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Article Category: Highlights

Wellstar Offers Life-Changing Adult Scoliosis Surgery

Published on October 10, 2024

Last updated 10:00 AM October 10, 2024

For adults with severe cases of degenerative scoliosis, spinal deformity correction may be necessary due to significant pain, limited movement or deformity.

Scoliosis is a sideways curve of the spine. It can develop in adults, often due to changes in the spine, such as disc degeneration, arthritis or osteoporosis. While many adults with scoliosis may not need treatment, surgery may be necessary in severe cases where the curve causes significant pain, limits movement or leads to deformity.

This type of surgery, called spinal deformity correction, is a complex procedure performed by a neurosurgeon. The goal is to realign the spine from the neck to the hips, both front-to-back and side-to-side. Dr. Ben Zussman, a Wellstar neurosurgeon at Wellstar North Fulton Medical Center, is one of the few specialists in Georgia who performs this life-changing surgery.

When scoliosis surgery is recommended

“Adult degenerative scoliosis often develops slowly, causing someone with a previously straight spine to become increasingly crooked,” Dr. Zussman explained. 
Common signs that might lead to considering surgery include:

  • Uneven shoulders or waistline
  • Protruding shoulder blades
  • A hump on the back
  • Severe low back pain or leg pain
  • Leg weakness
  • Stooped posture

These symptoms occur because the spine's unnatural curve forces the body to adjust, which can change posture and make it hard to stay upright. “Without a good center of gravity, your body begins to lean, which is exhausting,” says Dr. Zussman. When pain and limited mobility significantly affect daily life, scoliosis surgery can help improve movement and quality of life.

Moving forward with treatment

By age 50, Cynthia Clark’s spine had become so crooked that she could no longer stand upright. A CT scan taken just eight years earlier showed a straight spine, but degenerative scoliosis had progressed quickly, causing intense pain and difficulty walking.

Headshot of Cynthia, a woman who needed to have spine scoliosis correction surgery related to degenerative scoliosis.

Dr. Zussman offered Cynthia surgery to relieve her severe symptoms, explaining the complexity and long recovery process. Although she was nervous, Cynthia reached a point where she felt she couldn’t continue living in such pain.

Before surgery, Dr. Zussman referred her to an endocrinologist to strengthen her bones, ensuring she was physically and mentally prepared. When she was ready, Cynthia underwent the procedure.

Undergoing complex spinal surgery

Cynthia’s surgery was extensive, lasting eight hours and involving a long incision down her back. Dr. Zussman used advanced imaging techniques to guide the placement of 17 levels of screws with precision. He removed damaged discs and relieved pressure from pinched nerves. The screws were then connected by long, strong rods to realign her spine, restoring its shape and function.

After spinal deformity correction, post-operative X-rays show a patient standing up straight. The screws, rods and spacers help to brace their skeleton internally and maintain their posture.

Post-operative X-rays show Cynthia standing up straight. The screws, rods and spacers help to brace her skeleton internally and maintain her posture.

Recovery is ‘like a miracle’

Cynthia’s recovery was remarkable. She began walking within two days after surgery—far surpassing expectations. Her quick progress allowed her to be discharged without needing inpatient rehab, and she completed a shorter-than-usual course of outpatient therapy.

“Cynthia now walks completely straight without a cane,” said Dr. Zussman. “Even people at her grocery store notice the drastic difference and give her hugs.”

Cynthia credits Dr. Zussman and his team with giving her life back. “I’m so happy I can move and do stairs—it’s like a miracle,” she shared.

Life-changing scoliosis surgery

Wellstar’s neurosurgery team addresses complex brain and spine conditions, including adult spinal deformity. In severe cases, scoliosis correction surgery requires a dedicated team of 10 to 15 medical professionals working together to realign the spine.

“This type of surgery can be totally life-changing,” Dr. Zussman shared.

