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Scoliosis is an abnormal curvature of the spine that occurs most before puberty during the growth spurt. Most cases of scoliosis are mild. However, it can get more severe, particularly as children grow. People with severe scoliosis may need surgery to treat their condition. Scoliosis surgery is the most extensive type of treatment for scoliosis. Besides for those with severe scoliosis, surgery may also be considered if:
The curve is getting significantly worse.
The curve is greater than 40 degrees.
The curve is interrupting your daily life and causes discomfort.
You experience severe back pain.
Other treatments have not helped your condition.
The nerves in your spine are being squashed or irritated.
There are several types of scoliosis surgery, including spinal fusion, growing systems (insertion of special rods), and fusion-less. The type of surgery you will get usually depends on your age and the severity of your scoliosis.
Spinal Fusion
Spinal fusion is by far the most commonly performed scoliosis surgery for teenagers and adults. This surgery involves fusing two or more adjacent vertebrae (the small, interlocking bones of the spine) together, which will cause the vertebrae to grow together at the spinal joint and form a solid bone that cannot move independently. This will limit the movement of your spine.
The vertebrae are fused together using a bone graft, screws, and rods. The rods keep your spine in a straight position, while the screws hold them in place. The bone graft and vertebrae eventually fuse together into a single bone. The procedure is typically performed under general anesthesia.
Fusion-less
Fusionless surgery is a relatively new approach to treating scoliosis. As opposed to spinal fusion, which limits movement and growth, fusion-less can preserve the movement and growth of your spine and this type of surgery is usually done on children.
Fusionless surgery involves applying constant pressure on the outer side of a spinal curve. It aims to slow or even stop the growth of the curve’s outer side, while the inner side can continue to grow normally. Over time, the lateral curvature should reduce as the spine becomes straighter.
Growing system (special rods)
In younger children, generally those under the age of 10, surgery to insert special rods alongside the spine can be done. The rods are anchored to the spine to help maintain or correct the spine’s curvature while the child grows. After 6 to 12 months, the child needs to return to their specialist to have the rods lengthened to keep up with their growth. This can be done in two ways:
Through a minor surgery in which the rods are extended through a small incision in the back.
Using a remote control that can activate magnets inside the rods. With this procedure, no cuts are needed to lengthen the rods.
This type of surgery is done in young children because if spinal fusion is done at too young of an age, it could cause several complications, such as less room for the lungs to develop.
Although it depends on the type of surgery you underwent, you may need to stay in the hospital for two to seven days. Children may need to stay longer, usually for 10 days. It is recommended that you stay in Selangor for about eight to ten more days for follow-up checkups and stitches removal.
Full recovery can take about three to six months. However, school and work may be resumed after 4 to 6 weeks. Children may need to avoid sports roughly a year after surgery, while adults may need to avoid strenuous activities for a few months.
After surgery, you may need to wear a brace to keep your spine in proper alignment. You may also need to learn new techniques to sit, stand, and walk safely. Physical rehabilitation is recommended to help you learn ways to move safely and to strengthen your back.
Spinal fusion surgery has a high overall success rate. The University of Washington’s Department of Orthopaedics & Sports Medicine reported that spinal fusion can achieve approximately 70% curve correction and has around 2 to 3% chances of complications when performed on someone under 16 with idiopathic scoliosis. However, the data for fusion-less surgery is not yet available.
As with any surgery, scoliosis surgery carries some risks, such as infection, pain, nerve damage, failure to heal, and excessive bleeding.
If the scoliosis isn’t severe, your doctor may recommend the following:
Exercise – you can talk to a healthcare professional about an exercise program to strengthen and stretch your back.
Spinal injections – if scoliosis irritates or puts pressure on the nerves, your doctor may inject steroids to temporarily ease your discomfort.
Back braces – these are usually recommended for children, although adults may also benefit from using them. A back brace can help support your back and stop it from getting worse.
Before scoliosis surgery, your scoliosis can be severe, cause pain, or prevent you from doing your normal activities. After surgery, you should be able to enjoy your daily activities without discomfort or pain.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Occupying the status of both the most populous and developed state, Selangor is indeed the pride of Malaysia. Its advanced infrastructure and superior living standards, coupled with the country's lowest instance of poverty, make it stand out. Perfectly positioned on the western coast of Peninsular Malaysia, it envelops Kuala Lumpur and Putrajaya, both of which were formerly a part of Selangor. Despite its impressive development marked by towering structures,
Selangor manages to retain its natural charm boasting splendid landscapes and tranquil retreats. The state's deep-rooted cultural essence and unmatched healthcare services further enhance its appeal.
