Lengthy complex lumbar fusion surgery in high-risk elderly patient under spinal anesthesia: A case report.
Int J Surg Case Rep
; 65: 131-134, 2019.
Article
em En
| MEDLINE
| ID: mdl-31704664
ABSTRACT
INTRODUCTION:
Spinal Anesthesia (SA) continues to be an emerging technique for lumbar fusion surgery in the elderly population. SA is an appealing option in the high-risk geriatric population for several reasons, including the potential for reduced systematic stress, reduced blood loss, and reduced post-operative delirium. The safe limits of spine surgery under SA remain undetermined. PRESENTATION OF CASE The following case-study describes an elderly high-risk patient (ASA III) with severe spinal stenosis and degenerative scoliosis who presented with lower back and right leg pain and underwent a 3-level lumbar fusion surgery with spinal anesthesia. The procedure lasted 3â¯h and 44â¯min with sufficient anesthesia maintained throughout. The patient experienced minor post-operative complications, but had an excellent clinical outcome at 3-month follow-up.DISCUSSION:
Further research should be conducted to define the temporal limits of SA in elderly patients and the etiology of post-operative complications following lumbar fusion surgery under spinal anesthesia in the geriatric population.CONCLUSION:
The case reported, herein, demonstrates the feasibility of SA in elderly patients undergoing lengthy complex lumbar surgeries who have been designated "high-risk" patients (ASAâ¯>â¯II) and provides support for future investigation into surgical and anesthesia treatment options for geriatric high-risk patients presenting with complex lumbar spine pathologies.
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MEDLINE
Idioma:
En
Ano de publicação:
2019
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Article