In the immediate postoperative period after scoliosis correction, which action is most important to protect spinal alignment?

• A. Record intake and output every 8 hours.
• B. Assess bowel sounds every 4 hours.
• C. Initiate a logrolling schedule every 2 hours.
• D. Ambulate for 5 minutes 12 hours postoperative.

Answer: (C)

Protecting spinal alignment after scoliosis correction hinges on moving the patient as a single unit so the spine is not twisted or bent during repositioning. Starting a logrolling schedule every two hours ensures every turning event is done with the spine kept straight and properly aligned, minimizing the risk that rotation, flexion, or lateral bending could disrupt the fusion or instrumentation. This carefully coordinated movement also provides consistent support for the head, trunk, and limbs, reducing stress on the operative area.

Other tasks like tracking intake and output or checking bowel sounds are important for general postoperative care, but they don’t directly protect spinal alignment. Ambulating later may be appropriate, but only if it’s performed with strict spinal precautions and proper technique; without the logrolling approach, early movement could compromise alignment.