Should Spinal Anesthesia Be Used for Spine Surgery: A Case Report
Open Access
- 1 January 2025
- journal article
- case report
- Published by Wiley in Case Reports in Anesthesiology
- Vol. 2025 (1) , 7810025
Abstract
A patient with lumbar spine stenosis presented for lumbar spine decompression, clearly stating a preference for spinal anesthesia (SA) over general anesthesia (GA). Surgery was performed under uneventful SA without sedation. The patient recovered from surgery quickly and without incident, requiring no postoperative opioid analgesia. What data support administering SA for lumbar spine surgery? A literature search found nine recently published reviews favoring SA over GA. These reviews cited many of the same, older, flawed, primary research reports. Although choosing SA was reasonable, our literature analysis suggests blind reliance on summary conclusions of reviews and meta‐analyses may be misleading.Keywords
This publication has 16 references indexed in Scilit:
- Comparative outcomes of awake spine surgery under spinal versus general anesthesia: a comprehensive systematic review and meta-analysisEuropean Spine Journal, 2023
- Impact of Spinal/Epidural Anesthesia Versus General Anesthesia on Perioperative Outcomes in Patients Undergoing Lumbar Spine SurgeryClinical Spine Surgery, 2022
- Perioperative outcomes of general versus spinal anesthesia in the lumbar spine surgery population: A systematic review and meta-analysis of data from 2005 through 2021Journal of Clinical Orthopaedics and Trauma, 2022
- A Comparison of Regional Versus General Anesthesia for Lumbar Spine Surgery: A Meta-Analysis of Randomized StudiesJournal of Neurosurgical Anesthesiology, 2017
- Impact of spinal anaesthesia vs. general anaesthesia on peri‐operative outcome in lumbar spine surgery: a systematic review and meta‐analysis of randomised, controlled trialsAnaesthesia, 2016
- Perioperative outcome and cost-effectiveness of spinal versus general anesthesia for lumbar spine surgeryNeurologia i Neurochirurgia Polska, 2014
- Regional anesthesia versus general anesthesia for surgery on the lumbar spine: A review of the modern literatureClinical Neurology and Neurosurgery, 2014
- A prospective randomized trial comparing the technique of spinal and general anesthesia for lumbar disk surgery: a study of 100 casesSurgical Neurology, 2009
- A Prospective Randomized Study Comparing Short- and Intermediate-Term Perioperative Outcome Variables After Spinal or General Anesthesia for Lumbar Disk and Laminectomy SurgeryAnesthesia & Analgesia, 1996
- SHOULD SPINAL ANESTHESIA be used in surgery for herniated intervertebral disk?Anesthesia & Analgesia, 1959