Awake Spinal Fusion. Issue 6 (June 2021)

• Record Type: Journal Article
• Authors: Garg, Bhavuk; Ahuja, Kaustubh; Mehta, Nishank; Sharan, Alok D.
• Is Part Of: JBJS reviews. Volume 9:Issue 6(2021)
• Publication Date: 2021-06
• Subjects: Bones -- Surgery -- Periodicals; Joints -- Surgery -- Periodicals; Orthopedics -- Periodicals; Orthopedics; General Surgery; Bone Diseases; Joint Diseases; Bones -- Surgery; Joints -- Surgery; Orthopedics; Periodicals; Electronic journals; Periodicals; 617.47
• DOI: 10.2106/JBJS.RVW.20.00163
• Languages: English
• ISSNs: 2329-9185

Abstract

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.