Türk Nöroşirürji Dergisi 2013 , Vol 23 , Num - Ek
Rehabilitation After Surgery of the Spinal Deformity
Koç Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Bölümü, İstanbul, Türkiye Main aim of the rehabilitation programs following surgical correction of spinal deformities is to restore the patient to full function as early as possible without compromising the integrity of the surgical intervention. The most important issue that need to be considered includes avoiding stress on the healing spine by avoiding strengthening exercises or range-of-motion exercises in regions that will apply significant forces to the healing spine. Early mobilization after surgery is important to prevent deconditioning and other secondary postoperative morbidities.

Main points of the rehabilitation program include patient education, teaching spine protection principles and avoiding excessive stress on the healing spine. Rehabilitation plan should be based on basic sciences. Osteoentegration and tissue healing timelines are important determinants of the rehabilitation program that should be taken into consideration. Core stabilization exercises strengthen the deep muscles of the spine and helps energy transfer of the body. Whole kinetic chain exercises like walking, swimming in addition to core stabilization programs are important parts of the rehabilitation programs. Close communication between surgeon and the rehabilitation team is crucially important during the return of the patient to normal daily activities. Anahtar Kelimeler : Rehabilitation, Scoliosis, Spinal deformity, Core stabilization