Congenital Scoliosis
Steps Involved in IVF:
Procedure Description
Congenital scoliosis is a spinal deformity present at birth caused by a malformation of the spine during fetal development. Unlike idiopathic scoliosis, which appears later in life without a clear cause, congenital scoliosis is rooted in developmental anomalies that occur while the baby is still in the womb. These anomalies can result from the abnormal segmentation of the vertebrae, causing a curvature of the spine that may progress as the child grows. In severe cases, the curvature may affect other parts of the body, including the lungs and heart, impacting the individual's overall health and quality of life.
The treatment of congenital scoliosis is often more complex than other forms of scoliosis because the malformations are structural, involving bone deformities or fused vertebrae. Management of the condition depends on the severity and location of the spinal curve, as well as the child's age and overall health. The primary goal is to correct or halt the progression of the spinal curve to prevent further deformities and functional impairments. Non-surgical options, like bracing and physical therapy, are less effective in congenital scoliosis than in other types, and surgical interventions are more commonly recommended.
Surgical approaches for congenital scoliosis vary, but the most common procedures include spinal fusion and instrumentation. Spinal fusion involves fusing the affected vertebrae to stop growth and prevent further curvature. Instrumentation, such as rods and screws, may be used to correct and stabilize the spine. Modern surgical techniques aim to correct the deformity while preserving as much spinal growth as possible. Some advanced procedures allow for continued spinal growth post-surgery, using techniques like growing rods or vertical expandable prosthetic titanium ribs (VEPTR).
Procedure Duration
The duration of congenital scoliosis surgery depends on multiple factors, including the patient's age, the extent of the curvature, and the type of surgical intervention. Typically, the surgery itself may take between 4 to 8 hours. This timeframe can vary based on the complexity of the condition and whether additional measures, like spinal fusion with instrumentation, are required.
The postoperative recovery time is significant, as scoliosis surgery is complex and affects a crucial part of the musculoskeletal system. Initially, patients are monitored in the hospital for 3 to 7 days to ensure that no immediate complications, such as infection or neurological issues, arise. Pain management, physical therapy, and mobilization are crucial parts of this immediate recovery phase. After hospital discharge, a rehabilitation period of several weeks to months follows, involving regular physical therapy to restore movement and flexibility.
The long-term recovery period can extend up to 12 months, during which the patient gradually returns to normal activities. During this time, regular follow-up visits with the healthcare provider are necessary to monitor the spine's healing and growth. In some cases, the surgical hardware may need adjustments as the child grows, especially if the condition is managed with growth-friendly instrumentation that requires periodic lengthening.
Benefits
- Correction of Spinal Deformity: Surgical intervention aims to correct the spine's curvature, improving posture and reducing the risk of further deformity.
- Improved Quality of Life: By addressing the deformity early, surgery can enhance the patient's overall well-being, enabling more physical activities and social integration.
- Prevention of Progression: The primary goal is to halt the worsening of the spinal curvature, which can cause additional health issues over time.
- Minimized Impact on Adjacent Organs: Correcting the curvature reduces pressure on the lungs, heart, and other organs that may be affected by the abnormal spine shape.
- Modern Techniques Allow Spinal Growth: Certain surgical techniques are growth-friendly, allowing the spine to continue developing while correcting the curvature.
Potential Destinations
1. United States
Renowned for its advanced medical facilities and expertise in pediatric orthopedics, the U.S. offers cutting-edge surgical procedures for congenital scoliosis. Access to state-of-the-art technology and a multidisciplinary team approach make it a leading destination for spinal surgeries.
2. Germany
Germany is known for its high-quality medical services, especially in orthopedics and spine surgeries. The country boasts modern healthcare facilities and surgeons trained in advanced minimally invasive techniques, providing a high standard of care and comprehensive rehabilitation programs.
3. India
India has emerged as a prominent destination for orthopedic and spinal surgeries, offering skilled surgeons with international training and experience. Affordable treatment options and shorter waiting times, along with high-quality care, attract patients from around the globe.
4. South Korea
South Korea is home to several world-class hospitals specializing in orthopedic and pediatric care. With a reputation for utilizing the latest surgical techniques and technologies, the country's healthcare system provides high standards of care and outcomes in scoliosis treatment.
5. Turkey
Turkey has become a notable medical tourism destination for orthopedic and spinal procedures, including congenital scoliosis surgeries. With highly qualified surgeons and modern healthcare infrastructure, patients benefit from quality care at competitive prices.
Risks & Considerations
- Infection: Post-surgical infections are a potential risk and can affect recovery. Hospitals employ strict protocols to minimize this risk, but patients should be aware of symptoms of infection.
- Neurological Complications: As the spine houses the spinal cord, any surgical intervention carries a risk of neurological complications. Surgeons take extreme care to avoid nerve damage, but the risk exists.
- Hardware Issues: Surgical hardware, such as rods and screws, can sometimes fail or require adjustment, necessitating additional surgical interventions.
- Limited Spinal Flexibility: Spinal fusion procedures, while stabilizing the spine, may reduce flexibility and affect movement in some cases.
- Anesthesia Risks: As with any major surgery, there are inherent risks associated with general anesthesia, especially in young children.
How to Choose the Right Doctor and Hospital
When selecting a healthcare provider for congenital scoliosis treatment, it is crucial to consider the doctor's experience and specialization in pediatric spinal deformities. Look for surgeons with extensive training in spine surgery, especially those who have performed numerous successful procedures on children. Board certification, experience in treating congenital scoliosis, and familiarity with the latest surgical techniques are key factors in choosing a qualified doctor.
Equally important is the choice of hospital or medical facility. Opt for hospitals with a strong reputation in pediatric orthopedics and a multidisciplinary approach to scoliosis care. Ensure the hospital is equipped with advanced diagnostic tools and surgical technologies, and offers comprehensive postoperative rehabilitation services. Researching patient reviews and seeking recommendations from other medical professionals can help make an informed decision
To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote
Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com
Frequently Asked Questions
What actually happens during hyperstimulation of the ovaries?
The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.
What happens during egg retrieval?
When the follicles have developed enough to be harvested, the patient attends an appointment where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.
What happens to the eggs?
In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle. Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.
How are the embryos transferred back to the uterus?
The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.
Embryoscope©
Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.
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Punta Mita Hospital
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Punta Mita Hospital - Genesis Cell
Mexico
