What are some of the most common orthopaedic problems children face?
The commonest pediatric orthopedic problems that kids can face are of course fractures and fractures are very common in kids from the activity age, let’s say from 2 years until the late teenager age, and the older the child is, the commonest fractures will happen due to recreational activities. In general, we say that fracture treatment for pediatric patients is better to be treated by a pediatric orthopedic surgeon because they always have in mind the possibility of the effect on the growth and also how to take the growth into consideration.
What are the main causes? What’s the best action plan for such problems?
For a pediatric orthopedic could be of course deformities. Deformities could result from fractures, but it could be also congenital deformities and the main causes are widely unknown, as if we take deformities of the limbs or deformities of the spine, most of these cases we don’t know the reason, but of course the treatment is available.
Scoliosis is a huge issue in the UAE – why is this and what can be done to tackle it (in the home, at school, in society)?
Start with scoliosis is a bent in the spine that happens in the frontal view and there are many causes of scoliosis and by far the commonest is what is referred to idiopathic and according to the age by far commonest of the idiopathic is what is referred to adolescent idiopathic scoliosis. This means, all the scoliotic deformities that happens in kids after the age of 10 years. The best action plan will be again the early detection of these problems as the treatment in early stage would be widely nonsurgical mainly by bracing the scoliotic deformity.
What telltale signs do parents need to watch out for?
The parents should have their kids screened periodically by the pediatric orthopedic surgeon and especially for the spinal deformity, this should be done for adolescent idiopathic scoliosis at the age of 8 years, 10 years and 12 years.
What new treatments/surgical interventions does your hospital offer? Can you talk about success rates…?
The facility in Al Zahra Hospital Dubai, we operate around 100 scoliotic cases a year and the success rate is very high. At the same time, all the new techniques which are available in the world, if we take for example, the use of magnetic rods or the use of what we call segmental fixation and complete correction of the curve are available, and it is worth mentioning that in Al Zahra Hospital Dubai we have operated many cases as a redo surgery and those cases were for patients that had their surgeries done abroad in reputable centers, and this is just to say that the level of treatment is by far very high in our facility.
How important is it to address scoliosis early in childhood? What are the repercussions?Why should patients approach Al Zahra for paediatric orthopaedic problems?Any other information you would like to add.
We would like here to mention as the last thing that at Al Zahra Hospital Dubai, the Pediatric Orthopedic and Pediatric Spine unit offers a wide range of treatments for all conditions that can affect the kids, whether its fractures or deformities of the limbs or deformity of the spine. We have a very high record of many cases that has been treated and we have also, as for example for hip screening, considered to be the first center in the Middle East that started universal hip screenings for all the newborns that are delivered at Al Zahra Hospital Dubai and also the newborns that are referred to our care. As in regard also to the treatment of the scoliotic deformities, we have wide range of treatment from the conservative which could be just observation, but also we attack the curve very early with non-operative measures as the brace and we are using the newest technology which is the Providence nighttime brace which means the brace needs to be used only at nighttime, and in this way will not affect the kid’s mobility, psychology and daily activities. We also start treatment of the scoliotic curve just when the curve hits the definition of scoliosis which is more than 10 degrees, while all over the world, it is still following the commonest practice that to start bracing when it hits 24 degrees. The whole philosophy of this treatment came in our mind that, as long as we are not harming the child and we are using only the nighttime brace and we know that the brace will not correct, but rather hold the progression or stop the progression, then it’s of course better to start the treatment as early as possible and we are proud to say that we are first center that have started this kind of treatment.