Spinal anesthesia in surgical treatment of lumbar spine tumors

dc.contributor.authorOgrenc, Ahmet
dc.contributor.authorAkar, Ezgi
dc.contributor.authorKoban, Orkun
dc.contributor.authorIsik, Semra
dc.contributor.authorSener, Mesut
dc.contributor.authorYilmaz, Mesut
dc.contributor.authorDalbayrak, Sedat
dc.contributor.pubmedID32619901en_US
dc.date.accessioned2021-05-16T15:58:36Z
dc.date.available2021-05-16T15:58:36Z
dc.date.issued2020
dc.description.abstractObjective: This study aims to show the feasibility of spinal anesthesia in lumbar spinal tumor surgery; share our data and experience. Patients and methods: : A retrospective review of 14 patients with high risk for general anesthesia due to severe comorbidities was carried out. Patients who underwent surgeries under spinal anesthesia for lumbar vertebral column or spinal cord tumors at a single center between 2007-2019 were evaluated. The final pathological diagnosis, operation time, and surgical procedures were analyzed. Also, preoperative and postoperative ad-vantages and disadvantages were determined. A comparison was performed with other 184 patients who were operated for spinal tumors in the same period under general anesthesia. Results: Maximum operation time was found 220 min, and the average operation time was 166 min. The most primary diagnosis was vertebral column metastasis. The mean age was 65.5 years. None of the patients required general anesthesia during surgery; however, two patients needed additional spinal anesthesia preoperatively, which was performed by the surgeon. Lumbar decompression and fusion were the most performed procedures. Conclusion: Spinal anesthesia is a feasible and useful method of anesthesia in lumbar spinal tumor surgery for especially elderly patients with American Society of Anesthesiologists (ASA) 3 or 4 score and high risk of general anesthesia.en_US
dc.identifier.issn0303-8467en_US
dc.identifier.scopus2-s2.0-85086908097en_US
dc.identifier.urihttp://hdl.handle.net/11727/5840
dc.identifier.volume196en_US
dc.identifier.wos000572305500018en_US
dc.language.isoengen_US
dc.relation.isversionof10.1016/j.clineuro.2020.106023en_US
dc.relation.journalCLINICAL NEUROLOGY AND NEUROSURGERYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergien_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectSpinal anesthesiaen_US
dc.subjectLumbar spineen_US
dc.subjectMetastasisen_US
dc.subjectTumoren_US
dc.titleSpinal anesthesia in surgical treatment of lumbar spine tumorsen_US
dc.typearticleen_US

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