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Same severe scoliosis Post-Op from lateral (or side view), note anterior cages, rod and screws | The goals of scoliosis surgery are to obtain a fusion, prevent progression of the curve and maximize the overall correction. Many scoliosis patients are very aware of their deformity and wish to obtain maximum correction even it means undergoing an added stage to achieve the best cosmetic result in their deformity.
Sometimes in individuals with large thoracic humps due to rib cage deformity and rotation, a thoracoplasty will be performed. In this procedure part are the ribs are removed adjacent to the spine to allow a flattening of the rib deformity or hump. This bone is used for bone graft sometimes allowing an iliac graft not to be required.
Following surgery, depending on the extent, the patient will be mobilized by the second post operative day and ambulated with the assistance of physical therapy and the nursing staff. Generally, baring complications the patient is discharge from the hospital fully independent, wearing a soft brace or corset to help protect against adverse movement which might stress the spine fixation. Average hospital stays vary from 5 to 12 days or more depending on the complexity and staging over several days. Patients usually go home without any skilled help and are able to perform simple tasks such a dressing, bathing and preparing a light meal by themselves. Pain medicine is given but often not required after a short time.
Restrictions in movement and lifting are given to the patient in a discharge instruction sheet and follow up is usually in about six week's time.
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