Conservative treatment or scoliosis surgery or kyphosis surgery – both are possibleThe choice of a suitable treatment method depends on the severity of each individual spinal column crookedness or bending. But the causes, age of the patient, predicted disorder progression and especially what time it occurred also greatly influence treatment.
At Schoen Clinic, we offer conservative and surgical treatments. Even when conservative measures have failed – the scoliosis or kyphosis has progressed despite physiotherapy and corset treatment – there’s always the possibility of surgery. The goal of all measures is to not only prevent the scoliosis or kyphosis from progressing, but also to realign it and keep the spine in its correct position in the long term.
Conservative treatment methods
Conservative treatment: physiotherapy for mild scoliosisMost often, mild scoliosis has a misalignment of up to approx. 20 degrees. When children are affected, the disorder only rarely advances during growth. In these cases, we recommend physiotherapeutic therapy with targeted and straightening exercises, i.e. scoliosis-specific physiotherapy. You can strengthen all of your back muscles to combat further crookedness. The “Schroth” method is one of our clinic’s specialities. It was developed especially for stretching and correcting the crooked spinal column. This also stabilises the muscles.
Conservative treatment for scoliosis: corset for childrenFor children with scoliosis, the most effective conservative treatment is a corset worn until growth stops. It is intended to straighten out the scoliosis during treatment and prevent the scoliosis from advancing, as well as any consequential damages or even surgery. We recommend check-ups every six months for all corset treatments. Because the body changes during growth, the corset also needs to be constantly adjusted accordingly, or recreated, especially in case of growth spurts.
For adults, corset treatment is no longer possible or useful. However, when patients refuse surgery, corsets can alleviate pain through their stabilising function.
Conservative treatment for kyphosisIf weak back muscles have triggered the kyphosis, you can often improve your posture and symptoms through physiotherapy. Through special exercises, you can then strengthen your back muscles and stretch your chest muscles. If therapy starts early, wearing a growth-adjusting corset can also be beneficial.
Surgical treatment methods
Scoliosis: surgery proceduresWe decide whether surgery is necessary or beneficial for each patient individually. In scoliosis surgery, the spinal column is corrected and permanently stabilised in its corrected position using metal implants, typically using a screw-rod system. This reinforces the treated spinal column section. During the operation, the spinal cord function and nerves are constantly monitored to guarantee the highest levels of safety.
At the end of scoliosis surgery, highly effective pain therapy is always conducted for the first few days after the procedure. Afterwards, stability is normally high enough that gypsum or corset after-treatment is no longer needed. Under the guidance of our physiotherapists, patients will then begin movement exercises and should be standing and making their first steps as early as the first day after surgery. As soon as they can safely stand, walk and climb stairs, they can leave the hospital.
Via targeted form correction and short stiffening stretches, our surgical procedures lead to great cosmetic results. At the same time, we guarantee the highest-possible safety for our patients.
For small children who still have a lot of growth ahead of them, we carry out growth-adjusting procedures for the best-possible torso growth. This also involves using continuously growing scoliosis rods that can be extended at regular intervals carefully from the outside, without repeated surgery.
Kyphosis: surgery proceduresFor kyphosis, surgery is only necessary in extreme cases. It’s also only an option for adults, after growth has stopped. Through different surgical procedures, we can prevent kyphosis advancing, recreate normal form and axis relationships and therefore rebalance the spinal column.
In the procedure, we don’t just stabilise the straightened spinal column segments – we also secure the underlying nerve structures. Modern implants and surgical techniques keep the two or three affected vertebrae in a good position until they have been reinforced. Afterwards, the spinal column can fully bear weight again.