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  1. #1
    Professional DrStitzel's Avatar
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    Angry Blowback from Challenging the Scoliosis Surgery Status Quo

    I am forever amazed by the emotional (and often irrational) "blowback" reactions I get from post operative scoliosis patients when I post or discuss the long-term complications of scoliosis surgery or the FACT that scoliosis surgery is not a "medically necessary/ life-saving" procedure in almost all adolescent idiopathic scoliosis cases.

    Despite providing oceans of data, endless post scoliosis surgery testimonials, and peer reviewed research study after study, all most all of those post operative scoliosis surgery folks continue to insist that their organs would have been crushed and they would have died without having scoliosis surgery....Often for spinal curves less than 50 degrees!

    We are on a mission to find a better way to treat scoliosis in the future and that by its very definition means a non-surgical solution. However, change is never accepted unless the population sees the "need" for a change. While much of this info may be shocking, alarming, and dis-heartinging.....it is the truth. Surgical intervention for scoliosis often provides a very poor long-term outcome for many patients and it is often be presented as a "life and death" type decision...which is false in almost all adolscent idiopathic scoliosis cases.

    I assume those patients whom chose to under go surgical intervention for their scoliosis condition are comfortable in their decision, and those whom aren't may take issue with the factual info on scoliosis surgery I am providing. I can not be responsible for the feelings of those whom are second guessing their treatment decisions when confronted with new information that may or may not have been available to them at the time they made their decision.

    Perhaps the most interesting thing is that the blowback ONLY comes from post scoliosis surgery patients or their parents whom somehow feel as though anyone who provides contray information or challenges the scoliosis surgery status quo is some how making them look/feel negligent or if they have made the wrong choice, when in actually the information is intended and targeted towards those patients and parents whom haven't made the choice to undergo scoliosis surgery at this time and appreciate the opportunity to make a truly informed decision.

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  2. #2
    Registered Member dovoranydoc's Avatar
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    Default Life or Death Decision or Fear Tactics and Persuasion?

    Am Fam Physician. 2002 May 1;65(9):1817-1823.
    Adolescent onset of severe idiopathic scoliosis has traditionally been evaluated using standing posteroanterior radiographs of the full spine to assess lateral curvature with the Cobb method. The most tilted vertebral bodies above and below the apex of the spinal curve are used to create intersecting lines that give the curve degree. This definition is controversial, and patients do not exhibit clinically significant respiratory symptoms with idiopathic scoliosis until their curves are 60 to 100 degrees. There is no difference in the prevalence of back pain or mortality between patients with untreated adolescent idiopathic scoliosis and the general population.

    sounds like every kid's parents with a 50 degree scoliosis should jump on the "we should fuse it now to avoid future health problems bad wagon"

    It's amazing that insurance companies continue to green light this procedure when routinely performed on teenagers with 40-60 degree curves at or near maturity

    All SEVERE idiopathic scoliosis started out as MILD scoliosis first!

  3. #3
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    Default

    What really gets me is that they are willing to pay for a 40 degree curve in a 10 year old knowing that there will be 1 or 2 more surgies down the line...

    The way of the future is not wait and see it is early stage intervention.

    Don't let a lifetime be defined by a "Curvature Of The Spine"


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