Lumbar deformity surgery

Technique (how it works)

Surgery aims to restore spinal balance by correcting curvature and stabilising the spine. This may include decompression of nerves, fusion across multiple levels, and corrective techniques (such as osteotomies) where required. Implant systems are used to hold alignment while fusion heals.

Medical benefits

• Improves posture, balance, and walking tolerance by restoring alignment.
• Relieves leg pain or numbness when nerve compression is addressed.
• Reduces pain linked to progressive deformity and instability.
• Supports long‑term function when a conservative plan no longer controls symptoms.

Procedural steps

1. Detailed planning with full‑spine imaging and alignment measurements.
2. Medical optimisation and preparation, including bone health and nutrition review.
3. Surgical correction with decompression, alignment restoration, and stabilisation.
4. Post‑operative mobilisation, rehabilitation planning, and staged activity progression.
5. Ongoing follow‑up with imaging and clinical milestones to monitor healing.

Risks and complications

• Infection, bleeding, blood clots, and medical complications related to longer surgery.
• Nerve injury or persistent symptoms.
• Non‑union, implant issues, or the need for revision surgery.
• Adjacent segment stress over time and junctional problems in long constructs.

Preparation and aftercare

• Stop smoking and optimise bone health when needed to support fusion.
• Plan home support, mobility aids, and safe movement strategy for the first weeks.
• Follow wound care instructions and attend scheduled follow‑up visits.
• Commit to rehabilitation progression, including walking and strengthening milestones.

Recovery timeline

Recovery varies by complexity and the number of levels treated. Early goals are pain control and safe walking. Over months, rehabilitation supports endurance, posture, and strength while fusion consolidates.