Hypnosis and Spinal Fusion by Harrington Instrumentation

Abstract

The Harrington procedure for operative correction of idiopathic scoliosis employs one or two metal rods for reduction of the curve. The ability of the patient to carry out voluntary tests of spinal function intraoperatively immediately after the back is straightened evaluates for neurological deficit, an infrequent but serious complication, and obviates the possible need for reexploration at a time beyond the period of reversibility. We have used hypnosis as an anesthetic supplement for this purpose as well as for postoperative pain relief. The long period of immobilization following surgery is also better tolerated by these patients who are taught autohypnosis.