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Pediatrics: Scoliosis Repair 

Pediatrics: Scoliosis Repair
Chapter:
Pediatrics: Scoliosis Repair
Author(s):

Jenna Sobey

, and Carrie Menser

DOI:
10.1093/med/9780190856649.003.0024
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date: 20 September 2019

This chapter discusses scoliosis repair, one of the most common major orthopedic surgeries performed in pediatric patients. Adolescent idiopathic scoliosis is the most common form and affects 1% to 3% of children and adolescents between the ages of 10 and 16. The anesthetic management of these patients can be challenging due to potential physiologic derangements that may be present. Adequate perioperative pain management is crucial, given the potential for significant postoperative and chronic pain conditions following repair. The rate of chronic postsurgical pain following scoliosis repair in pediatric patients averages about 20%. A balanced approach to analgesic management is best utilized to optimize pain relief while limiting side effects. Proper preparation for the perioperative experience, including setting expectations and planning for pain management, is a key factor in a successful recovery.

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