Scoliosis Research Society (SRS)
An International Organization Dedicated to the Education, Research and Treatment of Spinal Deformity
Our Mission is to Foster Optimal Care for All Patients with Spinal Deformities
In some cases, fusion with instrumentation surgery will be advised.. This may be indicated when the child is closed to the end of growth or when co-existing medical problems make the growth friendly procedures, which often require multiple surgeries, too dangerous. In most cases this will involve posterior spinal instrumentation and fusion of the entire deformity. When a significant amount of growth remains, a posterior fusion may result in a twisting or "crankshaft" deformity as the growth of the anterior or non-fused front of the spine is tethered by the fused posterior portion. To avoid this problem an anterior fusion is often performed at the time of the posterior procedure in selected children. These procedures are covered elsewhere.