D Intraoperative Imaging: Provides real-time spinal mapping.
    • Robotic Arms (e.g., Mazor X, ROSA): Enhance screw placement accuracy (<1mm error).
  2. Neuromonitoring
    • Continuous EMG/SSEP Monitoring: Detects nerve irritation during surgery, preventing paralysis.
  3. Minimally Invasive Techniques
    • Lateral Approaches (LLIF/XLIF): Correct curves through small incisions, reducing muscle damage.
    • Percutaneous Screws: Placed via tiny skin openings.
  4. Advanced Implants
    • Expandable Cages: Restore disc height in collapsed segments.
    • Patient-Specific Rods: 3D-printed for perfect anatomical fit.
  5. Biological Enhancers
    • Stem Cells/BMP-2: Boost fusion rates in complex revisions.

Top Spine Surgeon in Hyderabad - Dr. GPV Subbaiah uses these technologies to reduce complications by 30% and shorten recovery by 50%.

Why Choose Dr. GPV Subbaiah for Adult Spinal Deformity Surgery?

  • Unmatched Expertise – 31+ years specializing in complex spinal deformities (scoliosis, kyphosis, flatback), with 500+ successful corrections.
  • Advanced Technology – Uses robotic navigation, 3D-printed implants, and neuromonitoring for precision and safety.
  • Personalized Plans – Tailors surgery to your deformity type, age, and lifestyle (e.g., hybrid fusion for active patients).
  • High Success Rates – 90% curve reduction in severe scoliosis/kyphosis cases.
  • Comprehensive Care – Partners with physiotherapists for faster recovery (most patients stand within 48 hours).

With 90%+ surgical success rates, Dr. GPV Subbaiah stands as the top choice for complex spinal deformity corrections in Hyderabad, including adult scoliosis and kyphosis, using cutting-edge restorative techniques.

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When is surgery recommended for adult spinal deformity?

When pain becomes severe, curves progress (scoliosis >40° or kyphosis >60°), or neurological symptoms (numbness/weakness) appear despite 6+ months of non-surgical treatments.

What surgical techniques are used in adult spinal deformity surgery?

Adult spinal deformity surgery employs advanced techniques like pedicle subtraction osteotomy (PSO) and 3D-navigated spinal fusion, tailored to correct curvature while minimizing nerve risks.

  • Spinal fusion (rods/screws for stabilization)
  • Osteotomies (bone reshaping for rigid curves)
  • Minimally invasive options (for select cases)

How long is the recovery after adult spinal deformity surgery?

Recovery after adult spinal deformity surgery typically takes 6-12 months, with most patients resuming light activities in 6-8 weeks. The full healing process, including bone fusion and strength restoration, may continue for up to 18 months.

Can adult spinal deformity surgery improve posture and height?

Yes, adult spinal deformity surgery can significantly improve posture and restore lost height—many patients gain 1-3 inches after correction of severe curvatures.

What are the risks of adult spinal deformity surgery?

Adult spinal deformity surgery risks include infection, nerve injury, or non-healing fusions, but advanced techniques like neuromonitoring minimize complications. Choosing an experienced surgeon reduces these risks significantly.

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