Severe scoliosis can cause problems with heart and lung function. The definition of severe scoliosis varies according to its source. Most authors consider 60 degrees to be the standard for scoliosis.
There are two main factors that influence the decision to have major spinal fusion surgery or not. The first is cosmetic appearance, which most orthopedic surgeons think is the primary concern of patients and parents before learning about the potential cardiopulmonary effects. The second is the fear of health problems not only in the near future but also in the future.
You can get more information about scoliosis treatment in Singapore at various online sources.
Studies clearly show that an increased risk of lung function loss is due to thoracic structural scoliosis with a Cobb reading greater than 60 degrees in the frontal plane.
Curves peaking below T9 usually do not have restrictive lung problems because there is no thoracic deformity and much less spinal stiffness. Thoracic curves with a peak higher than T7 are also excluded.
Therefore, any child who does not show a measurable decrease in lung function should not undergo scoliosis surgery for medical reasons and should be aware that this procedure is for cosmetic purposes.
Scoliosis surgery, with and without thoracoplasty, is common practice in the management of juvenile idiopathic scoliosis, and those considering this procedure should understand the outcomes and the potential risks involved in achieving the desired cosmetic improvement.