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. 2021 Jun 14;9(6).
doi: 10.2106/JBJS.RVW.20.00163.

Awake Spinal Fusion

Bhavuk Garg  1 , Kaustubh Ahuja  2 , Nishank Mehta  1 , Alok D Sharan  3
Affiliations

Awake Spinal Fusion

Bhavuk Garg et al. JBJS Rev. .

Abstract

»: Awake spinal fusion (ASF) integrates advancements in surgical techniques and anesthetic modalities with the aim to maximize benefits and improve outcomes from the surgical and anesthetic standpoints.

»: ASF employs minimally invasive or endoscopic surgical techniques that are complemented by regional modalities of anesthesia and analgesia.

»: The current evidence, albeit limited, has shown better results with ASF in terms of postoperative pain scores, a patient's need for opioids, postoperative hospital length of stay, and rehabilitation compared with the conventional technique of open spinal fusion with the patient under general anesthesia.

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Conflict of interest statement

Disclosure: The authors indicated that no external funding was received for any aspect of this work. The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/A699).

References

    1. Martin BI, Mirza SK, Spina N, Spiker WR, Lawrence B, Brodke DS. Trends in lumbar fusion procedure rates and associated hospital costs for degenerative spinal diseases in the United States, 2004 to 2015. Spine (Phila Pa 1976). 2019 Mar 1;44(5):369-76.
    1. Patel AA, Zfass-Mendez M, Lebwohl NH, Wang MY, Green BA, Levi AD, Vanni S, Williams SK. Minimally invasive versus open lumbar fusion: a comparison of blood loss, surgical complications, and hospital course. Iowa Orthop J. 2015;35:130-4.
    1. Xie Q, Zhang J, Lu F, Wu H, Chen Z, Jian F. Minimally invasive versus open transforaminal lumbar interbody fusion in obese patients: a meta-analysis. BMC Musculoskelet Disord. 2018 Jan 17;19(1):15.
    1. Miller LE, Bhattacharyya S, Pracyk J. Minimally invasive versus open transforaminal lumbar interbody fusion for single-level degenerative disease: a systematic review and meta-analysis of randomized controlled trials. World Neurosurg. 2020 Jan;133:358-365.e4. Epub 2019 Aug 30.
    1. Benyahia NM, Verster A, Saldien V, Breebaart M, Sermeus L, Vercauteren M. Regional anaesthesia and postoperative analgesia techniques for spine surgery - a review. Rom J Anaesth Intensive Care. 2015 Apr;22(1):25-33.

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