ArticleWorld neurosurgery2023
Awake Spinal Fusion Is Associated with Reduced Length of Stay, Opioid Use, and Time to Ambulation Compared to General Anesthesia: A Matched Cohort Study.
Article in World neurosurgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
9 citing papers in PubMed.
- Spinal Anesthesia With Use of an Erector Spinae Plane Block Is Associated With Reduced Opioid Use and Improved Clinical Outcomes in Single-Level Transforaminal Lumbar Interbody Fusions: Evolution of Techniques and a Single-Surgeon Retrospective Analysis.International journal of spine surgery · 2026Article
- Evaluation of the Enhanced Recovery After Surgery (ERAS) Guidance for Patients With Spinal Metastasis.Orthopaedic surgery · 2026Review
- Comparing the Effect of Spinal Versus General Anesthesia on Postoperative Opioid Use in Minimally Invasive Transforaminal Lumbar Interbody Fusion: A Patient Matched Study.Journal of clinical medicine · 2026Article
- Spinal Anesthesia Results in Lower Costs Compared to General Anesthesia for Patients Undergoing Lumbar Fusion-A Matched Cohort Study.Journal of clinical medicine · 2025Article
- Single position lateral lumbar interbody fusion with navigated percutaneous pedicle screw fixation: technique modification with resultant resource usage optimisation.Journal of spine surgery (Hong Kong) · 2024Article
- Minimally-invasive trans-facet lumbar interbody fusion using a dual-dimension expandable cage: preliminary results of a multi-institutional retrospective study.Journal of spine surgery (Hong Kong) · 2024Article
- Spinal Anesthesia for Awake Spine Surgery: A Paradigm Shift for Enhanced Recovery after Surgery.Journal of clinical medicine · 2024Review
- Airway Management for Emergency Spinal Epidural Hematoma Evacuation With Awake Spine Surgery: Case Report and Literature Review.International journal of spine surgery · 2024Article
- Thoracic spinal anesthesia with intrathecal sedation for lower back surgery: a retrospective cohort study.Frontiers in medicine · 2024Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectiveThere is increasing interest in performing awake spinal fusion under spinal anesthesia (SA). Evidence supporting SA has been positive, albeit limited. The authors set out to investigate the effects of SA versus general anesthesia (GA) for spinal fusion procedures on length of stay (LOS), opioid use, time to ambulation (TTA), and procedure duration.
methodsThe authors performed a retrospective review of a single surgeon's patients who underwent lumbar fusions under SA versus GA from June of 2020 to June of 2022. SA patients were compared to demographically matched GA counterparts undergoing comparable procedures. Analyzed outcomes include operative time, opioid usage in morphine milligram equivalents, TTA, and LOS.
resultsTen SA patients were matched to 10 GA counterparts. The cohort had a mean age of 66.77, a mean body mass index of 27.73 kg/m
conclusionsThese preliminary retrospective results suggest the use of SA rather than GA for lumbar fusions is associated with reduced hospital LOS, reduced opioid utilization, and reduced TTA. Future randomized prospective studies are warranted to determine if SA usage truly leads to these beneficial outcomes.
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