Introduction: Neurological, cardiovascular and respiratory system pathologies are frequently accompanied by pediatric scoliosis surgery. The aim of this retrospective clinical study was to evaluate the demographic characteristics, operation characteristics, and complications associated with anesthesia and surgery in pediatric patients undergoing scoliosis surgery. Material and Methods: In this study, 33 pediatric patients undergoing elective scoliosis surgery were reviewed retrospectively. Demographic characteristics, surgical procedure data, complications related anesthesia or surgery were examined in terms of anesthesia management. Medications, concomitant diseases, laboratory values, postoperative service and intensive care unit records were obtained from the university database. Results: The mean age of thirty-three patients was 13.09 ± 2.98 years. Three patients had meningomyelocele and one had neuromuscular disease. 72.7 % of patients (24 patients) have thoracolumbar scoliosis. The duration of anesthesia and surgery was 241.21 ± 55.55 min and 214.84 ± 54.55 min, respectively. The mean number of instrumented level was 10.78 ± 3.54. Blood transfusion was performed in 97 % of the patients (32 patients). All patients were transferred to the intensive care unit in the postoperative period. In each two patients, bradycardia and hypotension were observed. In the perioperative period, the mean blood loss of the patients was 843.93 ± 246.14 mL. Conclusion: Pediatric scoliosis surgery; is an important orthopedic procedure which may results in serious intraoperative blood loss and postoperative pain and can be accompanied by syndromes, difficult airway management, serious respiratory and circulatory system complications during perioperative and postoperative period. Evaluation of localization and the extent of curvature, length of surgery, concomitant diseases and congenital anomalies are important for the management of anesthesia in patients undergoing pediatric scoliosis surgery.


Chidambaran V, Subramanyam R, Ding L, Sadhasivam S, Geisler K, Stubbeman B, Sturm P, Jain V, Eckman MH. Cost- effectiveness of intravenous acetaminophen and ketorolac in adolescents undergoing idiopathic scoliosis surgery. Paediatr Anaesth 2018; 28(3): 237-248.

Cobb JR. Outline for the study of scoliosis. In: Ann Arbor MI, Edwards JW (eds). Instructional Course Lectures, American Academy of Orthopaedic Surgeons, New York 1948; pp: 261–275.

Hassan N, Halanski M, Wincek J, Reischman D, Sanfilippo D, Rajasekaran S, Wells C, Tabert D, Kurt B, Mitchell D, Huntington J, Cassidy J. Blood management in pediatric spinal deformity surgery: review of a 2-year experience. Transfusion 2011; 51(10): 2133-2141.

Kafer ER. Respiratory and cardiovascular functions in scoliosis and the principles of anesthetic management. Anesthesiology 1980; 52: 339-351.

Karacaer F. Anesthetic management of scoliosis surgery. Arch Med Rev J 2014; 23(3): 519-533.

Liu L, Xiu P, Li Q, Song Y, Chen R, Zhou C. Prevalence of cardiac dysfunction and abnormalities in patients with adolescent idiopathic scoliosis requiring surgery. Orthopedics 2010; 1: 21-28.

Lök V, Önçağ H, Yüce N.Türkiye hakkında skolyoz insidensi. 6. Milli Türk Ortopedi ve Travmatoloji Kongre Kitabı, Ankara 1980; pp: 86-90.

Mackel CE, Jada A, Samdani AF, Stephen JH, Bennett JT, Baaj AA, Hwang SW. A comprehensive review of the diagnosis and management of congenital scoliosis. Childs Nerv Syst 2018; 34(11): 2155-2171.

Schulz KF, Altman DG, Moher D; CONSORT Group. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. Int J Surg 2011; 9(8): 672-677.

Schur MD, Blumstein GW, Seehausen DA, Ross PA, Andras LM, Skaggs DL. Intraoperative hypothermia is common, but not associated with blood loss or transfusion in pediatric posterior spinal fusion. J Pediatr Orthop 2018; 38(9): 450-454.

Seol TK, Han MK, Lee HJ, Cheong MA, Jun JH. Bispectral index and their relation with consciousness of the patients who receive desflurane or sevoflurane anesthesia during wake-up test for spinal surgery for correction. Korean J Anesthesiol 2012; 62(1): 13-18.

Wilton N, Anderson B. Orthopedic and spine surgery. In: Cote CJ, Lerman J, Todres ID (eds). Practice of Anesthesia in İnfants And Children. 4th edition. Elsevier, Philadelphia 2009: 633-655. Yaman O, Dalbayrak S. İdiopatik Skolyoz. Türk Nöroşirürji Dergisi 2013; 23 (2): 37-51.

Zuccaro M, Zuccaro J, Samdani AF, Pahys JM, Hwang SW. Intraoperative neuromonitoring alerts in a pediatric deformity center. Neurosurg Focus 2017; 43(4): E8.

Kaynak Göster

  • ISSN: 2147-5903
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1989
  • Yayıncı: Galenos Yayınevi

6.4b 4.9b