SynthesisInternational journal of molecular sciences2023
Spinal Cord Injury and Complications Related to Neuraxial Anaesthesia Procedures: A Systematic Review.
Synthesis in International journal of molecular sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Laparoscopically guided transversus abdominis plane block versus local wound infiltration analgesia in laparoscopic surgery for peritoneal endometriosis: A prospective randomized controlled double-blinded LTAP-trial.Acta obstetricia et gynecologica Scandinavica · 2026Trial
- Comparative effectiveness of dexamethasone versus methylprednisolone for neuropathic outcomes after combined spinal-epidural labor analgesia: a prospective, randomized, double-blind trial.Frontiers in medicine · 2026Trial
- Comparison of anesthetic effects of spinal anesthesia at L5-S1 and L3-4 under real-time ultrasound guidance in total knee arthroplasty: a single center randomized controlled trial.BMC anesthesiology · 2025Trial
- Deep learning fusion of multi-channel imaging from polarization-sensitive optical coherence tomography.Biomedical optics express · 2026Article
- Article
- [Regional anesthesia under anticoagulation : Comparison of guidelines and recommendations for action].Schmerz (Berlin, Germany) · 2026Review
- Optimization of multimodal analgesic drug combinations under the concept of precision anesthesia.American journal of translational research · 2026Review
- Comparison of the efficacy and safety of thoracic epidural and paravertebral block in postoperative analgesia after thoracic surgery: a meta-analysis of randomized trials.Frontiers in medicine · 2026Review
- Physical injuries during anaesthesia: A retrospective study during 6 years at a single institution.Indian journal of anaesthesia · 2025Article
- Adhesive Arachnoiditis in a Patient Undergoing Lung Cancer Surgery.Annals of thoracic surgery short reports · 2025Article
- Perioperative Analgesia for Foot and Ankle Surgery: A Comprehensive Review.Journal of clinical medicine · 2025Review
- Epidemiologic investigation on neurological complications following neuraxial anesthesia in 2.7 million cases in Southwest China.Scientific reports · 2025Article
- Conus medullaris termination: Assessing safety of spinal anesthesia in the L2-L3 interspace.Acta anaesthesiologica Scandinavica · 2025Article
- Adverse event prediction in propofol-remimazolam tosilate anesthesia.Frontiers in medicine · 2025Article
- The effectiveness and outcomes of epidural analgesia in patients undergoing open liver resection: a propensity score matching analysis.BMC anesthesiology · 2024Observational
- Intracranial air following spinal anesthesia: A case report.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2024Article
- Neurological Complications following Surgical Treatments of the Lower Molars.International journal of dentistry · 2024Review
- The interplay of fear of pain, emotional states, and pain perception in medical and nursing students: A cross-sectional study.PloS one · 2024Article
- The nociceptive withdrawal reflex during spinal analgesia in pigs undergoing veno-arterial extracorporeal membrane oxygenation: a prospective observational study.Frontiers in veterinary science · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The use of neuraxial procedures, such as spinal and epidural anaesthesia, has been linked to some possible complications. In addition, spinal cord injuries due to anaesthetic practice (Anaes-SCI) are rare events but remain a significant concern for many patients undergoing surgery. This systematic review aimed to identify high-risk patients summarise the causes, consequences, and management/recommendations of SCI due to neuraxial techniques in anaesthesia. A comprehensive search of the literature was conducted in accordance with Cochrane recommendations, and inclusion criteria were applied to identify relevant studies. From the 384 studies initially screened, 31 were critically appraised, and the data were extracted and analysed. The results of this review suggest that the main risk factors reported were extremes of age, obesity, and diabetes. Anaes-SCI was reported as a consequence of hematoma, trauma, abscess, ischemia, and infarction, among others. As a result, mainly motor deficits, sensory loss, and pain were reported. Many authors reported delayed treatments to resolve Anaes-SCI. Despite the potential complications, neuraxial techniques are still one of the best options for opioid-sparing pain prevention and management, reducing patients' morbidity, improving outcomes, reducing the length of hospital stay, and pain chronification, with a consequent economic benefit. The main findings of this review highlight the importance of careful patient management and close monitoring during neuraxial anaesthesia procedures to minimise the risk of spinal cord injury and complications.
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