Physiotherapy Management After Posterior Stabilization in Thoracic Scoliosis: A Case Report

Abstract

Introduction: Scoliosis is an abnormal curvature of the spine that may lead to back pain, restricted mobility, and respiratory impairment. In severe thoracic scoliosis, surgical correction with posterior vertebral stabilization is commonly performed; however, postoperative pain and functional limitations often require structured physiotherapy to optimize recovery.
Objective: To describe the effects of multimodal physiotherapy on pain, trunk range of motion, dyspnea, and activities of daily living in a patient with thoracic scoliosis following posterior vertebral stabilization surgery.
Methods: This case report was conducted at Dr. Wahidin Sudirohusodo Hospital, Makassar, in November 2024. The patient was a 23-year-old woman with thoracic scoliosis who underwent posterior vertebral stabilization surgery in August 2024. Postoperative assessment revealed pain (VAS 6/10), limited trunk range of motion, dyspnea, and impaired activities of daily living. The physiotherapy program consisted of cryotherapy, interferential current, muscle release techniques, and exercise therapy administered over three treatment sessions.
Results: Following the intervention, pain decreased to 0/10 at rest, 3/10 on palpation, and 2/10 during movement. Trunk range of motion improved from S.15°–0°–40° to S.20°–0°–45°. Dyspnea grade improved from grade 3 to grade 1, and activities of daily living scores increased from 70 to 85.
Conclusion: Multimodal physiotherapy was effective in accelerating postoperative functional recovery by reducing pain, improving trunk mobility, decreasing dyspnea, and enhancing activities of daily living in a patient with thoracic scoliosis following posterior vertebral stabilization.