Feasibility of Outpatient Transforaminal Lumbar Interbody Fusion (TLIF) in Chronic Inflammatory Demyelinating...

Chronic inflammatory demyelinating polyneuropathy (CIDP) is a rare autoimmune neuropathy characterized by progressive motor and sensory dysfunction. Anesthetic management is challenging due to increased sensitivity to neuromuscular blockers, heightened pain perception, and potential postoperative respiratory compromise. There is limited evidence on the feasibility of outpatient surgery in CIDP patients. We present the case of a 62-year-old male with stable CIDP who underwent minimally invasive transforaminal lumbar interbody fusion (TLIF) as a day-case procedure. Anesthetic management included total intravenous anesthesia (TIVA) without neuromuscular blockade, careful intra- and postoperative monitoring, and multimodal analgesia. The patient experienced no complications and was safely discharged within 24 hours. This report supports the potential feasibility of outpatient spinal surgery in carefully selected CIDP patients, highlighting the importance of multidisciplinary planning and institutional capacity for safe perioperative care.