Paralysis following surgery to correct spinal deformity can be a catas
trophic problem. Surgeons must be aware that there are a multitude of
risk factors related to the etiology and pattern of deformity and that
there are a multitude of events and actions in the operating room and
after the surgery that influence the development of paralysis. Patien
ts and families need to know that although paralysis can occur, it is
rare, and that it can occur despite the very best efforts of the surge
on. This is a review of the available literature on the subject and so
me personal experiences of the author.