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- W3092065629 abstract "<h3>ABSTRACT</h3> <h3>Background:</h3> The use of spinal anesthesia (SA) as opposed to general anesthesia (GA) during elective lumbar spine surgery is an emerging technique and represents a potentially modifiable factor to limit perioperative complications. Few studies, however, have compared these anesthetic techniques in an elderly population. The aim of this study is to determine if SA is a safe alternative to GA for lumbar spine surgery in elderly patients. <h3>Methods:</h3> A retrospective, consecutive case series study was performed. All patients aged 70 years and older who underwent lumbar spine decompression or combined decompression and fusion using either SA or GA during a 2-year period at a single institution were identified. Demographics and perioperative outcomes were compared. <h3>Results:</h3> Of all patients meeting the inclusion criteria, 56 patients (19%) received SA and 239 (81%) received GA. Patients receiving SA were slightly older (median age, 77 years versus 75 years, <i>P</i> = .002), consisted of more men (57% versus 36%, <i>P</i> = .01), and had a lower mean body mass index (28.3 versus 30.1, <i>P</i> = .03). Indications for surgery and type of surgery were similar between groups. On average, operative times with SA were 101 minutes versus 103 minutes with GA (<i>P</i> = .71). After controlling for age, sex, and body mass index, patients receiving SA had decreased estimated blood loss (β = −75 mL; 95% confidence interval [CI], −140.6, −9.4; <i>P</i> = .025) and intraoperative intravenous fluid requirements (β = −205 mL; 95% CI, −389.4, −21.0; <i>P</i> = .029), shorter postanesthesia care unit stays (β = −41 minutes; 95% CI, −64.6, −16.9; <i>P</i> = .001), lower maximum visual analog scale pain scores (β = −0.89 points; 95% CI, −1.6, −0.1; <i>P</i> = .020), and decreased odds of receiving blood transfusion (odds ratio, 0.12; 95% CI, 0.01, 0.62; <i>P</i> = .45); there were no significant differences in operative time, length of stay, nausea, or oral morphine equivalents consumed per day. Complication rates were similar between groups. <h3>Conclusion:</h3> Spinal anesthesia is a reasonable, safe alternative to general anesthesia for lumbar spine surgery in elderly patients with degenerative conditions." @default.
- W3092065629 created "2020-10-15" @default.
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- W3092065629 date "2020-10-01" @default.
- W3092065629 modified "2023-10-14" @default.
- W3092065629 title "Spinal Anesthesia for Geriatric Lumbar Spine Surgery: A Comparative Case Series" @default.
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- W3092065629 doi "https://doi.org/10.14444/7103" @default.
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