Preparing for Scoliosis Surgery: Tips for Patients and Families - Orthopedics

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What preparations should be made before spinal surgery?


Hello, doctor.
My younger sister (19 years old) has had scoliosis since childhood and is scheduled for surgery this summer.
Since there is still a long time before the surgery, is there anything we should prepare in advance? I hope to do something for her.
She usually doesn't exercise much and her health isn't great; should she take this time to engage in some physical activity? What types of exercises would be best for her? Lastly, both our family and my sister are quite anxious about the situation.
Are there any simple methods to help ease everyone's emotions? Thank you, doctor.

KK, 20~29 year old female. Ask Date: 2008/01/30

Dr. Wang Zikang reply Orthopedics


Hello: The indications for spinal fusion surgery for scoliosis generally include a significant curvature, severe spinal deformity, neurological symptoms, and symptoms of cardiopulmonary compression, necessitating corrective and stabilizing surgery.
Preoperative preparation over the past six months can enhance surgical outcomes.
The preparation methods may include: 1.
Engaging in moderate exercise to improve cardiopulmonary function; 2.
Ceasing smoking (absolutely prohibited); 3.
Discontinuing all types of pain medications, including steroids; 4.
Encouraging swimming exercises to strengthen the back muscles; 5.
Pre-ordering a postoperative brace for use after surgery; 6.
Actively connecting with other patients online to share preoperative and postoperative experiences.

Reply Date: 2008/01/30

More Info


Preparing for scoliosis surgery can be a significant event for both the patient and their family. It’s essential to approach this preparation holistically, considering physical, emotional, and logistical aspects. Here are some tips and recommendations for your sister and your family as you prepare for her surgery.


Physical Preparation
1. Consult with the Surgeon: The first step is to have a detailed discussion with the orthopedic surgeon who will perform the surgery. They can provide specific guidelines on what to expect before and after the surgery, including any pre-operative exercises or restrictions.

2. Physical Activity: Since your sister has been less active, it’s a good idea to gradually incorporate physical activity into her routine. Low-impact exercises such as walking, swimming, or cycling can help improve her overall fitness without putting too much strain on her spine. Strengthening exercises for the core muscles can also be beneficial, as a strong core can support the spine better. However, it’s crucial to avoid any high-impact activities or exercises that could exacerbate her condition.

3. Physical Therapy: If possible, consider consulting a physical therapist who specializes in scoliosis. They can design a personalized exercise program that focuses on strengthening and flexibility, which can help her body prepare for surgery and recovery.

4. Nutrition: Encourage a balanced diet rich in vitamins and minerals to support her overall health. Foods high in calcium and vitamin D are particularly important for bone health. Staying hydrated is also essential.


Emotional Preparation
1. Education: Understanding the surgery can alleviate some anxiety. Encourage your sister to learn about the procedure, what to expect during recovery, and the potential outcomes. This knowledge can empower her and reduce fear of the unknown.

2. Family Support: Open communication within the family is vital. Discussing feelings and concerns can help everyone feel more connected and supported. It’s normal for family members to feel anxious, so sharing those feelings can be beneficial.

3. Relaxation Techniques: Introduce relaxation techniques such as deep breathing exercises, meditation, or yoga. These practices can help reduce anxiety and promote a sense of calm. There are many resources available online, including guided meditations specifically designed for pre-surgery anxiety.

4. Counseling: If anxiety levels are high, consider seeking the help of a counselor or therapist who specializes in pre-surgical anxiety. They can provide coping strategies and support for both your sister and the family.


Logistical Preparation
1. Plan for Recovery: Discuss post-operative care with the surgeon. Understand what kind of support your sister will need after the surgery, including mobility aids, pain management, and follow-up appointments. Preparing the home environment to accommodate her needs during recovery is crucial.

2. Schedule Help: Arrange for family or friends to help out during the recovery period. This can include assistance with daily activities, transportation to follow-up appointments, or simply providing companionship.

3. Prepare for Time Off: If your sister is in school or working, plan for her time off. Understand the recovery timeline and communicate with her school or employer about her needs.

4. Gather Supplies: Create a list of supplies she may need post-surgery, such as comfortable clothing, pillows for support, and any medical supplies recommended by the healthcare team.


Conclusion
Preparing for scoliosis surgery involves a comprehensive approach that addresses physical fitness, emotional well-being, and logistical planning. By taking proactive steps in these areas, you can help your sister feel more confident and supported as she approaches her surgery. Remember, it’s essential to maintain open lines of communication with her healthcare team and each other throughout this process. With the right preparation and support, she can navigate this journey more smoothly.

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