NEWS - IN THIS SECTION

 

5 January 2006

 

Children in nine month wait for treatment

ALAN MacDERMID

 

A NATIONAL centre set up to treat children with a devastating spine

disorder is being overwhelmed less than a year later, surgeons said

yesterday.

They warned that 100 children with scoliosis were being left untreated

for up to nine months because of a shortage of staff and facilities at

the Royal Hospital for Sick Children in Edinburgh.

Michael McMaster, the director of the Scottish National Paediatric Spine

Deformity Service and one of only two surgeons in Scotland qualified to

operate on the condition, said several more surgeons were needed for the

unit.

Last year, Andy Kerr, health minister, announced that paediatric spinal

services for the whole of Scotland would be based at the RHSC on the

recommendation of the National Services Advisory Group.

The Scottish Executive, which said yesterday that funding for the

service has all but doubled to £1.8m a year, recognised the burden

placed on the unit under the present arrangement.

A spokesman said it was in the process of recruiting a third surgeon.

Mr McMaster and his colleague, Thanos Tsirikos, will see 1300 children a

year from across Scotland who develop the characteristic curvature and

twisting of the spine. Surgery takes place critically close to the

spinal cord.

Mr McMaster said: "Because this is such a specialist field, in order to

be able to do this surgery you need to have lots of special additional

training.

"This is difficult surgery and potentially dangerous and there are not

many surgeons around who have had the training, and that's the difficulty."

Scoliosis can develop at any time during childhood and adolescence, and

often it is teenage girls who are suddenly affected by its rapid onset.

Princess Eugenie, daughter of the Duke and Duchess of York, underwent an

operation for it In 2002, at the age of 12.

Because of growing restriction on the heart and lungs, the condition is

potentially fatal if left untreated. Lengthy operations are needed, in

which in some cases, metal pins are inserted into the spine to

straighten it.

The condition becomes more severe over time, and the longer children

wait for an operation, the more complicated and risky it is for the

surgeons to correct.

Mr Tsirikos said there were currently 100 children on the list for the

procedure. "We are putting more patients on the waiting list than we

take out, which is the difficulty now," he added.

The Scoliosis Association said the shortage of surgeons was getting

worse throughout the UK, and Ailie Harrison, founder and trustee, said:

"The position in Scotland has been particularly dire for a long time,

given the geography and the long distances people have to travel.

"People are also waiting much longer than they should be and it seems

that it's worse now than it used to be."

Around four children in every 1000 develop scoliosis and in cases

arising in adolescence girls outnumber boys 8 to one. Although there is

a familial element in some cases, the cause is largely unexplained.

 

Email Alan MacDermid <mailto:alan.macdermid@theherald.co.uk >

A NATIONAL centre set up to treat children with a devastating spine

disorder is being overwhelmed less than a year later, surgeons said

yesterday.

They warned that 100 children with scoliosis were being left untreated

for up to nine months because of a shortage of staff and facilities at

the Royal Hospital for Sick Children in Edinburgh.

Michael McMaster, the director of the Scottish National Paediatric Spine

Deformity Service and one of only two surgeons in Scotland qualified to

operate on the condition, said several more surgeons were needed for the

unit.

Last year, Andy Kerr, health minister, announced that paediatric spinal

services for the whole of Scotland would be based at the RHSC on the

recommendation of the National Services Advisory Group.

The Scottish Executive, which said yesterday that funding for the

service has all but doubled to £1.8m a year, recognised the burden

placed on the unit under the present arrangement.

A spokesman said it was in the process of recruiting a third surgeon.

Mr McMaster and his colleague, Thanos Tsirikos, will see 1300 children a

year from across Scotland who develop the characteristic curvature and

twisting of the spine. Surgery takes place critically close to the

spinal cord.

Mr McMaster said: "Because this is such a specialist field, in order to

be able to do this surgery you need to have lots of special additional

training.

"This is difficult surgery and potentially dangerous and there are not

many surgeons around who have had the training, and that's the difficulty."

Scoliosis can develop at any time during childhood and adolescence, and

often it is teenage girls who are suddenly affected by its rapid onset.

Princess Eugenie, daughter of the Duke and Duchess of York, underwent an

operation for it In 2002, at the age of 12.

Because of growing restriction on the heart and lungs, the condition is

potentially fatal if left untreated. Lengthy operations are needed, in

which in some cases, metal pins are inserted into the spine to

straighten it.

The condition becomes more severe over time, and the longer children

wait for an operation, the more complicated and risky it is for the

surgeons to correct.

Mr Tsirikos said there were currently 100 children on the list for the

procedure. "We are putting more patients on the waiting list than we

take out, which is the difficulty now," he added.

The Scoliosis Association said the shortage of surgeons was getting

worse throughout the UK, and Ailie Harrison, founder and trustee, said:

"The position in Scotland has been particularly dire for a long time,

given the geography and the long distances people have to travel.

"People are also waiting much longer than they should be and it seems

that it's worse now than it used to be."

Around four children in every 1000 develop scoliosis and in cases

arising in adolescence girls outnumber boys 8 to one. Although there is

a familial element in some cases, the cause is largely unexplained.

