Sleeping with Back Pain

Whatever the method is taken with the physician treating his patient, there is one goal - the benefit of the patient. However, disease severity and progression of deformation give us no choice at times. And then the doctors have to admit that conservative treatment has failed. And, leaving the last word with a scalpel, its verdict is: “The patient needs surgery”.

This occurs when the course of the disease leads to the progression of curvature, scoliosis becomes malignant during, for instance, deformation of a rapidly growing one, and conservative treatment methods fail, angle of the spine after Chaklin is less than 100 degrees, but after Cobb is more than 40. And besides joining complications from internal organs (for example, compression of the lung or liver with strained rib cage) is a testimony to the surgical treatment of scoliosis.

History of orthopedic surgery is full of its tragic and spectacular discoveries. The idea of surgical intervention in the spine seemed to doctors almost heretical for many centuries. And only a certain level of development of surgical techniques, asepsis, anesthesia and other medical disciplines has led to what finally ventured surgeon with a scalpel approach to scoliosis spine. For the first time such an operation was decided to be made with the surgeon Gibbs from the New York Orthopedic Hospital. It happened in 1911. His patient suffered not from idiopathic scoliosis, but with the tuberculous lesion of the vertebra - spondylitis. In a similar localization of tuberculous process, as in the lung, tissue damage occurs - in this case, the vertebral body leads to the formation of a hump. Despite the rather primitive medical techniques of those years (not deep ether anesthesia, the absence of antibiotics, blood substitutes), a surgeon who became a pioneer here managed to replace broken pieces with patients own healthy bone with clearing the zone of destruction of tissue è, with subsequent fixation of the body in a corset, achieve the patient’s body seam between the vertebrae to the upper and lower vertebrae.

After this operation the patient was chained into a special corset, and it was taken off several months later. During this time bone block of three vertebrae formed - the lessioned one (that is to say the middle one) and adjacent (above and below) deformations are eliminated, however, due to some limitation of mobility of the spine. The success of the first operations was encouraged by a surgeon. It was decided to apply this method for correction of severe scoliotic deformity.

Not everybody dared making R. Gibbs’s operation at once and it was not gotten in knowledge in the medical world because they seemed too risky in the beginning of XX century.

At that time the doctor could decide to use the surgery only in the case of the deadly threat to the life of the patient. The need to operate strain that does not threat people with death though does not give the possibility to live like human beings, seemed to be unquestionable quackery for medical luminaries then.

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