Neurologic safety in spinal deformity surgery.

Paralysis following surgery to correct spinal deformity can be a catastrophic problem. Surgeons must be aware that there are a multitude of risk factors related to the etiology and pattern of deformity and that there are a multitude of events and actions in the operating room and after the surgery that influence the development of paralysis. Patients and families need to know that although paralysis can occur, it is rare, and that it can occur despite the very best efforts of the surgeon. This is a review of the available literature on the subject and some personal experiences of the author.