Only a few neurosurgeons in Georgia perform this extensive surgery. Wellstar offers this advanced level of scoliosis care at Wellstar Cobb Medical Center, Wellstar Kennestone Regional Medical Center, Wellstar MCG Health Medical Center and Wellstar North Fulton Medical Center. Reach out to a location near you to schedule an appointment:

  • Neurosurgery in Austell
  • Neurosurgery in Marietta
  • Neurosurgery in Roswell
  • Orthopedics & Sports Medicine in Augusta 

 

Learn more about spine surgery at Wellstar.

 

Tags

Cobb Medical Center Kennestone Regional Medical Center North Fulton Medical Center
MCG Health Medical Center Benjamin Morris Zussman Neurosurgery - 1700 Hospital South Drive Neurosurgery - 61 Whitcher Street NE Neurosurgery - 2500 Hospital Boulevard Orthopaedics and Sports Medicine - 1220 West Wheeler Parkway Neuro Care Senior Health
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Highlights

Think PINK: Raise Your Breast Cancer IQ

According to the American Cancer Society, more than 316,000 new cases of invasive breast cancer are expected to be diagnosed in women in the U.S. this year. Breast cancer is the most common cancer among women, apart from skin cancer, and second only to lung cancer as a leading cause of cancer death in women.

It’s important for women to know the symptoms and schedule regular screenings to detect breast cancer early. Remember PINK—Prevention, Information, Next steps and Knowledge—to guide your awareness.

P: Prevention

The best way to detect breast cancer early is by staying connected with your healthcare provider and keeping up with regular visits and screenings, including mammograms.

Who should get screened, and when?

Annual mammograms are recommended starting at age 40. Women with additional risk factors or a family history should speak with their provider about starting screenings earlier.

I: Information

Research and learn as much as you can about breast cancer. Knowing the signs and symptoms could save your life.

What are the symptoms of breast cancer?

Some symptoms may be spotted early. Knowing what to look and feel for can help catch breast cancer before it progresses:

  • Lump in the breast or underarm
  • Breast swelling or thickening
  • Redness or flaking skin on the breast
  • Nipple discharge other than breast milk
  • Change in breast size or shape
  • Pain in any area of the breast

N: Next steps

When a mammogram result is flagged for follow-up care, it can feel scary. At Wellstar, you don’t have to face the process alone. Our Comprehensive Breast Health Program offers complimentary concierge services, automatically enrolling patients with abnormal mammogram results. Dedicated nurse navigators guide you through each step of the diagnostic process—helping with scheduling, answering questions and supporting your physical and emotional well-being.

If you are diagnosed with breast cancer, it’s important to partner with your care team to plan your treatment.

What happens after a breast cancer diagnosis?

  • Schedule a follow-up visit. Meet with your healthcare provider to ask questions about your diagnosis and treatment options.
  • Consult with specialists. At Wellstar, breast surgeons and oncologists work as part of an integrated team to recommend treatment tailored to your condition. Patients also have access to advanced imaging, leading facilities and experts in surgery, radiology, pathology and oncology.
  • Explore STAT Clinic. At the Breast Cancer STAT Clinic at Wellstar North Fulton Medical Center, a full team—including a breast surgeon, medical oncologist, radiation oncologist, genetic counselor and nurse navigator—meets with you in one place on the same day. Together, they create a personalized treatment plan before you leave, helping reduce the time from diagnosis to treatment from months to just two weeks. This patient-centered model brings the specialists to you, ensuring the most seamless, supportive experience possible.

K: Knowledge

Knowing your personal health, family history and risk factors helps your care team determine if you may be at increased risk of developing breast cancer.

For women ages 24 to 39, Wellstar has partnered with Gabbi to offer a personalized, virtual breast cancer risk assessment. The program provides next-day virtual visits with specialists, coordinated imaging at Wellstar and 24/7 concierge support.

What are the risk factors for breast cancer?

