Analgesic options for anterior approach to scoliosis repair: a scoping review

Chris J. Li, John R. Vaile, Jonathan S. Gal, Chang H. Park, Garrett W. Burnett

Research output: Contribution to journalReview articlepeer-review

Abstract

Purpose: The ideal analgesic regimen for the anterior approach to scoliosis repair is not clearly defined. The purpose of the study was to summarize and identify gaps in the current literature specific to the anterior approach to scoliosis repair. Methods: A scoping review was conducted in July 2022 utilizing PubMed, Cochrane, and Scopus databases guided by the PRISMA-ScR framework. Results: The database search generated 641 possible articles, 13 of which met all inclusion criteria. All articles focused on the effectiveness and safety of regional anesthetic techniques, while a minority also provided both opioid and non-opioid medication frameworks. Conclusion: Continuous Epidural Analgesia (CEA) is the most well-studied intervention for pain control in anterior scoliosis repair, but other, more novel regional anesthetic techniques offer safe and effective potential alternatives. More research is indicated to compare the effectiveness of different regional techniques and perioperative medication regimens specific to anterior scoliosis repair.

Original languageEnglish
Pages (from-to)1031-1040
Number of pages10
JournalSpine Deformity
Volume11
Issue number5
DOIs
StatePublished - Sep 2023

Keywords

  • Acute pain management
  • Analgesia
  • Pain
  • Regional anesthesia
  • Scoliosis
  • Spinal fusion
  • Vertebral body tethering

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