Anesthesia and Perioperative Management for Surgical Correction of Neuromuscular Scoliosis in Children: A Narrative Review

Scoliosis is the most frequent spinal deformity in children. It is defined as a spine deviation of more than 10° in the frontal plane. Neuromuscular scoliosis is associated with a heterogeneous spectrum of muscular or neurological symptoms. Anesthesia and surgery for neuromuscular scoliosis have a h...

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Bibliographic Details
Published in:Journal of clinical medicine 2023-05, Vol.12 (11), p.3651
Main Authors: Hudec, Jan, Prokopová, Tereza, Kosinová, Martina, Gál, Roman
Format: Article
Language:English
Subjects:
Airway management
Anesthesia
Cardiovascular disease
Care and treatment
Children
Clinical medicine
Congenital diseases
Cooperation
Habitus
Hypoventilation
Lung diseases
Medical personnel
Methods
Neuromuscular diseases
Patients
Pediatric anesthesia
Pediatric research
Pediatrics
Perioperative care
Postoperative period
Review
Rhabdomyolysis
Scoliosis
Spine
Spirometry
Surgery
Ventilators
Weaning
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Summary:Scoliosis is the most frequent spinal deformity in children. It is defined as a spine deviation of more than 10° in the frontal plane. Neuromuscular scoliosis is associated with a heterogeneous spectrum of muscular or neurological symptoms. Anesthesia and surgery for neuromuscular scoliosis have a higher risk of perioperative complications than for idiopathic scoliosis. However, patients and their relatives report improved quality of life after the surgery. The challenges for the anesthetic team result from the specifics of the anesthesia, the scoliosis surgery itself, or factors associated with neuromuscular disorders. This article includes details of preanesthetic evaluation, intraoperative management, and postoperative care in the intensive care unit from an anesthetic view. In summary, adequate care for patients who have neuromuscular scoliosis requires interdisciplinary cooperation. This comprehensive review covers information about the perioperative management of neuromuscular scoliosis for all healthcare providers who take care of these patients during the perioperative period, with an emphasis on anesthesia management.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm12113651