Cost of Scoliosis Surgery in Singapore: A Comprehensive Guide
Scoliosis surgery in Singapore is a transformative procedure that can improve spinal alignment, mobility, and long-term health. For patients and families considering this treatment, understanding the cost of scoliosis surgery in Singapore is essential for planning and peace of mind.
Written by Dr Lau Leok Lim | drlauspineclinic@gmail.com | Singapore |
What Is Scoliosis Surgery?
Scoliosis surgery typically involves spinal fusion, where curved segments of the spine are corrected and stabilized using rods, screws, and bone grafts. The surgical approach depends on:
- Severity and flexibility of the curve
- Age and skeletal maturity
- Underlying diagnosis (idiopathic, congenital, neuromuscular)
- Surgeon’s preferred technique
The goal is to prevent curve progression, restore spinal balance, and improve both function and appearance.
Mantra of Management: Prevent, Intervene, Stage
At The Scoliosis & Spine Clinic, we advocate a curve-specific, patient-centric approach to scoliosis care. Our guiding principles are:
- Prevent when possible: Mild curves detected early may respond well to bracing and physiotherapy, potentially avoiding surgery altogether.
- Intervene early when the curve is large: Timely surgical correction of large curves often leads to better outcomes, fewer complications, and shorter recovery. Delaying surgery in such cases may increase risk and complexity. In selected case, there may be a window of opportunity to preserve the flexibility with non-fusion technique such as by using vertebral body tethering (VBT).
- Staging the surgery when the curve is morbidly large: For severe, rigid deformities, a stepwise surgical plan—such as halo traction followed by staged instrumentation—can reduce operative risk, improve correction, and enhance safety. This may not be unnecessary if a good advice has been heeded with close follow-up.
Despite clinical recommendations, surgery is sometimes delayed due to fear of the unknown, misinformation, or objections from elder family members. These concerns are valid and deserve thoughtful discussion. Our role is to provide clarity, evidence-based guidance, and reassurance—so families can make informed decisions with confidence.
This structured approach ensures that each patient receives individualized care based on curve severity, growth potential, and long-term goals—balancing safety, timing, and cost-effectiveness.
Approach of Surgery: Endoscopic vs Posterior Instrumentation
The surgical approach significantly influences both outcomes and cost. Two common methods include:
- Standard Posterior Instrumentation & Fusion: This traditional method involves open exposure of the spine, placement of rods and screws, and fusion of the affected segments. It is widely used for moderate to severe curves and offers robust correction. However, it typically incurs higher costs due to longer operative time, more extensive instrumentation, and increased hospital stay.
- Endoscopic Keyhole based Correction: A minimally invasive technique that uses small incisions and specialized tools to correct the curve. While not suitable for all cases, endoscopic surgery may reduce operative time, blood loss, and recovery duration—making it a more cost-effective option for selected patients. This technique is only available with limited pool of surgeons due to the steep learning curves.
Patients should discuss with their surgeon which approach is appropriate based on curve severity, anatomy, and long-term goals. Prefably this should be conducted with surgeons who are proficient in both techniques.
Factors That Influence the Cost of Scoliosis Surgery in Singapore
| Component | Details |
|---|---|
| Surgical Complexity | Severe or revision cases require longer operating time, more implants, and advanced techniques—raising overall cost. |
| Surgeon’s Fees | Most surgeons follow MOH’s recommended fee benchmarks, which include procedural fees and daily inpatient consultations. These benchmarks promote consistency, transparency, and fairness in billing. |
| Anaesthetist’s Fees | Includes anaesthesia charges during surgery and post-operative pain management consultations. |
| Hospital Charges | Covers lodging, nursing care, operating theatre usage, imaging, and consumables. Charges vary by hospital and groups. |
| Implants & Instrumentation | Implant costs depend on density (number of screws) and system type. Higher-density constructs may improve correction but increase material cost. |
| Advanced Technologies | Optional tools like robotics, and navigation systems enhance precision but may not be necessary for all cases. |
| Pre- and Post-Operative Care | Includes pre-op imaging, physiotherapy, and follow-up consultations. These contribute to overall recovery and cost. |
Cost-Effective Scoliosis Surgery in Singapore: What Patients Should Consider
Making scoliosis surgery more affordable doesn’t mean compromising on safety or outcomes. Patients and families can consider the following strategies:
- Choose Experience Over Excess: A highly experienced surgeon in the area (tends to be higher volume as well) has lower complication rates, better curve correction, and shorter hospital stays. Fewer complications mean fewer re-operations and lower overall costs.
- Discuss Implant Strategy: Lower-density constructs (fewer screws) may be clinically appropriate in selected cases. Reducing implant volume can significantly lower material costs without compromising outcomes.
- Evaluate Technology Use Critically: Advanced tools like robotics and navigation systems may enhance surgical precision. However, not all technologies result in meaningful benefits for the patient. Their use should be based on clinical necessity—not marketing or commercial bias.
Funding Options for Scoliosis Surgery in Singapore
Financing scoliosis surgery can be a major concern for families. Fortunately, Singapore offers several pathways to help offset costs:
- Medisave: Patients may use Medisave to cover part of the surgical fees, hospital charges, and implants. Withdrawal limits apply depending on procedure type and hospital class.
- Integrated Shield Plans (IPs): These private insurance plans complement Medisave and offer enhanced coverage for private hospital stays, specialist fees, and advanced technologies. Coverage varies by insurer and rider type.
- Corporate Insurance: Many employers provide group health insurance that may cover specialist consultations, surgical procedures, and post-operative care. Coverage terms depend on the corporate policy and insurer.
- Subsidized Care in Public Institutions: Available to eligible patients referred through polyclinics or CHAS clinics. Subsidy tiers depend on income level and residency status, and typically apply to care in restructured hospitals. Unlike in private sector, the wait time to get a slot of surgery tends to be longer.
Our team is available to guide patients through funding eligibility, documentation, and claims—ensuring clarity and minimizing financial stress throughout the surgical journey. Why our costs are higher than compared to the care in public sector, we strive to provide a cost-effective care but cutting the unnecessary excesses while deliver maximum gains in clinical outcomes
Is Scoliosis Surgery Worth the Investment?
Scoliosis surgery offers long-term benefits including potential reduction in pain, improved posture, enhanced mobility, and better self-esteem. Most patients resume school or work within weeks.
Final Thoughts
The cost of scoliosis surgery in Singapore depends on multiple clinical and logistical factors. At The Scoliosis & Spine Clinic, we believe in transparent care—where every step is explained, and tailored to each patient’s needs.
If you’re considering surgery or seeking a second opinion, our team is here to guide you through the clinical options, financial considerations, and recovery roadmap—so you can move forward with clarity and confidence.