Anesthesia Considerations in Scoliosis Surgery - A Clinical Communication
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Abstract
Scoliosis is a condition of abnormal lateral curvature of the spinal column greater than 10 degrees as measured by Cobb’s angle. The two main groups of scoliosis are idiopathic scoliosis and non-idiopathic scoliosis. The diagnosis of an idiopathic scoliosis is made if a non-idiopathic one has been excluded. Idiopathic adolescent scoliosis is a more common form. Neuromuscular scoliosis, which is a type of non-idiopathic scoliosis, is characterized by diverse muscular and neurological impairments. Anesthesia and surgery for neuromuscular scoliosis have a higher risk of perioperative complications than for idiopathic cases.
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Shapiro F, Korman J, McPherson E. Does posterior scoliosis correction improve respiratory function in adolescent idiopathic scoliosis? A systematic review and meta-analysis. Eur Spine J. 2019;28(6):1295-1303.
Loughenbury PR, Tsirikos A. Current concepts in the treatment of neuromuscular scoliosis: Clinical assessment, treatment options, and surgical outcomes. J Bone Joint Surg Am. 2018;100(22):e156.
Vazquez-Nieves R, Fonseca-Ferrer V, Irizarry-Nieves J. Measuring restrictive lung disease severity using FEV1 vs TLC. Chest. 2023;163(1):e1-e9.
Kynes JM, Evans FM, Hodgetts V, Wilson K. Surgical correction of scoliosis: Anesthetic considerations. Anesth Tutor Week. 2019;19(6):1-10.
Konieczny MR, Senyurt H, Krauspe R. Epidemiology of adolescent idiopathic scoliosis. J Child Orthop. 2013;7(1):3-9. Available from: https://doi.org/10.1007/s11832-012-0457-4
Furdock R, Brouillet K, Luhmann SJ. Organ system anomalies associated with congenital scoliosis: A retrospective study of 305 patients. J Pediatr Orthop. 2018;38(9):e563-e568.
Chen J, Wang S, Yang G, Li E, Liang Z. A review of the methods on Cobb angle measurements for spinal curvature. Sensors (Basel). 2022;22(9):3258. Available from: https://www.mdpi.com/1424-8220/22/9/3258
Lin Y, Tan H, Rong T, et al. Impact of thoracic cage dimension and geometry on cardiopulmonary function in patients with congenital scoliosis: A prospective study. Spine J. 2019;19(9):1486-1494.
Hudec J, Prokopova T, Kosinova M, Gal R. Anesthesia and perioperative management for surgical correction of neuromuscular scoliosis in children: A narrative review. Paediatr Anaesth. 2023;33(1):5-13.
Nguyen A, Mandavalli A, Diaz MJ, et al. Neurosurgical anesthesia: Optimizing outcomes with agent selection. J Neurosurg Anesthesiol. 2022;34(4):345–352.
Alajmi T, Saeed H, Alfaryan K, Alakeel A, Alfaryan T. Efficacy of tranexamic acid in reducing blood loss and blood transfusion in idiopathic scoliosis: A systematic review and meta-analysis. J Spine Surg. 2017;3(4):531–540. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC5760407/
Safari A, Parsaei H, Zamani A, Pourabbas B. A semi-automatic algorithm for estimating Cobb angle. J Biomed Phys Eng. 2019;9(3):317–326. Available from: https://doi.org/10.31661/jbpe.v9i3jun.730
Pajewski TN, Arlet V, Phillips LH. Current approach on spinal cord monitoring: The point of view of the neurologist, the anesthesiologist, and the spine surgeon. Spine J. 2016;16(5):e77–e85. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC2072895/
Soghomonyan S, Moran KR, Sandhu GS, Bergese SD. Anesthesia and evoked responses in neurosurgery. Front Pharmacol. 2014 Apr 14;5:74. Available from: https://doi.org/10.3389/fphar.2014.00074
Wishart BD, Kivlehan E. Neuromuscular scoliosis: When, who, why and outcomes. Phys Med Rehabil Clin N Am. 2021;32:547–556. Available from: https://doi.org/10.1016/j.pmr.2021.02.007