Quantifying Anesthesia Exposure in Growing Rod Treatment for Early Onset Scoliosis

Journal of Pediatric Orthopedics
Matthew J GoldsteinBehrooz A Akbarnia

Abstract

Growing rod (GR) treatment for early-onset scoliosis requires repeated anesthesia exposure (AE). At a minimum, GR treatment requires AE for diagnostic imaging, index GR surgery, periodic lengthenings, and final fusion. Adjunct procedures and complication-related procedures also increase AE. To our knowledge, this is the first study to quantify AE in GR treatment and to establish preoperative expectations. A single-center retrospective review of 16 patients who completed GR treatment and underwent final fusion. Duration of all AE related to GR treatment for "standard" care procedures (ie, advanced imaging, index surgery, lengthenings, final fusion) and "associated" care procedures (ie, revisions, adjunctive surgical procedures, wound-related complications) were reviewed. Etiologies were classified per the classification of early-onset scoliosis. Mean total anesthesia time (TAT) was tallied and analyzed for standard care and associated care procedures. There were 5 syndromic, 8 neuromuscular, and 3 idiopathic patients. The mean age at the first AE event related to GR treatment was 7.4 years (range, 3.8 to 11 y). Mean age at the index GR surgery and final fusion was 8.1 years (range, 3.9 to 14.4 y) and 12.8 years (range, 9.7 to 19...Continue Reading

References

May 24, 2008·Anesthesia and Analgesia·Francis X McGowan, Peter J Davis
Jan 14, 2010·Journal of Cerebral Blood Flow and Metabolism : Official Journal of the International Society of Cerebral Blood Flow and Metabolism·Changlian ZhuKlas Blomgren
Mar 18, 2010·Anesthesiology·Ansgar M BrambrinkJohn W Olney
Oct 5, 2010·The Journal of Bone and Joint Surgery. American Volume·Shay BessDavid L Skaggs
Mar 11, 2011·The New England Journal of Medicine·Bob RappaportJanet Woodcock
Oct 5, 2011·Pediatrics·Randall P FlickDavid O Warner
Oct 5, 2011·Pediatrics·Robert K Williams
Oct 31, 2012·Annals of Neurology·Ansgar M BrambrinkJohn W Olney
Jun 10, 2015·Pediatrics·Barynia BackeljauwAndreas W Loepke

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Citations

Oct 24, 2018·Spine Deformity·Fady J BakyA Noelle Larson
Nov 1, 2018·Spine Deformity·Fady J BakyA Noelle Larson

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