What question did this study set out to answer?

The aim is to address severe airway compression due to thoracic lordoscoliosis through surgical intervention.

January 25, 2026A&A Practice0 citations

Scoliosis Surgery for Severe Distal Airway Compression on Venovenous Extra-Corporal Membrane Oxygenation: A Case Report

JTJulia Taylor LPLaura Panizza DBDouglas Bell

Key Points

The aim is to address severe airway compression due to thoracic lordoscoliosis through surgical intervention.
Case report of a 15-year-old female with critical airway compression.
Proposed posterior spinal instrumentation and fusion surgery.
Used venovenous extra-corporal membrane oxygenation support during the procedure.
Multidisciplinary team planning for surgical risks.
Successful completion of posterior spinal instrumentation and fusion during VV-ECMO.
Airway compression alleviated post-surgery, reducing dyspnea.
No reported instances of complete airway obstruction during the procedure.

Abstract

A 15-year-old woman presented with worsening dyspnea secondary to critical tracheobronchial compression. The airway compression was caused by severe thoracic lordoscoliosis. A posterior spinal instrumentation and fusion (PSIF) was proposed to arrest the progression of her scoliosis and airway narrowing. The case presented significant anesthetic and surgical challenges, particularly the potential for complete airway obstruction. After multidisciplinary planning, the decision was made to proceed with PSIF on venovenous extra-corporal membrane oxygenation (VV-ECMO) support. To the best of our knowledge, this is the first case of a patient undergoing PSIF on VV-ECMO.

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