Accelerated Protocols in Adolescent Idiopathic Scoliosis Surgery

Lindsey L Locke; Leslie N Rhodes; Benjamin W Sheffer

doi:10.1016/j.ocl.2023.04.003

Accelerated Protocols in Adolescent Idiopathic Scoliosis Surgery

Orthop Clin North Am. 2023 Oct;54(4):427-433. doi: 10.1016/j.ocl.2023.04.003. Epub 2023 Jun 26.

Authors

Lindsey L Locke¹, Leslie N Rhodes¹, Benjamin W Sheffer²

Affiliations

¹ Le Bonheur Children's Hospital, Memphis, TN, USA; College of Nursing, University of Tennessee Health Science Center, Memphis, TN, USA.
² Le Bonheur Children's Hospital, Memphis, TN, USA; Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee Health Science Center-Campbell Clinic, Memphis, TN, USA. Electronic address: bsheffer@campbellclinic.com.

PMID: 37718082
DOI: 10.1016/j.ocl.2023.04.003

Abstract

Adolescent idiopathic scoliosis (AIS) is the most common form of scoliosis. Treatment depends on the degree of curvature, skeletal maturity, and age of the patient. Once the curve reaches 50 degrees, posterior spinal fusion (PSF) is necessary to stabilize the spine and prevent further progression of the curve. PSF causes significant trauma to the tissues and often results in significant pain postoperatively. The purpose of this article is to provide the audience with a review of preoperative, intraoperative, and postoperative pain control with an accelerated protocol in patients with AIS undergoing PSF.

Keywords: AIS; Accelerated protocol; ERAS pathway; Pain; Pediatric; Perioperative management; Scoliosis; Spinal fusion.

Publication types

Review

MeSH terms

Adolescent
Humans
Scoliosis* / surgery
Spinal Fusion*
Spine