C Wimmer1, A E Siam2, T Pfandlsteiner2. 1. Klinik für Wirbelsäulenchirurgie mit Skoliosezentrum Schön-Klinik Vogtareuth, Lehrabteilung der Paracelsus Medizinischen Privatuniversität Salzburg, AO Global Spine Center, Krankenhausstr. 20, 83569, Vogtareuth, Deutschland. ProfWimmer@t-online.de. 2. Klinik für Wirbelsäulenchirurgie mit Skoliosezentrum Schön-Klinik Vogtareuth, Lehrabteilung der Paracelsus Medizinischen Privatuniversität Salzburg, AO Global Spine Center, Krankenhausstr. 20, 83569, Vogtareuth, Deutschland.
Abstract
BACKGROUND: The indication for the surgical treatment of thoracic, lumbar, combined, and thoracolumbar idiopathic and neuropathic scoliosis is a Cobb angle of more than 50° in the thoracic and more than 45° in the lumbar spine. The success of the operation is highly dependent on the pre-operative indication. Standardized medical imaging and close collaboration with anesthetists and pediatricians are necessary in complex cases. METHODS: We developed a screening routine in which pre-operative diagnosis is performed during hospitalization. The concept is individually developed across disciplines. Surgery for childhood scoliosis always presents a particular challenge for anesthetists and surgeons. Close collaboration during surgery is indispensable for guaranteeing success. Risk factors are determined, evaluated and-if necessary-treated before performing surgery. These factors are also strictly monitored and dealt with during surgery. RESULT: Regular post-operative check-ups are required to ensure early determination and adequate treatment of complications. CONCLUSION: Operative treatment of scoliosis should only be performed in medical centers that allow for close collaboration and diagnostic investigation.
BACKGROUND: The indication for the surgical treatment of thoracic, lumbar, combined, and thoracolumbar idiopathic and neuropathic scoliosis is a Cobb angle of more than 50° in the thoracic and more than 45° in the lumbar spine. The success of the operation is highly dependent on the pre-operative indication. Standardized medical imaging and close collaboration with anesthetists and pediatricians are necessary in complex cases. METHODS: We developed a screening routine in which pre-operative diagnosis is performed during hospitalization. The concept is individually developed across disciplines. Surgery for childhood scoliosis always presents a particular challenge for anesthetists and surgeons. Close collaboration during surgery is indispensable for guaranteeing success. Risk factors are determined, evaluated and-if necessary-treated before performing surgery. These factors are also strictly monitored and dealt with during surgery. RESULT: Regular post-operative check-ups are required to ensure early determination and adequate treatment of complications. CONCLUSION: Operative treatment of scoliosis should only be performed in medical centers that allow for close collaboration and diagnostic investigation.