Scoliosis is an abnormal S or C-shaped bending of the spine.Approximately 5 million individuals in India have been diagnosed with scoliosis, with 3% of affected individuals being children. To treat this condition, a spine surgeon performs surgery to straighten the back and fix the alignment.
The average cost of scoliosis spine surgery in India ranges between INR 9,00,000 and INR 14,00,000 for Indian patients. For International patients, the cost ranges from USD 17000 to USD 25000.
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The spine, most commonly referred to as backbone, is a long column of bones which extends from the neck to the end of the back. It consists of the spinal cord, vertebrae, joints, and intervertebral discs, along with nerves and tissues. This bone appears straight when viewed from the back and is responsible for maintaining the posture and flexibility of the body. Thus, any deformity in the spine may cause severe discomfort and pain, affecting the patient's lifestyle. One of the spinal conditions is scoliosis.
In this condition, the back appears twisted instead of straight. This abnormality is a prominent symptom seen in children with scoliosis.
Other notable symptoms which occur in terms of physical appearance in scoliosis patients are as follows:
These symptoms occur due to curvature in the spine, the condition termed scoliosis.
Though the cause of scoliosis is idiopathic, i.e. unknown, some of the contributing factors of the scoliosis are as follows:
Early screening and awareness of risk factors such as family history play crucial roles in managing scoliosis and preventing complications associated with it that may arise in later life. Understanding these factors helps a spine surgeon diagnose scoliosis and plan treatment.
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Scoliosis treatment focuses on eliminating the pain that arises as a result of deformity and preventing the curve from progressing with time. Based on the severity, the following treatment options are available for the scoliosis patient.
Bracing
For children of growing age and adolescents with moderate spinal curves (ranging between 25-40 degrees), a spine surgeon may prescribe a brace to prevent advancement in the progression of the curve. Bracing is a non-surgical procedure in which a brace is usually worn for several hours each day to align the spine.
Most people with scoliosis do not need surgery, as the curve size and bend are small, so doctors suggest braces for them.
Scoliosis spine surgery
From severe to mild cases, where the curvature of the patient is greater than 40-50 degrees and is rapidly progressing, a spine surgeon may suggest a procedure known as surgical fusion. This spine surgery is performed to straighten the spine as much as possible, after which the vertebrae are fused to prevent further curvature. Metal rods, screws, and bone grafts are commonly used to stabilise the spine during the fusion process.
After the surgery, bracing may be suggested to help gain the correct posture of the spine.
Ongoing management
Pain associated with scoliosis can often be managed through medications, physiotherapy, and by modifying postures. This is particularly important for individuals with mild curvature, and the curvature is not showing any significant progress.
Without treatment, the curve may progress and cause certain health complications, such as chronic pain, reduced mobility, and damage to other essential organs, such as the heart and lungs.
Before undergoing treatment for scoliosis, the patient must be aware of the factors affecting the cost of scoliosis treatment in India, which are as follows-
Type of surgery
Using the latest techniques, a spine surgeon makes small incisions at the back part of the patient to correct an abnormal curve, an approach referred to as minimally invasive scoliosis surgery. With a device called a tubular retractor, they reach the spine with small tools. Then, they insert rods and screws to help make the spine straighter. This technique is comparatively safer and may add expenses to the treatment cost.
Spinal implants
The spine surgeon may also use hard materials like screws, cages, plates or rods to provide support to the spine. This further strengthens the fusion between the vertebrae. These materials might also impact the total expenses involved in scoliosis spine surgery in India.
Hospital facilities and doctor's expertise
Hospitals equipped with advanced amenities and renowned spine surgeons and physiotherapists provide top-class facilities and, hence, charge more. Moreover, the hospital's accreditation and reputation in providing best medical treatment may impact the cost.
After performing a physical examination, doctors carry out some tests to confirm the diagnosis. Some health investigations are also performed to see whether the patient is ready for the surgery or not. These may incur some additional expenses to the cost of scoliosis spine surgery in India. It can be categorised into two:
After scoliosis surgery, patients must also take additional care of their spine and monitor their spinal movement. Some of these are discussed below.
