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This review aims to summarize current recommendations for effective pain management in pediatric spine surgery, focusing on various modalities.

An Update on Pain Management in Pediatric Spine Surgery

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This review aims to summarize current recommendations for effective pain management in pediatric spine surgery, focusing on various modalities.
Overview of preoperative, intraoperative, and postoperative pain management pathways for pediatric spine surgery.
Discussion of multimodal strategies including intravenous ketorolac, oral gabapentin, and regional anesthesia techniques.
Emphasis on psychosocial factors influencing pain outcomes.
Postoperative use of intravenous ketorolac and oral gabapentin improves pain control while reducing opioid use.
Regional anesthesia techniques like erector spinae plane blocks and epidural analgesia lead to early mobilization and lower pain scores.
Psychosocial factors such as anxiety affect pain levels and should be considered in management strategies.

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Review highlights multimodal pain control interventions reducing narcotic use in pediatric spine surgery, indicating potential benefits.

Kiani et al. (2026) studied this question.

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