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Papers of the Week

2022 Oct 01

Oper Neurosurg (Hagerstown)



Use of Spinal Anesthesia in Lower Thoracic Spine Surgery: A Case Series.


Wang AY, Liu P, Balonov K, Riesenburger R, Kryzanski J
Oper Neurosurg (Hagerstown). 2022 Oct 01; 23(4):298-303.
PMID: 36106935.


Spinal anesthesia is a safe and effective alternative to general anesthesia for patients undergoing lumbar spine surgery, and numerous reports have demonstrated its advantages. To the best of our knowledge, no group has specifically reported on the use of spinal anesthesia in thoracic-level spine surgeries because there is a hypothetical risk of injuring the conus medullaris at these levels. With the advantages of spinal anesthesia and the desire for many elderly patients to avoid general anesthesia, our group has uniquely explored the use of this modality on select patients with thoracic pathology requiring surgical intervention.