Anesthetic features in the surgical treatment of idiopathic scoliosis in adolescents.

Abstract

lobally, there is a noticeable increase in spinal diseases, with scoliosis being one of the most prevalent. Recon- structive spinal surgeries for scoliosis treatment present challenges for effective anesthetic management. Apart from general anesthesia, a combination of general anes- thesia with regional blockade is also employed for dorsal correction in adolescent patients. Despite numerous meta-analyses, there is still no consensus on the impact of regional anesthesia on the outcomes of traumatic spi- nal surgery. As a part of general anesthesia, epidural blockade suppresses the stress-surgical response and pro- vides a substantial blood-saving effect, reducing blood loss by up to 50%. Incorporating epidural anesthesia into general anesthesia enables a swift and predictable recov- ery from anesthesia, thereby improving the safety of the early postoperative period.

Keywords

• idiopathic scoliosis
• transpedicular fixation