Why is Surgery Needed?

For patients with a significant spinal curve that may continue to worsen, surgery can prevent complications such as difficulty breathing, pain, and cosmetic concerns. Scoliosis surgery aims to improve spinal balance and overall health.

What Happens During the Surgery?

Preparation

• Anaesthesia: You will be given medications to help you sleep so you feel no pain and won’t remember the procedure.
• Monitoring: Once asleep, an IV and urinary catheter are placed for safety and fluid monitoring.
• Duration: The surgery typically lasts a few hours.

Accessing the Spine

• Incision: Prof Aaron Buckland makes an incision in your back to access your spine.
• Muscle Detachment: Muscles are carefully detached from the back of the spine to expose the vertebrae.

Straightening the Spine

• The spine is made more flexible by releasing ligaments and bone to allow straightening.
• Screws or hooks are inserted into each vertebra using computer navigation for precision.
• Metal rods are attached to the screws to straighten and hold the spine in the correct position.
• Spinal cord monitoring is used throughout the procedure to protect your nerves.

Fusing the Spine

• Prof Buckland places small pieces of bone (from local sources or donors) between the vertebrae.
• Over time, these bones fuse together to form a solid structure that maintains your spine’s new alignment.

Closing the Incision

Once the spine is straightened and the rods are in place, the muscle layer and skin are carefully closed with sutures. A drain may be placed to prevent fluid accumulation and is removed 2-3 days after surgery.

What to Expect After Surgery

Recovery in the Hospital

• Monitoring: After surgery, you will wake up in a recovery room for close monitoring.
• Hospital Stay: Most patients remain in the hospital for 3-4 days.
• Support: IVs, catheters, and medications are gradually removed as you recover.
• Mobilization: You will be encouraged to walk with supervision and have meals in a chair.

At-Home Recovery

• Activity: You will be advised to walk and stay active while avoiding heavy lifting, bending, or twisting until your spine heals.
• School & Sports: Most children return to school within a few weeks, but it may take a few months to resume sports or strenuous activities.

Questions and Support

It is normal to feel nervous before surgery. Our team is here to answer your questions and ensure you feel comfortable and informed throughout the process. You can also download Prof Aaron Buckland’s surgery information booklet for additional details.

Our Resources

Patient Reported Outcomes - Paediatric & Adolescent Scoliosis Correction

Download - Information for Parents & Caregivers - Paediatric Spine Surgery