Posterior spinal fusion
| Anesthesia type | |
|---|---|
| Airway | |
| Lines and access | |
| Monitors | |
| Primary anesthetic considerations | |
| Preoperative | |
| Intraoperative | |
| Postoperative | |
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| User likes | 0 |
Posterior spinal fusion is an orthopedic procedure performed to correct idiopathic scoliosis. It is the most common treatment for idiopathic scoliosis. It involves implants (an array of hooks, screws, and wires) being attached to segments of spine. Harrington rods were the original method but are no longer current as segmental implants allow surgeons more control and early mobilization without the need for bracing.
Overview
Indications
Generally indicated for severe scoliosis (Cobb angle >50 degrees).
Procedure
Other Interventions
Anterior spinal fusion is another surgical method that comparatively has less blood loss and risk of neurologic injury. Advantages of posterior spinal fusion over anterior spinal fusion include avoidance of entering the thoracic cavity and potentially impairing pulmonary function.
Preoperative management
Patient evaluation
| System | Considerations |
|---|---|
| Airway | |
| Neurologic | |
| Cardiovascular | |
| Pulmonary | |
| Gastrointestinal | |
| Hematologic | |
| Renal | |
| Endocrine | |
| Other |
Labs and studies
Operating room setup
Patient preparation and premedication
Regional and neuraxial techniques
Intraoperative management
Monitoring and access
Induction and airway management
Positioning
Maintenance and surgical considerations
Emergence
Postoperative management
Disposition
Pain management
Potential complications
Procedure variants
| Variant 1 | Variant 2 | |
|---|---|---|
| Unique considerations | ||
| Position | ||
| Surgical time | ||
| EBL | ||
| Postoperative disposition | ||
| Pain management | ||
| Potential complications |