Programa espinal

A minimally invasive procedure, stapling may be an alternative to bracing for some patients who are at risk for progression of the scoliosis and the prospect of spinal fusion in their future. Surgeons, through the aid of an endoscopic camera, insert special staples, made of titanium alloy, along the outer (convex) curve of the spine to help stabilize and prevent further progression of the curve.

By placing the staples in an ice tray prior to insertion (fig 2) the surgeon is able to straighten the staple - making it easier to insert along the spinal curve. When warmed by body temperature the staples are then able to return to their original crimped shape.

Benefits of this minimally invasive procedure over more traditional surgical methods (open surgery) such as spinal fusion - include the use of fewer and smaller incisions. This relatively new approach allows the child to recuperate faster and with less pain. Vertebral stapling also eliminates the need of a spinal brace. With the absence of a spinal brace children and adolescents may be able to participate more actively in sports and other activities.

In addition, the stapling procedure maintains some of the natural spine motion, which is lost during the spinal fusion procedure.

Vertebral stapling is not an ideal procedure for all children. Children or adolescents who have reached skeletal maturity, or those with stiff or large spinal curves will not benefit from this procedure. Further surgery may also be needed if vertebral stapling is not successful in stopping the progression of the spinal curve. As with other innovative surgical procedures there is a limited amount of clinical data available. The long-term outcome for this procedure is unknown. As this is a relatively new and novel procedure it may not be covered by insurance.