Adolescent Idiopathic Scoliosis Discharge Instructions

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Hospital to Home:

Generally 3-4 days

Diet:

  • High fiber and high protein- encourage small frequent meals with plenty of hydration.
  • Minimum of 6-8 glasses of water daily.

Activity:

  • Encourage getting moving.
  • Daily 60 minute walks which can be broken down into 6 ten minute intervals.
  • Physical therapy exercises three times a day.

Medications:

  • Refer to the calendar provided by the pain service that references weaning off medications.
  • Continue stool softeners if you are on narcotics to prevent constipation.

Restrictions:

  • NO Physical Education for at least 6 months.
  • NO spine twisting/torsion.
  • NO IBUPROFEN , aspirin, or naprosyn products for 6 months post operatively.
  • No Driving for 6 weeks then may return if off all narcotics and physically able to slam on breaks.
  • Do Not Carry more than 10 pounds.
  • NO backpacks.

Shower:
Your doctor will let you know when you can shower.

School:

  • Most patients can return to school full time in 2-4 weeks and may return sooner if you wish.
  • Refer to back to school note: do not carry more than 10 pounds on your back, no back packs, 2nd set of books, 5 minutes in between classes, NO PE for 6 months- 1 year.

Incision care:

  • No creams, lotions or ointments to incision site.
  • Keep incision site out of sun by covering for 2 weeks Post-Operative and limit sun exposure during first year. Use sun block of SPF 50.

When to call the DOCTOR?

  • Fevers greater than 101.5
  • Vomiting
  • Significant weight loss after 2 weeks after surgery
  • Incision site redness, warmth or drainage
  • Numbness tingling or weakness in your arms or legs
  • Persistent constipation
  • Rash
  • Increased pain not relieved by pain medication
  • Patients MUST call prior to any dental procedures or surgical procedures for 2 years after surgery. We will give antibiotics prior to procedure to prevent any risk of infection.
  • If you have a post-op problem that is treated by your primary care physician or pediatrician.

When to Follow Up?

  • Six weeks, follow-ups after are determined by your doctor.

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