ANESTHETIC MANAGEMENT OF SCOLIOTIC PATIENT
Mohamed Ibrahim M.;
Abstract
Anesthetic management during the surgical correction of scoliosis is one of the complicated cases, which faces the anesthesiologist in his practice.
The vertebral column is a flexuous and flexible column, formed of a series of bones called vertebrae.
The vertebrae are thirty-three in number, and are grouped under the names cervical, thoracic, lumbar, sacral, and coccygeal, according to the regions they occupy. They are seven in the cervical region, twelve in the thoracic, five in the lumbar, five in the sacral, and four in the coccygeal.
The adult vertebral column consists of 2 primary (thoracic and sacro-coccygeal) and 2 secondary curvatures (cervical and lumbar).
Exaggeration of curvatures for example in thoracic region is called kyphosis and in lumbar region is called lordosis. Presence of an abnormal lateral curvature is called scoliosis.
Scoliosis is a lateral curvature of the spine greater than
10 degrees as measured using the Cobb method on a standing radiograph.
Scoliosis classified into Idiopathic (a structural curve with no clear underlying cause) or secondary which is less common.
Scoliosis results in pathological effects on the respiratory, cardiovascular and nervous systems. Also associated with increased incidence of malignant hyperthermia.
Treatment choice in adolescent idiopathic scoliosis is determined by a complex equation, which includes
The patient's physiologic (not chronologie) maturity,
• curve magnitude also location and potential for progression.
The vertebral column is a flexuous and flexible column, formed of a series of bones called vertebrae.
The vertebrae are thirty-three in number, and are grouped under the names cervical, thoracic, lumbar, sacral, and coccygeal, according to the regions they occupy. They are seven in the cervical region, twelve in the thoracic, five in the lumbar, five in the sacral, and four in the coccygeal.
The adult vertebral column consists of 2 primary (thoracic and sacro-coccygeal) and 2 secondary curvatures (cervical and lumbar).
Exaggeration of curvatures for example in thoracic region is called kyphosis and in lumbar region is called lordosis. Presence of an abnormal lateral curvature is called scoliosis.
Scoliosis is a lateral curvature of the spine greater than
10 degrees as measured using the Cobb method on a standing radiograph.
Scoliosis classified into Idiopathic (a structural curve with no clear underlying cause) or secondary which is less common.
Scoliosis results in pathological effects on the respiratory, cardiovascular and nervous systems. Also associated with increased incidence of malignant hyperthermia.
Treatment choice in adolescent idiopathic scoliosis is determined by a complex equation, which includes
The patient's physiologic (not chronologie) maturity,
• curve magnitude also location and potential for progression.
Other data
| Title | ANESTHETIC MANAGEMENT OF SCOLIOTIC PATIENT | Other Titles | المعالجة التخديرية لحالات عمليات اعوجاج العمود الفقرى | Authors | Mohamed Ibrahim M. | Issue Date | 2002 |
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