Spinal anesthesia in surgical treatment of lumbar spine tumors.
Clin Neurol Neurosurg
; 196: 106023, 2020 09.
Article
in En
| MEDLINE
| ID: mdl-32619901
ABSTRACT
OBJECTIVE:
This study aims to show the feasibility of spinal anesthesia in lumbar spinal tumor surgery; share our data and experience. PATIENTS ANDMETHODS:
A retrospective review of 14 patients with high risk for general anesthesia due to severe comorbidities was carried out. Patients who underwent surgeries under spinal anesthesia for lumbar vertebral column or spinal cord tumors at a single center between 2007-2019 were evaluated. The final pathological diagnosis, operation time, and surgical procedures were analyzed. Also, preoperative and postoperative advantages and disadvantages were determined. A comparison was performed with other 184 patients who were operated for spinal tumors in the same period under general anesthesia.RESULTS:
Maximum operation time was found 220â¯min, and the average operation time was 166â¯min. The most primary diagnosis was vertebral column metastasis. The mean age was 65.5 years. None of the patients required general anesthesia during surgery; however, two patients needed additional spinal anesthesia preoperatively, which was performed by the surgeon. Lumbar decompression and fusion were the most performed procedures.CONCLUSION:
Spinal anesthesia is a feasible and useful method of anesthesia in lumbar spinal tumor surgery for especially elderly patients with American Society of Anesthesiologists (ASA) 3 or 4 score and high risk of general anesthesia.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Spinal Cord Neoplasms
/
Spinal Neoplasms
/
Anesthesia, Spinal
/
Lumbar Vertebrae
Type of study:
Observational_studies
/
Risk_factors_studies
Limits:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Clin Neurol Neurosurg
Year:
2020
Document type:
Article
Affiliation country:
Turkey