ABSTRACT

Surgeries for early-onset scoliosis (EOS) have been practised for a very long time by several Egyptian pioneers in spine surgery in Cairo, Ain Shams, Alexandria, and Assiut universities. All patients went through a thorough clinical evaluation, preoperative whole spine standing anteroposterior (AP) and lateral x-rays were made for every patient. All patients received general anaesthesia and were laid prone with a soft pillow below the chest and another one below the pelvis. Anaesthesia, positioning, and draping were done as in the index surgery. Distraction in both systems was controlled by feeling a strong resistance with no excessive force used at all to avoid anchor failure. The patient was transferred to his or her room. Controversy exists in the literature about the effect of the growing-rod techniques on the sagittal profile of the patients. All patients received general anaesthesia and were laid prone with a soft pillow below the chest and another one below the pelvis.