AI Article Synopsis

  • MI-TLIF is linked to better patient outcomes for carefully chosen individuals.
  • Recently, neurosurgeons have been exploring ways to enhance results by using multimodal approaches to eliminate the need for general anesthesia.
  • This study highlights the successful implementation of an awake MI-TLIF technique in two patients, utilizing liposomal bupivacaine and spinal anesthetic for effective pain management during the procedure.

Article Abstract

Minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) is associated with improved patient-reported outcomes in well-selected patients. Recently, some neurosurgeons have aimed to further improve outcomes by utilizing multimodal methods to avoid the use of general anesthesia. Here, the authors report on the use of a novel awake technique for MI-TLIF in two patients. They describe the successful use of liposomal bupivacaine in combination with a spinal anesthetic to allow for operative analgesia.

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Source
http://dx.doi.org/10.3171/2019.1.FOCUS18510DOI Listing

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