 

Email Alan MacDermid <mailto:alan.macdermid@theherald.co.uk >

A NATIONAL centre set up to treat children with a devastating spine

disorder is being overwhelmed less than a year later, surgeons said

yesterday.

They warned that 100 children with scoliosis were being left untreated

for up to nine months because of a shortage of staff and facilities at

the Royal Hospital for Sick Children in Edinburgh.

Michael McMaster, the director of the Scottish National Paediatric Spine

Deformity Service and one of only two surgeons in Scotland qualified to

operate on the condition, said several more surgeons were needed for the

unit.

Last year, Andy Kerr, health minister, announced that paediatric spinal

services for the whole of Scotland would be based at the RHSC on the

recommendation of the National Services Advisory Group.

The Scottish Executive, which said yesterday that funding for the

service has all but doubled to £1.8m a year, recognised the burden

placed on the unit under the present arrangement.

A spokesman said it was in the process of recruiting a third surgeon.

Mr McMaster and his colleague, Thanos Tsirikos, will see 1300 children a

year from across Scotland who develop the characteristic curvature and

twisting of the spine. Surgery takes place critically close to the

spinal cord.

Mr McMaster said: "Because this is such a specialist field, in order to

be able to do this surgery you need to have lots of special additional

training.

"This is difficult surgery and potentially dangerous and there are not

many surgeons around who have had the training, and that's the difficulty."

Scoliosis can develop at any time during childhood and adolescence, and

often it is teenage girls who are suddenly affected by its rapid onset.

Princess Eugenie, daughter of the Duke and Duchess of York, underwent an

operation for it In 2002, at the age of 12.

Because of growing restriction on the heart and lungs, the condition is

potentially fatal if left untreated. Lengthy operations are needed, in

which in some cases, metal pins are inserted into the spine to

straighten it.

The condition becomes more severe over time, and the longer children

wait for an operation, the more complicated and risky it is for the

surgeons to correct.

Mr Tsirikos said there were currently 100 children on the list for the

procedure. "We are putting more patients on the waiting list than we

take out, which is the difficulty now," he added.

The Scoliosis Association said the shortage of surgeons was getting

worse throughout the UK, and Ailie Harrison, founder and trustee, said:

"The position in Scotland has been particularly dire for a long time,

given the geography and the long distances people have to travel.

"People are also waiting much longer than they should be and it seems

that it's worse now than it used to be."

Around four children in every 1000 develop scoliosis and in cases

arising in adolescence girls outnumber boys 8 to one. Although there is

a familial element in some cases, the cause is largely unexplained.

 

Email Alan MacDermid <mailto:alan.macdermid@theherald.co.uk >

A NATIONAL centre set up to treat children with a devastating spine

disorder is being overwhelmed less than a year later, surgeons said

yesterday.

They warned that 100 children with scoliosis were being left untreated

for up to nine months because of a shortage of staff and facilities at

the Royal Hospital for Sick Children in Edinburgh.

Michael McMaster, the director of the Scottish National Paediatric Spine

Deformity Service and one of only two surgeons in Scotland qualified to

operate on the condition, said several more surgeons were needed for the

unit.

Last year, Andy Kerr, health minister, announced that paediatric spinal

services for the whole of Scotland would be based at the RHSC on the

recommendation of the National Services Advisory Group.

The Scottish Executive, which said yesterday that funding for the

service has all but doubled to £1.8m a year, recognised the burden

placed on the unit under the present arrangement.

A spokesman said it was in the process of recruiting a third surgeon.

Mr McMaster and his colleague, Thanos Tsirikos, will see 1300 children a

year from across Scotland who develop the characteristic curvature and

twisting of the spine. Surgery takes place critically close to the

spinal cord.

Mr McMaster said: "Because this is such a specialist field, in order to

be able to do this surgery you need to have lots of special additional

training.

"This is difficult surgery and potentially dangerous and there are not

many surgeons around who have had the training, and that's the difficulty."

Scoliosis can develop at any time during childhood and adolescence, and

often it is teenage girls who are suddenly affected by its rapid onset.

Princess Eugenie, daughter of the Duke and Duchess of York, underwent an

operation for it In 2002, at the age of 12.

Because of growing restriction on the heart and lungs, the condition is

potentially fatal if left untreated. Lengthy operations are needed, in

which in some cases, metal pins are inserted into the spine to

straighten it.

The condition becomes more severe over time, and the longer children

wait for an operation, the more complicated and risky it is for the

surgeons to correct.

Mr Tsirikos said there were currently 100 children on the list for the

procedure. "We are putting more patients on the waiting list than we

take out, which is the difficulty now," he added.

The Scoliosis Association said the shortage of surgeons was getting

worse throughout the UK, and Ailie Harrison, founder and trustee, said:

"The position in Scotland has been particularly dire for a long time,

given the geography and the long distances people have to travel.

"People are also waiting much longer than they should be and it seems

that it's worse now than it used to be."

Around four children in every 1000 develop scoliosis and in cases

arising in adolescence girls outnumber boys 8 to one. Although there is

a familial element in some cases, the cause is largely unexplained.