Awake Spinal Fusion

Bhavuk Garg; Kaustubh Ahuja; Nishank Mehta; Alok D Sharan

doi:10.2106/JBJS.RVW.20.00163

Awake Spinal Fusion

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

Authors

Bhavuk Garg¹, Kaustubh Ahuja², Nishank Mehta¹, Alok D Sharan³

Affiliations

¹ Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.
² Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, India.
³ WESTMED Spine Center, Yonkers, New York.

PMID: 34125737
DOI: 10.2106/JBJS.RVW.20.00163

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.

MeSH terms

Analgesia*
Humans
Pain, Postoperative
Spinal Diseases*
Spinal Fusion* / methods
Wakefulness