  • Age. Risk increases as women get older.
  • Family history. Having a relative with breast cancer—or a male relative with prostate cancer—can increase risk.
  • Previous radiation therapy. Radiation to the chest for other cancers or lymphomas may increase risk.
  • Past diagnosis. A previous breast cancer diagnosis raises the likelihood of recurrence.

Wellstar provides comprehensive breast diagnostic and treatment options, along with support services to help patients and families navigate their journey.

For more information, visit wellstar.org/breastcancer.

Keep reading
John Elliot smiles after getting control of Parkinson’s symptoms with the Wellstar Parkinson’s and Tremors Program and a procedure called deep brain stimulation (DBS).

PeopleCare

JohnElliottCare

John Elliott was a builder who enjoyed meeting with clients and planning their future homes. But the effects of Parkinson’s disease made it hard for him to meet with clients and live his life. Then he found a new sense of hope thanks to the Wellstar Parkinson’s and Tremors Program and a procedure called deep brain stimulation (DBS). His experience is a powerful testament to the value of comprehensive care and how his neurologists, functional neurosurgeon and nurse navigator helped him rebuild his life. 

Symptoms that were hard to shake

 

John has been building custom homes in Marietta for 45 years—a career defined by personal relationships with his clients. He loves spending time with his family, hunting, fishing and bushhogging the multi-generational family farm.

But in 2015, John’s hands began to shake. A former client and friend who was a retired neurologist recommended he see Dr. Thomas Holmes, a Wellstar neurologist. 

A DaTscan, a type of nuclear imaging test that takes images of the brain, helped Dr. Holmes see a loss in John’s dopamine-producing neurons, which indicates Parkinson’s disease. The progressive neurological disorder affects a person’s motor functions and movements. 

At first, medication helped. But years after his diagnosis, John’s medications were barely effective.

“A big part of custom home building is your interaction with your client,” John said. “Meeting with the customer became somewhat of a problem.”

His tremors and involuntary mouth movements left him feeling embarrassed.

“I kind of went into a shell and didn't want to see people because they would make comments, particularly about the mouth movement,” he said. “You want to hide.”

Keep reading
Runners take their mark on the track. Text reads XanderCare.

PeopleCare

XanderCare

Xander Garanzuay, a long-distance runner, never imagined his high school track meet would end with him being airlifted to the hospital. But when a discus struck him in the head, he suffered a depressed skull fracture and needed emergency surgery.

Thanks to the quick action and collaboration of Wellstar Kennestone Regional Medical Center's trauma and neurosurgery teams, Xander is now back to running. His story highlights the resilience of the human body, the strength of family and the impact of expert care.

A sudden accident

After finishing the 2-mile race at a track meet in Cartersville, Xander stayed to support his Woodstock High School teammates. When he was ready to go home, he texted his parents.

A few moments later, everything changed. While tossing a ball with his friend, Xander ran to retrieve it—just as a discus struck him in the head.

The discus hit Xander on the left side of his head with such force that he fell unconscious. Xander began seizing—his condition was critical. While his friend raced to notify their coaches, Kelly, Xander’s mom, had arrived to pick him up.

“I’m sitting out front texting Xander, ‘I’m here,’ when emergency vehicles start pulling up,” Kelly said. “Then my husband called—‘Xander’s been hit.’”

Kelly stayed with Xander as EMS evaluated him. “He was awake but not coherent,” she noted. They determined he would need to be airlifted to Wellstar Kennestone, a Level I Trauma Center.

Life-saving surgery

Xander was swiftly transported to Wellstar Kennestone, where the trauma team was ready to act. Upon arrival, Wellstar Neurosurgeon Dr. Phillip Parry assessed the severity of Xander’s injury: a depressed skull fracture causing seizures.

“The discus is a large weight—picture a five-pound Frisbee—that is flung through the air,” said Dr. Parry. “Thankfully, Xander’s skull protected his brain, but he essentially sustained a ballistic injury to the skull.”

