[Scoliosis surgery in children from the viewpoint of anaesthesiology]
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Updated: Jun 27, 2026

Clinical Efficacy of an Innovative Multidimensional Traction Therapy in Moderate Adolescent Idiopathic Scoliosis
Published on: February 10, 2026
M Wenk1, D Jockenhöfer, D M Pöpping
1Klinik und Poliklinik für Anästhesiologie und operative Intensivmedizin, Universitätsklinik, Münster, Deutschland.
Insights
Pediatric anesthesia for scoliosis surgery requires careful planning due to diverse patient physiology. This review covers key anesthetic considerations, including monitoring, ventilation, and pain management, for optimal surgical outcomes.
Area of Science:
- Pediatric Anesthesiology
- Spinal Surgery
- Scoliosis Pathophysiology
Context:
- Scoliosis surgery in children presents unique anesthetic challenges.
- Patient populations range from neonates to adolescents with varied underlying conditions.
- The invasive nature of the surgery necessitates specialized anesthetic management.
Purpose:
- To review current anesthetic strategies for pediatric scoliosis surgery.
- To highlight adaptations required for neurophysiologic spinal cord monitoring.
- To provide guidance on optimizing patient care throughout the surgical process.
Summary:
- This review details anesthetic management for pediatric scoliosis surgery.
- Key areas discussed include patient preparation, monitoring, anesthetic techniques, blood management, ventilation, and postoperative pain control.
- Adaptations for neurophysiologic monitoring are emphasized.
Impact:
- Informs pediatric anesthesiologists on best practices for scoliosis surgery.
- Aims to improve patient safety and outcomes in complex pediatric cases.
- Facilitates integration of new monitoring technologies into anesthetic regimens.
Abstract:
Anaesthesia for scoliosis surgery in children is a challenge for the paediatric anaesthesiologist. The large range of underlying pathologies causing deranged physiology in an inhomogeneous patient group ranging from neonates to adolescents necessitates diligent and individual preparation for each case. Due to the invasiveness of the operation demanding anaesthetic care is necessary. This review highlights current approaches to monitoring, anaesthetic regimen, positioning of the patient, blood conservation and transfusion, age-related pathophysiology, ventilation and postoperative pain therapy. The introduction of neurophysiologic spinal cord monitoring requires certain adaptations of the anaesthetic regimen to suit technological advances.
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