Recep Tayyip Erdoğan Üniversitesi Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Rize, Türkiye

ÖZGÜN ARAŞTIRMA /ORIGINAL ARTICLE

Spinal anestezi altında yapılan lomber disk cerrahilerinin retrospektif değerlendirmesi

Retrospective evaluation of outcomes in lumbar disc surgery with spinal anesthesia

Vaner Köksal

1

, Ahmet Şen

2

, Başar Erdivanlı

2

, Bülent Özdemir

1

ABSTRACT

Objective: We investigated feasibility, possible advan-

tages and disadvantages of spinal anesthesia in lomber 

disc surgery.

Methods: We retrospectively analyzed a total of 100 pa-

tients operated for elective lomber spinal surgery under 

spinal anesthesia.

Results: Spinal anesthesia was sufficient for lumbar disc 

surgery in 97 of 100 patients. Three patients received 

general anesthesia due to insufficient spinal block. Aller-

gic reaction was observed in one patient receiving gen-

eral anesthesia, and treated with intravenous steroid and 

antihistaminic drugs. We observed bradycardia and hy-

potension necessitating ephedrine administration in eight 

patients, post dural puncture headache in 10 patients 

(two patients were discharged at 4 and 7 days later there-

fore), who received spinal anesthesia. Following spinal 

anesthesia, patients required first analgesic at 10th hour. 

Patients receiving general anesthesia demanded first an-

algesic in the post operative care unit.

Conclusion: We are of the opinion that spinal anesthe-

sia may be safely used in lumbar disc surgeries, provided 

that patients are not positioned until sufficient anxiolytic 

and spinal block are established. J Clin Exp Invest 2014; 

5 (1): 54-58