Restricted movement
After the surgery, the bones in the spinal cord need time to heal and hence must be prevented from further strain. Hence, doctors advise no twisting or bending for a few months. Also, spinal motion has to be restricted; otherwise, severe pain and bone damage may occur. Sometimes, doctors recommend a brace to provide support to the spine during the healing process.
Regular physiotherapy sessions
Doctors recommend physiotherapy after scoliosis spine surgery to restore the spine's mobility, strength, and function. Planned exercises help prevent stiffness and enhance posture, aiding in long-term recovery and quality of life.
Follow-up appointments
It's recommended that patients see the doctor regularly. During this time, doctors monitor the healing progress, assess spinal alignment with imaging, modify the treatment plans, and make suggestions on a gradual return to daily life activities.
Insurance agencies in India cover various surgical procedures, including spine surgery. When your spine surgeon recommends spine surgery for the treatment of scoliosis, your next step is to submit your doctor’s prescription, investigation reports, hospital admission papers to the insurance agency along with your policy papers. The insurance agency will check your claim eligibility and work with the hospital to cover your medical expenses for scoliosis surgery as per their policy terms.
Generally, health insurance policies may cover a portion or all of the expenses, including the cost of the implant, bone tissue and other material used in straightening of the backbone, hospitalisation, surgeon fees, pre-surgical examination, and post-surgery care.
Therefore, it's essential to understand the extent of the insurance coverage and the network of associated hospitals. Otherwise, you might be responsible for covering the remaining expenses on your own or seeking alternative financial means.
One major cause is a family history of scoliosis. Some neuromuscular disorders, such as cerebral palsy and muscular dystrophies, may elevate the risk of scoliosis.
If your child has uneven shoulders and a curved backbone from the rearview, it is advised to seek a medical professional as soon as possible. Early screening with immediate treatment has prevented complications in many children and the progression of scoliosis.
It depends on the curvature and the patient's health condition. A spine surgeon performs scoliosis spine surgery to correct the spine posture and improve the quality of life as much as possible.
It is advised to avoid driving for 6-8 months after scoliosis spine surgery. Other activities should be resumed only on the doctor's recommendation.
It is advised to avoid driving for 6-8 months after scoliosis spine surgery. Other activities should be resumed only on the doctor's recommendation.
Most of the braces are rigid material made up of plastic that wraps around the chest by velcro straps. The rigid panels cover the front, back, and sides of the brace providing support to the entire back.
Yes. Based on the angle of curvature, a spine surgeon decides whether you need a brace or a surgical procedure. Usually, surgery is prescribed for patients with curvature higher than 50 degrees. In this condition, patients feel extreme discomfort, and surgical intervention becomes mandatory.
Scoliosis is a progressive disease, which means that if left untreated, it will get worse with age and time. If noticeable changes occur in posture and curvature of the backbone, it's advisable to see a doctor.
Braces are used to correct posture in scoliosis patients. The cost of a brace ranges between INR 18,000 and INR 25,000. For international patients, the price of a brace is approximately 350 USD.
Yes. The cost of treatment of scoliosis varies with the curvature of the spine. For left bending treatment, the cost is approximately 8,50,000 INR for Indian patients (14,000 USD for international patients). For patients with rigid scoliosis, the treatment price may increase to 11,00,000 INR (17000 USD).
Growth rods are used to correct the posture in children with scoliosis. The cost of the growth rod procedure is around 7,00,000 INR (11,000 USD).
There is no way of preventing scoliosis. However, early detection and appropriate management of scoliosis with therapies and exercise can prevent the progression of curvature.
Exercising alone cannot fix curvature. However, it has been proven to strengthen the backbone muscles, improve flexibility, and slow the progression of curvature.
Surgery is recommended for patients with curvature of more than 50 degrees and there is a continuous progression of the curve.
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