Improved intraoperative tidal volume during deformity correction in a 16-year-old with spina bifida, severe kyphoscoliosis, and thoracic insufficiency syndrome: illustrative case

This case illustrates real-time intraoperative tidal volume monitoring as a potential physiological marker correlating directly with deformity correction efficacy and thoracic volume restoration. These findings suggest that pulmonary function may serve as an intraoperative adjunct to guide the surgical management of severe spinal deformities alongside conventional functional indicators. Further studies may establish a standardized formula that reliably predicts pulmonary function following deformity correction. https://thejns.org/doi/10.3171/CASE25379.