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Neuraxial blockade in patients with preexisting spinal stenosis, lumbar disk disease, or prior spine surgery: efficacy and neurologic complications.

James R JR Hebl, Terese T TT Horlocker, Sandra L SL Kopp, and Darrell R DR Schroeder

Anesth Analg 111(6):1511-9 (2010) PMID 20861423

Patients with spinal canal pathology, including spinal stenosis and lumbar disk disease, are often not considered candidates for neuraxial blockade because of the risk of exacerbating preexisting neurologic deficits or developing new neurologic dysfunction. In contrast, a history of spine surgery is thought to increase the likelihood of difficult or unsuccessful block. In this retrospective study we investigated the risk of neurologic complications and block efficacy in patients with preexisting spinal canal pathology, with or without a history of spine surgery, after neuraxial anesthesia.

DOI: 10.1213/ANE.0b013e3181f71234
Version: za2963e q8zae q8zbc q8zc4 q8zd0 q8ze4 q8zfe q8zg0

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