Awake spinal fusion |
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| Affiliation: | 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, NY, USA;1. SRM Medical College & Research Centre, Chennai, 603 203, India;2. Department of Spine Surgery, Southampton General Hospital, NHS Southampton, SO16 6YD, UK;3. Orthopaedic Surgeon, Jeddah National Hospital, Jeddah, 21492, Saudi Arabia;1. Department of Psychiatry and Behavioral Sciences, King Edward Medical University/Mayo Hospital, Neela Gumbad, Lahore-54700, Pakistan;2. Menninger Department of Psychiatry and Behavioral Sciences, Department of Family and Community Medicine, Baylor College of Medicine, 1502 Taub Loop NPC 2nd Floor, Houston, TX 77030, USA;3. Division of Critical Care Medicine, Department of Internal Medicine, University of Texas Health Science Center, 6431 Fannin, MSB 1.150, Houston, TX 77030, USA;1. Ohio University, Heritage College of Osteopathic Medicine, Athens, Ohio;2. Center for Pain Medicine, Western Reserve Hospital, Cuyahoga Falls, Ohio;3. Yale University School of Medicine, New Haven, Connecticut;1. Orthopaedic Spine Surgery Division, Institute of Orthopaedics and Traumatology, Madras Medical College, EVR Road, Park Town, Chennai, 600003, India;2. Institute of Orthopaedics and Traumatology, Madras Medical College, EVR Road, Park Town, Chennai, 600003, India;1. Undergraduate Medical Program, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada;2. The Brain and Mind Institute, The Natural Sciences Centre, University of Western Ontario, London, Ontario, Canada;1. Department of Orthopaedic Surgery, Emory University School of Medicine, 59 Executive Park South, Atlanta, GA, 30329, USA;2. Department of Orthopaedic Surgery, Johns Hopkins University, 601 N. Caroline St, Baltimore, MD, 21287, USA |
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| Abstract: | ‘Awake spinal fusion’ is a novel approach to spine surgery that combines modern anaesthetic and surgical technique resulting in improved patient satisfaction and overall outcomes. Along with techniques of regional anaesthesia, minimally invasive or endoscopic surgical techniques are used to minimize surgical dissection and blood loss. Although, it is a relatively new concept with limited supporting evidence till date, it may prove to be highly effective in reducing post-operative hospital stays, in-hospital complications and cost of surgery while at the same time expediting recovery and rehabilitation. The current review focuses on techniques, advantages, limitations and the available evidence on awake spinal fusion. |
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| Keywords: | Awake Minimally invasive Transforaminal lumbar interbody fusion TLIF Spine |
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