Postoperative Pain in Adolescent Idiopathic Scoliosis Surgery

Istanbul University31 enrolled

Overview

Scoliosis is a 3-dimensional, structural deformity of the spine. Idiopathic scoliosis is the most common type and it constitutes 75-80% of all scoliosis. Surgical methods are the most effective way to correct the deformity in patients who cannot achieve adequate improvement with supportive therapy. Adolescent idiopathic scoliosis surgeries are among the most invasive surgeries performed on children and adolescents. Large surgical incision and massive tissue damage cause severe postoperative pain. In this study, we aim to compare posterior instrumentation (PE) and vertebral body tethering (VBT) surgeries performed in adolescent idiopathic scoliosis patients in terms of anesthetic management and postoperative pain.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Scoliosis; Adolescence

Interventions

Eligibility

Sex: ALLMin age: 9 YearsMax age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * ASA score 1-3 patients * Adolescent idiopathic scoliosis patients * Patients who accepted to be included in the study and received written parental consent Exclusion Criteria: * Patients with vertebral anomaly due to a secondary reason * Patients with a diagnosed syndrome * Patients with a Cobb angle below 40. * Patients who undergoing reoperation

Outcomes

Primary Outcomes

Comparison in terms of postoperative pain

Opioid consumption and VAS (visual analog scale) (0: no pain, 10: the worst pain imaginable) for measurement of postoperative pain

Time frame: 48 hours