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Awake Spinal Fusion
Bhavuk Garg1, Kaustubh Ahuja2, Nishank Mehta1
1Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.
JBJS Reviews
|June 14, 2021
Summary
Awake spinal fusion (ASF) offers improved outcomes using minimally invasive surgery and regional anesthesia. This technique shows reduced postoperative pain, opioid use, and hospital stays compared to traditional open spinal fusion.
Area of Science:
- Spine surgery innovations
- Anesthesia techniques
- Patient outcomes research
Background:
- Awake spinal fusion (ASF) combines advanced surgical methods with regional anesthesia.
- It aims to enhance patient benefits and surgical/anesthetic outcomes.
Purpose of the Study:
- To evaluate the effectiveness of Awake Spinal Fusion (ASF).
- To compare ASF with conventional open spinal fusion under general anesthesia.
Main Methods:
- Utilizing minimally invasive or endoscopic surgical approaches.
- Employing regional anesthesia and analgesia modalities.
Main Results:
- Limited evidence suggests better outcomes with ASF.
- ASF demonstrates lower postoperative pain scores and reduced opioid requirements.
- Shorter hospital stays and improved rehabilitation are observed with ASF.
Conclusions:
- Awake spinal fusion presents a promising alternative to traditional methods.
- ASF may lead to superior patient recovery and reduced healthcare resource utilization.
