Efficacy of the anesthetic protection in one-stage anterior and posterior spinal fusion in surgery of scoliosis.
Contemporary one-stage surgery of scoliosis including consecutive anterior and posterior spinal fusion is a highly traumatic procedure that requires effective anesthetic protection of the patient during operation and in the postoperative period. It has been established that anesthetic protection with alpha-1-adrenoblockers and alpha-2-adrenoantagonists of clofelin allows minimization of the postaggressive catabolic reactions of the organism, preventing severe impairment of homeostasis, reducing considerably the rate of intra- and postoperative complications and thus ensuring the favorable outcome of the operation. The proposed method of anesthetic protection by using propofol could be a method of choice when intraoperative awakening of the patient is needed to control for possible neurological deficit.