This review highlights the ongoing challenge of finding an ideal anesthetic method for patients undergoing surgical treatment for severe scoliosis.
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No anesthesia method achieves ideal protection in severe scoliosis surgery; leaves open development of optimized approaches.
The urgency of the problem of scoliotic disease is determined not only by its prevalence and low life quality in this condition, but also by the possibility of medical and surgical treatments for severe forms of scoliosis to prevent progressive disturbances of vital organs, to restore physical activity, and mental status in the patient. Due to the absence of standard conditions during anesthesia, it is difficult to speak in favor of this or that method. Combined anesthesia, potentiated anesthesia, neuroleptic analgesia, dissociative anesthesia have been proposed and used in different years for more adequate protection of patients from surgical injury. However, along with their positive characteristics, they all had certain shortcomings that cannot achieve patients’ ideal protection.
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Ilyina et al. (2008) studied this question.
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