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Current Status of Awake Spine Surgery: A Bibliometric Analysis.

Ujwal Boddeti1, Hanish Polavarapu2, Shrey Patel3

  • 1Department of Neurosurgery, University of Maryland School of Medicine, Baltimore, Maryland, USA.

World Neurosurgery
|May 8, 2024
PubMed
Summary

Awake spine surgery is gaining traction, with publications increasing 18% annually. Research is strong in lumbar spine and stenosis, but needs more on complications, fusion, and cost-analysis.

Keywords:
Awake spine surgeryLocal anesthesiaSpinal anesthesiaSpine

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Area of Science:

  • Neurosurgery
  • Spinal Surgery
  • Bibliometrics

Background:

  • Spine surgery is a major neurosurgical procedure, with over 313 million performed annually worldwide.
  • A shift towards minimally invasive spine procedures under local anesthesia is observed due to recovery and complication concerns.
  • Limited literature exists on awake spine surgery despite its proven success.

Purpose of the Study:

  • To map the current research landscape of awake spine surgery.
  • To identify well-developed and underrepresented topics in the field.
  • To guide future research directions in awake spine surgery.

Main Methods:

  • A bibliometric analysis was performed on 190 articles from the Web of Science database.
  • Bibliometrix, an R-based tool, was used for comprehensive bibliometric analysis.
  • Thematic analysis identified key terms and research trends.

Main Results:

  • Academic papers on awake spine surgery have increased by approximately 18% annually since 2016.
  • The most impactful article has 95 citations; the average article receives ten citations.
  • Lumbar spine and stenosis are well-researched topics, while complications, fusion, and cost-analysis require further investigation.

Conclusions:

  • This study offers an overview of highly cited articles in awake spine surgery.
  • It highlights established research areas and identifies underrepresented topics for future study.
  • Further research is recommended in areas such as complications, fusion, and cost-analysis for awake spine surgery.