Scoliosis, Flatback Syndrome, Kyphosis and Spondylolisthesis
Specialists at Duke Spine Center in Raleigh and Durham treat spinal curvature disorders that impact your daily living. When the spine curves abnormally, it can result in a range of discomfort, from mild to debilitating. We offer an array of non surgical therapies, minimally invasive procedures and surgical options, including complex reconstructive surgery. We tailor our treatment recommendations to your symptoms and health needs so you can return to enjoying your normal activities.
Experts in Spinal Deformities
When the vertebrae in your spine become misaligned, abnormal spinal curvatures can result. The most common conditions are adult scoliosis (curved spine), flat back syndrome (loss of the spine’s curve), kyphosis (hunchback), and spondylolisthesis, which occurs when one or more vertebrae move out of alignment. A mild abnormal spinal curve may not cause symptoms. However, some people experience pain that can range from mild to debilitating. When spinal curvature disorders start to impact your daily living, we can help you obtain relief through conservative, non surgical treatment options including physical therapy and spinal injections. Surgery is often the best option for relief from severe back pain and other serious symptoms, including breathing problems.
Choose Duke Spine Center for treatment of your spinal curvature disorder because we offer:
- High volume of spinal surgery. Our spinal surgeons undergo advanced training, and are among the most experienced and busiest surgical teams in North Carolina. We perform more than 1,200 spinal surgeries annually, including minimally invasive procedures and complex reconstructive surgeries.
- Intraoperative imaging technology. Advanced, intraoperative CT and MRI imaging provides our surgeons with detailed, real-time 3-D pictures of your spine that guide them as they operate.
- Non surgical options. Whenever possible, our goal is to help you avoid surgery. Our approach involves a combination of non surgical treatments that target the cause of your pain and symptoms. These include medications, physical therapy and injections.
- Specialized team. In addition to neurosurgeons, orthopaedic surgeons, non operative physicians and nurses, our team includes physiatrists, pain management experts and physical therapists -– all of whom may work with you to alleviate the pain caused by your spinal condition.
- Geriatric support. We partner with geriatric specialists at Duke to best assist people with spinal curvature disorders caused by aging and arthritis. Working with geriatricians achieves better, safer results, and allows us to actively manage all of the complications and risk factors associated with reconstructive surgery in older people.
Treat inflammation and pain right at the source, and may be used to manage lower back or leg pain caused by a spinal curvature abnormality. We inject these treatments in a special suite at Duke Spine Center. You may see your doctor and receive your treatment on the same day.
Exercises can be an effective non surgical option for some people with a spinal curvature. Physical therapy can strengthen your spine, improve balance and flexibility, minimize pain and prevent injury. Your spine specialist may direct your physical therapy program by recommending the best exercises for you, or we can refer you to a physical therapist.
We offer complex spinal reconstruction (or spinal fusion), to correct abnormal spine curvatures. We may use minimally invasive techniques, meaning we operate through tiny incisions so that you can recover faster and experience less pain and fewer complications. These procedures involve stabilizing your spine with rods and pins and fusing together the vertebra.
Your doctor may order one or more of the following imaging tests to diagnose an abnormality in your spinal curvature, or to track its progression over time.
Takes pictures of bones inside your body. X-ray pictures will show areas of instability in your spine.
Magnets and radio waves are used to take detailed pictures of your spinal discs and the nerve roots of your spinal cord.
CT scan. A series of cross-sectional pictures produce detailed, 3-D images of your spine and spinal cord.
Injects a dye into the sac around the nerve roots in your spinal cord to help them show up better on a CT scan.