New Surgical Approaches to Scoliosis Repair in Pediatric Patients—Implications for Anesthetic Management

Abstract

Purpose of Review The treatment of pediatric scoliosis has evolved over time. Newer treatment modalities provide alternative options for patients that optimize outcomes. In this manuscript, we will review pediatric scoliosis and focus on the anesthetic management techniques for its surgical correction. Recent Findings Many modifications to the surgical repair of scoliosis have occurred since the procedure was first performed in the 1960s. Improved surgical equipment and imaging techniques have improved outcomes for posterior spinal fusion. Many centers are now employing anterior spinal tethering procedures. In all cases, anesthetic techniques have been refined over time to improve pre-, intra-, and post-operative management. Summary Innovative surgical approaches and novel anesthetic protocols have impacted the management of patients with scoliosis. Future research is needed to further refine techniques.