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Related Experiment Video

Updated: May 16, 2026

Novel Mini-open Transforaminal Lumbar Interbody Fusion
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Published on: June 6, 2025

Postoperative visual impairment after spinal fusion surgery.

Ö Karakoç1, A Derbent, Ö Anadolu

  • 1Department of Anaesthesiology, Ege University Hospital, Izmir, Turkey.

The Journal of International Medical Research
|December 5, 2012
PubMed
Summary

Older age, female gender, and intraoperative hypotension are key risk factors for vision changes after spinal fusion surgery. These findings aid in identifying patients at higher risk for visual impairment post-procedure.

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Area of Science:

  • Ophthalmology
  • Neurosurgery
  • Anesthesiology

Background:

  • Spinal fusion surgery can lead to significant postoperative complications.
  • Visual impairment is a rare but serious complication following spinal fusion.
  • Identifying risk factors is crucial for patient management and preventative strategies.

Purpose of the Study:

  • To prospectively identify risk factors associated with visual impairment after spinal fusion surgery.
  • To compare patient characteristics between those experiencing vision changes and those who do not.

Main Methods:

  • Prospective study including 68 patients aged 18-65 undergoing posterior spinal fusion.
  • Ophthalmic examinations performed preoperatively and within the first postoperative week.
  • Comparison of patient demographics and intraoperative events between groups with and without visual changes.

Main Results:

  • Patients with postoperative visual changes were significantly older.
  • A higher proportion of female patients experienced visual changes.
  • Intraoperative ephedrine use for hypotension was significantly more frequent in patients with visual impairment.

Conclusions:

  • Advanced age, female gender, and intraoperative hypotension are significant risk factors for visual impairment post-spinal fusion.
  • These factors can help clinicians identify at-risk individuals.
  • Further research may explore specific mechanisms linking these factors to visual changes.