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Spine Surgery

Spinal Reconstructive Surgery (Scoliosis)

Spinal reconstructive surgery might be required for patients who have a deformity or misalignment which affects a major segment of the spine. The technique includes more than one level of the spine and corrects significant spinal deformities, balances the newly shaped spine with rods and pins, and connects the vertebrae together. In some of the cases, the entire vertebrae is removed and replaced with artificial devices to replace the diseased segment.

The most common problems to be treated with spinal reconstructive surgery are scoliosis, spondylolisthesis, and kyphosis. During the spinal reconstructive surgery, neurosurgeons use a variety of surgical procedures, depending upon the extent of the deformity. Minimally invasive surgery, artificial disc replacement, endoscopy, kyphoplasty, spinal fusion, and other surgical techniques might all be performed.

Anatomy of the spine

The spine is an extensive structure which extends from the bottom of the skull to the pelvis. The spine is made up of 33 vertebral bones and each pair of vertebrae has a fibro-cartilagenous disc or intervertebral disc between them which acts as cushions to the vertebrae during movement.

The important role of the spinal column is to cover and protect the spinal cord which contains a column of nerve tracts extending from every part of the body to the brain. The spinal column additionally functions to support the trunk of the body and the head.

The vertebral spine column is made up of 4 sections - cervical, thoracic, lumbar, and sacral. The cervical section is made up of 7 cervical vertebras; the thoracic spine comprises of 12 vertebrae which support the rib cage; lumbar section comprises of 5 vertebrae which carry most of the body weight and sacral spine is the fusion of 5 bones which forms the tail end of the spinal column. The entire spinal column is surrounded by strong ligaments and muscles which provide stability as well as movement to the spine.


Indications for reconstructive spine surgery might involve injury, trauma or infection to the spine, scoliosis congenital abnormalities, presence of metastatic or primary tumors, vascular malformation or axial skeleton pain etc. Surgery is considered after conservative treatment measures have been attempted without success.


Recovery following reconstructive spine surgery varies from person to person. The duration of healing mostly depends upon the kind of treatment and the health of the patient. It is advisable to follow the instructions of the primary care physician for the best recovery. Following the surgery, physical and occupational therapy will be suggested to improve daily living activities and assess the post-surgical progression of the patient.

Dr. David Masel is well versed in minimally invasive surgery techniques to treat neurological disorders affecting the spine. If you or anyone you know is suffering from spinal injuries or spinal cord disorders like:-

  • Herniated disc
  • Spinal stenosis
  • Spina bifida occulta
  • Spine trauma
  • Spinal tumors

Please book an appointment with Dr. Masel, call +1(469) 833-2927 to schedule a consultation.