SPINAL ANESTHESIA FOR SPINAL SURGERY: INDICATIONS AND COMPLICATIONS OF SPINAL ANESTHESIA FOR THE PATIENTS WITH DEGENERATIVE SPINAL DISEASE
Journal Title: Journal of Turkish Spinal Surgery - Year 2009, Vol 20, Issue 1
Abstract
Spinal anesthesia can be achieved by injecting small dose of local anesthetic solution into the subarachnoid space. Small volume of local anesthetic blocades sensorial and motor nerves of the lower extremity. Spinal anestesia’s properties include rapidity and control of onset and offset of anaesthesia, proven success, minimal side effects, and complications, ease of administration, minimal expense, increased patient satisfaction and early discharge. Spinal anesthesia is an appropriate technique for lumbar lamminectomy, microdiscectomy and other prosedures of lumbar spine. The advantages of spinal anesthesia are the ability of the patient to self-position and guard against position related injuries, less blood loss, less nause and vomiting, less morbidity and less hospitalization and improvements in pain managment. Even though spinal anesthesia is a relatively straight forward technique in adults with normal spinal curvature and spinal physioanatomy, it can cause complications concerning orthopedic and traumatology surgeons, neurosurgeons and lastly spinal surgeons. On the other hand, performing spinal anesthesia in congenital spinal deformities especially congenital scolliosis or kyphosis, idiopathic scolliosis, posttraumatic, postinfectious and adolescent kyphosis, acquired deformities in the frontal and sagittal planes such as developmental spondiloesthesis and degenerative spinal diseases has great importance due to applicational difficulties and inevitable complications as a result of these inconviniences. In general, in this study spinal anesthesia and especially its applications on spinal surgery are mentioned giving special emphasis on considerations that should be taken when it is used in degenerative spinal diseases.
Authors and Affiliations
Gözde Bumin AYDIN
Keywords
Related Articles
- EP ID EP676593
- DOI -
- Views 128
- Downloads 0
TREATMENT OF DEGENERATIVE LUMBAR SPİNAL STENOSIS BY TOTAL BILATERAL LAMINECTOMY, POSTEROLATERAL FUSION AND POSTERIOR İNSTRUMENTATİON
The treatment of degenerative lumbar spinal stenosis, either conservatively or surgically, stili remains controversjal. The discııssedpart of surgical intervention is arthrodesis and instrumentation, In this study, 30...
COMPARISON OF EXERCISE PROGRAMS FOR HAMSTRİNG TIGHTNESS ADVERSELY AFFECTING LUMBAR MECHANICS
The length of hamstring muscles affects pelvic tilt and lumbar curve. Tight hamstring muscles limit hip mobility during activities and cause the vertebral column to be overloaded in majority of movements performed withou...
OMURGANIN NÜKS H‹DAT‹K K‹ST‹: OLGU SUNUMU RECURRENT SPINAL HYDATID CYST: CASE REPORT
Hydatidosis, caused by Echinococcus granulosus, is an endemic parasitic disease in Mediterranean countries. The most frequent anatomic locations are liver and lung. Hydatidosis is located in the bones in 0.5 to 2% of al...
PREVALENCE OF SPINA BIFIDA IN PATIENTS TREATED SURGICALLY FOR PILONIDAL SINUS DISEASE
Patients with posterior fusion defects such as spina bifida and meningomyelocele are known to have a high incidence of perianal and sacrococcygeal cutaneous problems, especially pilonidal sinus disease. Therefore, we aim...
PARAPARESIS DUE TO HYDATID DISEASE OF THE THORACIC SPINE: A CASE REPORT
Spinal hydatid disease is a rare pathology that often has a delayed diagnosis due to its atypical symptoms. Here, we present the case of a 63-year-old man with spinal hydatid disease. The patient presented with two month...