Orthopedics: Scoliosis

  • Robert S. Holzman
  • Thomas J. Mancuso
  • Navil F. Sethna
  • James A. DiNardo


A 13-year-old female with idiopathic scoliosis is scheduled for instrumentation and posterior fusion. She has a history of asthma and a remote history of strabismus repair. Weight 40 kg, P = 92 bpm, BP = 108/62 mmHg, RR = 20/min, and T = 36.7°C.


Endotracheal Tube Idiopathic Scoliosis Beta Blocker Duchenne Muscular Dystrophy Malignant Hyperthermia 

General References

  1. 1.
    Gibson PR (2004) Anaesthesia for correction of scoliosis in children. Anaesth Intensive Care 32:548–559PubMedGoogle Scholar
  2. 2.
    Tucker SK, Noordeen MH, Pitt MC (2001) Spinal cord monitoring in neuromuscular scoliosis. J Pediatr Orthop B 10:1–5PubMedGoogle Scholar
  3. 3.
    Noonan KJ, Walker T, Feinberg JR, Nagel M, Didelot W, Lindseth R (2002) Factors related to false- versus true-positive neuromonitoring changes in adolescent idiopathic scoliosis surgery. Spine 27:825–830PubMedCrossRefGoogle Scholar
  4. 4.
    Anand N, Idio FG Jr, Remer S, Hoppenfeld S (1998) The effects of perioperative blood salvage and autologous blood donation on transfusion requirements in scoliosis surgery. J Spinal Disord 11:532–534PubMedCrossRefGoogle Scholar
  5. 5.
    Doherty GM, Chisakuta A, Crean P, Shields MD (2005) Anesthesia and the child with asthma. Paediatr Anaesth 15:446–454PubMedCrossRefGoogle Scholar
  6. 6.
    Lieberman JA, Lyon R, Feiner J, Diab M, Gregory GA (2006) The effect of age on motor evoked potentials in children under propofol/isoflurane anesthesia. Anesth Analg 103:316–321, table of contentsPubMedCrossRefGoogle Scholar
  7. 7.
    Hayes J, Veyckemans F, Bissonnette B (2008) Duchenne muscular dystrophy: an old anesthesia problem revisited. Paediatr Anaesth 18:100–106PubMedCrossRefGoogle Scholar
  8. 8.
    Sethna NF, Rockoff MA (1986) Cardiac arrest following inhalation induction of anaesthesia in a child with Duchenne’s muscular dystrophy. Can Anaesth Soc J 33:799–802PubMedCrossRefGoogle Scholar
  9. 9.
    Sethna NF, Rockoff MA, Worthen HM, Rosnow JM (1988) Anesthesia-related complications in children with Duchenne muscular dystrophy. Anesthesiology 68:462–465PubMedCrossRefGoogle Scholar
  10. 10.
    Shapiro F, Sethna N, Colan S, Wohl ME, Specht L (1992) Spinal fusion in Duchenne muscular dystrophy: a multidisciplinary approach. Muscle Nerve 15:604–614PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Robert S. Holzman
    • 1
  • Thomas J. Mancuso
    • 1
  • Navil F. Sethna
    • 1
  • James A. DiNardo
    • 1
  1. 1.Children’s Hospital BostonHarvard Medical SchoolBostonUSA

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