Scoliosis
Adolescent Idiopathic Scoliosis
Surgery that preserves spinal mobility
This innovative surgery, developed by Dr. Burgos, is designed to correct aesthetic deformity, preserve spinal mobility, optimize respiratory capacity, and avoid the risk of disc degeneration, all without the need for permanent metal implants.
Benefits of Dr. Burgos' technique
- Less invasive than traditional surgery.
- Designed to correct aesthetic deformity.
- Preserves spinal mobility.
- Optimizes respiratory capacity.
- Helps prevent the onset of spinal osteoarthritis.
- Does not require permanent metal implants.
- After treatment, patients can enjoy an active life without restrictions.
How is this intervention carried out?
This innovative surgical method is designed to minimize complications that often arise with traditional surgery.
- It is performed using a less invasive approach, in which implants are placed to effectively correct scoliosis.
- The surgery typically requires a short hospitalization of just a few days. After the procedure, children can resume their daily activities and participate in non-contact sports.
- Once growth is complete, approximately two and a half years later, the implants are removed to maintain the achieved correction and preserve spinal mobility. The surgery for removing the instrumentation involves a brief hospital stay of two to three days.
- The surgery for removing the instrumentation involves a brief hospital stay of two to three days.
- Upon completion of this phase, patients are usually able to enjoy an active life and engage in a variety of sporting activities, including those of higher intensity.
Scientific Evidence Supporting This Approach
This surgical method, developed by Dr. Burgos, is grounded in scientific studies that demonstrate its effectiveness and safety in correcting scoliosis in adolescents. Below, we share an article that presents the results of this treatment.
Potential Disadvantages of Other Treatments for Scoliosis
Considerations for Fixation Treatment:
- The traditional method leaves behind permanent metal implants, which can pose certain risks, including infection or implant failure.
- This approach may not improve respiratory capacity, and in some cases, it could even be negatively impacted.
- It can restrict the mobility of a significant portion of the spine, increasing the risk of wear and tear in the mobile segments.
- The aesthetic correction may not be fully achieved, as some approaches do not address all planes of the deformity.
Below, we share some articles that explore the disadvantages presented in this section:
Considerations for Modulation-Based Treatment (Anterior Vertebral Body Tethering and Apifix)
- Treatment outcomes can vary among patients, and some cases may require additional adjustments.
- Short-term complications may arise, such as adjustments in the correction of scoliosis and the lateral alignment of the spine, and some patients may need additional surgical treatment.
- The aesthetic correction achieved may be partial and does not thoroughly address all aspects of scoliosis.
- In some cases, respiratory capacity may not show significant improvements, as this treatment may affect mobility in certain areas of the spine.
- Partial correction and limited mobility of the discs can increase the risk of premature wear in the spine.
- In several cases, metallic implants may remain permanently, with potential long-term effects.
Below, we share some articles that explore the disadvantages presented in this section:
> Anterior Vertebral Body Tethering: A Review of the Available Evidence – PubMed (nih.gov)
> Anterior vertebral body tethering for idiopathic scoliosis: two-year results – PubMed (nih.gov)
