The thoracolumbar curve is a curve with its apex at the first lumbar (lower back) or twelfth thoracic curve (middle back). Sometimes, your thoracolumbar spinal injury may not have been treated in a timely fashion, and this may lead to significant spine deformity, usually leading to a “crooked” spine or kyphotic spine. In our neighbouring countries, spinal deformity can also be due to tuberculosis of the spine causing destruction and collapse of the vertebrae of the back, leading to a “crooked” or kyphotic spine. The consequences of the deformity maybe back pain, ache, as well as various complaints secondary to spinal cord compression e.g. extremity weakness, numbness, and tingling. Sometimes, the control of the bladder and bowel maybe an issue.
Reconstructive surgery for the spine deformity can be a challenge (Figure 1). The reconstructive surgery can either be performed from the back, front, or both approaches. If it is both approaches, they can either be done on the same day or staged (i.e. done at 2 different timings about 5 to 7 days apart).
Our Singapore Pinnacle Orthopaedic Group spine surgeon Adjunct A/Professor Hee Hwan Tak has much experience in surgical reconstruction for spine deformity treatment. Contact us for a comprehensive consultation and treatment to recovery. Visit Dr Hee Hwan Tak’s Google+ page here.