The impact to the left side of Xander’s skull left him with a fixed-focus neurologic deficit. His right arm—his dominant arm—had no muscle strength, and his right leg was weak.

Dr. Parry performed an emergency craniotomy to remove the bone pressing on Xander’s brain. The surgery was successful, but the road ahead was uncertain.

“The biggest challenge wasn’t the surgery itself—this is something we do every day,” he said. “It was telling a 16-year-old and his mother that we didn’t know whether he would regain function in his dominant arm.”

Kelly had to trust in the care Xander was receiving. “You don’t know what you’re going to do in that situation. Nothing prepares you,” she said. “I had to have faith that he was in the right hands—and he truly was.”

Steady progress

The day after Xander’s surgery, Wellstar Kennestone’s physical and occupational therapy teams began working at his bedside to restore movement in his non-functioning arm and leg.

“You want to do everything you can to optimize the body’s ability to heal,” said Dr. Parry. “It was important that we provided that environment for him.”

Xander’s positive attitude and determination played a crucial role in regaining function. His dad, Xavier, was amazed by his son’s resilience.

“He was so proactive and driven to get better,” Xavier said. “It was inspiring to watch.”

Still, sometimes the reality of what happened sank in. “He woke up one night and said, ‘I could have died,’” his mom remembered. “I told him, ‘Yes, but you didn’t.’ He said, ‘God must have something really special planned for me.’”

Xander applied the same fortitude from running to each step of his healing. “Sometimes you can be your own worst enemy, but you can also be your biggest supporter,” he said. “If you don’t believe in yourself, how can anyone else believe in you?”

Care that made a difference

Xander spent six days at Wellstar Kennestone before being transferred to inpatient rehabilitation. The support from Wellstar’s care team made a lasting impact.

They were there for whatever we needed—compassionate and always listening to Xander’s needs,” Kelly said.

One night during his stay, Xander woke needing help to get to the restroom. When a nurse arrived, he suddenly began seizing. “I’ve never seen eight nurses in a room so quickly,” his mom recalled. “Everyone knew exactly what to do.”

One poignant moment came when Xander’s family had the discus—now a symbol of victory over his injury—signed by his care team.

“It’s rewarding as a physician to know that I played a small part in restoring his ability to use his arm again,” Dr. Parry reflected. “As a parent, I know the anxiety that comes with the uncertainty of neurologic recovery. To see Xander move his arms and legs again, as if nothing happened, is a relief that’s indescribable.”

The power of community

Xander’s recovery was supported not only by his family and Wellstar care team, but also by his school and community. After the accident, his track team dedicated the next meet to him, with “Run for Xander” wristbands and signs. A teammate also started a GoFundMe campaign, which raised nearly $13,000 to help with the family’s medical expenses.

“People from all over came together for Xander,” Xavier said. “Posts on his team’s Facebook page were shared with running clubs from Canada to Miami. We were blown away.”

Xander was especially touched by the support. “This whole experience showed me how much my family loves me,” he said. “Seeing my friends, teachers and even family from Texas come to help—it meant so much.”

A bright future

After two and a half weeks of inpatient rehabilitation, Xander transitioned to outpatient rehab and continued regular follow-ups with Dr. Parry at the Wellstar Neurosurgery clinic. “At each phase, he received the best possible care,” explained Dr. Parry. “That’s why he had such a great outcome.”

Today, Xander is almost fully recovered and back doing what he loves most—running. “Physically and mentally, he’s doing phenomenal,” Kelly said. “He has his own training program. I am so proud of him.”

Xander’s progress wouldn’t have been possible without the trauma care network that supported him every step of the way. “The benefit of the trauma network can’t be overstated,” Dr. Parry said. “It ensures people get the best possible outcome even on their worst day.”

With expert care and determination, Xander is ready for whatever comes next.

Learn more about Trauma Services and Neuro Care at Wellstar.

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