Aim: The anesthetic management of scoliosis surgery is important due to concomitant diseases such as cardiovascular and respiratory function failure, the surgery of which is specific and complex. The aim of this retrospective study is to evaluate data from anesthetic practices in scoliosis surgery.
Material and Methods: We have examined the medical records of the anesthetic applications of 33 patients who have undergone scoliosis surgery. Patients’ age, gender, weight, concomitant disease, Cobb angles, instrumentation levels, duration of anesthesia and surgery, preoperative and postoperative hemoglobin levels, the amount of intraoperative blood loss and blood transfusion, duration of intensive care unit, and hospital stay were evaluated.
Results: The mean age of patients was 15.46±4.73 years. The mean cobb angles were 56.4±20:27 degrees, levels of instrumentation 11.87±3.39, duration of anesthesia and duration of surgery was 424.93±108.63 mins, and 385.46±105.71 mins, respectively. Cobb angles of patients were significantly related to duration of anesthesia and surgery, length of stay in the intensive care unit and the hospital. There was also a significant relation between the length of hospital stay and the duration of anesthesia and surgery. The amount of blood loss was similarly related to duration of anesthesia, duration of surgery, blood transfusion, and age.
Conclusion: When the Cobb angle increases, the duration of anesthesia and surgery increases in likewise manner, which in turn also increases the amount of bleeding. The anesthesiologists are advised to take comorbidities and required monitoring into consideration. It has been found out the degree of Cobb angle is especially important.
Key Words: Scoliosis; Anesthesia; Spinal Fusion.
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