Selangor is the medical tourists’ favorite destination because of its geographical position and low cost of living. The state has some of the best medical experts with 12 government hospitals and over 30 private hospitals and medical centers, many of which are recognized internationally and accredited by Joined Commission International and the Malaysia Society for Quality in Health (MSQH).
Selangor has become a preferred destination for medical tourists who seek procedures such as dental surgeries, cosmetic surgeries, IVF treatments, and eye surgeries. Among the numerous hospitals offering these procedures, KPJ Ampang Puteri and Sunfert International Fertility Centre have gained immense popularity due to their high standards and patient-centric approach. This underlines Selangor's standing as a leading destination for healthcare in the region.
Tourists who want to indulge in Selangor’s beautiful nature can go to Kuala Selangor Beach (Mirror of the Sky), Chilling Waterfalls, Kuala Selangor Nature Park, or the National Zoo of Malaysia. Those who want to experience culture can visit Galeri Diraja Sultan Abdul Aziz, Mah Meri Cultural Village, and Sultan Alam Shah Muzeum.
Among Selangor's numerous tourist magnets, Batu Caves stands out. This impressive limestone hill is home to three large caves and multiple smaller ones. Revered as a national treasure of Malaysia, Batu Caves hold immense religious significance for the Hindu community.
Visitors are always in awe of the world's tallest statue of the Hindu deity, Murugan, situated here. In addition to the religious and natural appeal, the site also offers sights of varied cave fauna and thrilling climbing routes, delivering an all-round enriching experience.
The state’s capital, Shah Alam, also has plenty to offer. Tourists can go to I-City to see millions of LED lights, indoor park, or to shop. The Blue Mosque (Sultan Salahuddin Abdul Aziz Shah Mosque) is also a popular destination where tourists can see the beautiful mix of Islamic and Malay architecture.
Adorned with a tropical rainforest climate, Selangor is characterized by a warm and humid environment all year round. Daytime temperatures generally fluctuate between 25 - 35°C, but during the dry season, these can peak at a scorching 37°C.
The wet season ushers into the region as the calendar transitions into April, often extending as far as October, leaving the land generously watered. An increased intensity of rains is observed towards September and October, marking the peak of the rainy spell. For prospective visitors seeking to avoid the wet season, the months from late November to February typically prove the most comfortable for exploring and sightseeing, blessed with less rainfall and mild temperatures.
However, it should be remembered that even amidst the monsoon season, the weather isn't uniformly gloomy; there are often luminous intermissions. The sun tends to break through the rain-soaked clouds, bathing the land in its warm rays. Consequently, even during the monsoons, numerous days are well-lit, and visitors have ample opportunities to explore the local beauty undeterred. Brazil, in every season, has its unique appeal. Whether it's soaked in rain or draped in warm sunshine, it never fails to mesmerize its guests.
There are two main airports: Kuala Lumpur International Airport (KLIA) and Subang Airport. Kuala Lumpur International Airport is the main airport in Malaysia that has a multitude of routes across the globe. The airport is divided into two parts, KLIA that mostly serves large airlines, and KLIA 2 that focuses on serving low-cost carries. Subang Airport is the hub for FireFly and Malindo Air.
Navigating Selangor is made effortless by its well-established infrastructure. The primary means of transportation include taxis, trains, and buses. Taxis, while economical, can prove to be slightly tricky, as some drivers refrain from using the fare meter. Visitors are therefore advised to approach taxi counters to secure a fixed-rate coupon, ensuring they aren't subjected to inflated prices.
Public transit systems like the KTM Komuter Train, MRT, and LRT are widely recognized as the most efficient modes of transportation for traversing Selangor. However, it's important to note that these service networks may not extend to certain rural areas. When visiting these less accessible regions, tourists may find it beneficial to hire a car, thereby gaining the advantage of flexibility. Alternatively, the option of using bus services provides a more economical solution for easy mobility.
Nationals hailing from countries like China, India, Myanmar, Sri Lanka, Nepal, Bangladesh, Pakistan, Bhutan, Serbia, and Montenegro are required to secure a visa prior to their arrival in Malaysia. Meanwhile, most other nationalities are offered the convenience of visa-free entry, valid for either a 30-day or 90-day stay. It is crucial for all visitors, regardless of their country of origin, to hold a passport that remains valid for at least six months subsequent to their entry into Malaysia.
An online visa application platform or eVisa is available for selected foreign nationals. eVisa can be applied around the world except for Malaysia and Singapore. Tourists who wish to visit Malaysia for medical treatment can apply for an eVisa Medical, valid for a single journey with a maximum of 30 days. The Malaysian Government has a very strict visa regulation, overstaying will result in RM10.000 fine and/or 5 year’s imprisonment, do ensure to extend your tourist visa if you need to.