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Journals / Turkish Journal of Clinics and Laboratory / 2026 / Sayı: 1

Perioperative Comparison of Spinal vs General Anesthesia in Lumbar Decompression Surgery

Lomber dekompresyon cerrahisinde spinal ve genel anestezinin perioperatif sonuçlarının karşılaştırılması

Buse Sarıgül(UNIVERSITY OF HEALTH SCIENCES, İSTANBUL ÜMRANİYE HEALTH RESEARCH CENTER)0000-0003-3732-3850
Bekir Tayfun Gürsu(Medicana Ataşehir Hospital, Anesthesiology and Reanimation Clinic)0000-0002-3356-6890
Levent Aydın(Beylikdüzü Medicana Hospital, Department of Neurosurgery)0000-0001-7015-4070
Ali Fatih Ramazanoğlu(UNIVERSITY OF HEALTH SCIENCES, İSTANBUL ÜMRANİYE HEALTH RESEARCH CENTER)0000-0001-6500-5070
Sedat Dalbayrak(Medicana Atasehir Hospital, Department of Neurosurgery)0000-0001-9538-5190
Pages
—
Publication Date
2026-03-31
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Anesthesia choice should be personalized depending on the patient profile and surgical complexity.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: Lumbar decompression surgery is a frequently utilized technique in degenerative spine conditions including disc herniation and spinal stenosis.
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Key Findings & Data:Methods: 1152 patients who underwent lumbar decompression surgery without fusion/instrumentation were retrospectively reviewed.
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Conclusion & Impact:Anesthesia choice should be personalized depending on the patient profile and surgical complexity.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:spinal anesthesia · general anesthesia · lumbar decompression

Abstract

Aim: Lumbar decompression surgery is a frequently utilized technique in degenerative spine conditions including disc herniation and spinal stenosis. In this study, the perioperative outcomes of patients undergoing lumbar decompression with either general anesthesia (GA) or spinal anesthesia (SA) are compared. Methods: 1152 patients who underwent lumbar decompression surgery without fusion/instrumentation were retrospectively reviewed. Patients were categorized into two groups: GA(n=516) and SA (n=636). Duration of operation, intraoperative blood loss, preoperative and postoperative VAS and ODI scores, time to mobilization, length of hospital stay and complications were analyzed. Results: SA group showed better postoperative early VAS scores, shorter time to mobilization and length of hospital stay. Intraoperative blood loss was also lower in the SA group (p<0.001). Regarding the complications; while headache was more frequent in the SA group, nausea/vomiting was more prominent in the GA group. The rate of major complications were similar between groups. Conclusion: Spinal anesthesia provides several perioperative advantages in lumbar decompression surgery when compared with general anesthesia. Anesthesia choice should be personalized depending on the patient profile and surgical complexity.

Özet

Amaç: Lomber dekompresyon cerrahisi, disk herniasyonu ve spinal stenoz dahil olmak üzere dejeneratif omurga rahatsızlıklarında sıklıkla kullanılan bir tekniktir. Bu çalışmada, genel anestezi (GA) veya spinal anestezi (SA) ile lomber dekompresyon ameliyatı geçiren hastaların perioperatif sonuçları karşılaştırılmıştır. Yöntemler: Füzyon/enstrümantasyon yapılmadan lomber dekompresyon ameliyatı geçiren 1152 hasta retrospektif olarak incelenmiştir. Hastalar iki gruba ayrılmıştır: GA (n=516) ve SA (n=636). Ameliyat süresi, intraoperatif kan kaybı, preoperatif ve postoperatif VAS ve ODI skorları, mobilizasyon süresi, hastanede kalış süresi ve komplikasyonlar analiz edilmiştir. Sonuçlar: SA grubunda postoperatif erken VAS skorları daha iyi, mobilizasyon süresi ve hastanede kalış süresi daha kısaydı. İntraoperatif kan kaybı da SA grubunda daha düşüktü (p<0.001). Komplikasyonlara gelince; baş ağrısı SA grubunda daha sık görülürken, bulantı/kusma GA grubunda daha belirgindi. Gruplar arasında major komplikasyon oranları benzerdi. Sonuç: Spinal anestezi, genel anesteziye kıyasla lomber dekompresyon ameliyatlarında perioperatif dönemde çeşitli avantajlar sağlamaktadır. Anestezi seçimi, hasta profiline ve cerrahi karmaşıklığa bağlı olarak kişiselleştirilmelidir.

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Cite This Article

Sarıgül, B., Gürsu, B. T., Aydın, L., Ramazanoğlu, A. F., Dalbayrak, S. (2026). Perioperative Comparison of Spinal vs General Anesthesia in Lumbar Decompression Surgery. Turkish Journal of Clinics and Laboratory, Sayı: 1. https://doi.org/10.18663/tjcl.1912107

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References (22)

  1. Deyo RA, Mirza SK, Martin BI, et al. Trends, major medical complications, and charges associated with surgery for lumbar spinal stenosis in older adults. JAMA. 2010;303(13):1259-65.
  2. Lee JK, Park JH, Hyun SJ, et al. Regional Anesthesia for Lumbar Spine Surgery: Can It Be a Standard in the Future? Neurospine. 2021;18(4):733-40.
  3. Rajjoub R, Ghaith AK, El-Hajj VG, et al. Comparative outcomes of awake spine surgery under spinal versus general anesthesia: a comprehensive systematic review and meta-analysis. Eur Spine J. 2024;33(3):985-1000.
  4. Weber CF, Fruh A, Jelgersma C, et al. Systematic review and meta-analysis of spinal versus general anesthesia in decompressive surgeries of the lumbar spine. Brain Spine. 2025;5:104280.
  5. McLain RF, Kalfas I, Bell GR, et al. Comparison of spinal and general anesthesia in lumbar laminectomy surgery: a case-controlled analysis of 400 patients. J Neurosurg Spine. 2005;2(1):17-22.
  6. De Rojas JO, Syre P, and Welch WC. Regional anesthesia versus general anesthesia for surgery on the lumbar spine: a review of the modern literature. Clin Neurol Neurosurg. 2014;119:39-43.
  7. Perez-Roman RJ, Govindarajan V, Bryant JP, and Wang MY. Spinal anesthesia in awake surgical procedures of the lumbar spine: a systematic review and meta-analysis of 3709 patients. Neurosurg Focus. 2021;51(6):E7.
  8. Ononogbu-Uche FC, Tchoumi C, Stubbs NM, et al. Reconsidering Anesthesia in Lumbar Surgery: An Umbrella Review of Awake Versus General Anesthesia. J Clin Med. 2025;14(23)
  9. De Biase G, Gruenbaum SE, Quinones-Hinojosa A, and Abode-Iyamah KO. Spine Surgery Under Spinal vs General Anesthesia: Prospective Analysis of Quality of Life, Fatigue, and Cognition. Neurosurgery. 2022;90(2):186-91.
  10. Kindris F, Zegarek G, Krappel FA, et al. Spinal Versus General Anesthesia for Lumbar Decompression or Sequestrectomy in Patients Over 75 Years. Clin Spine Surg. 2023;36(7):E329-E31.
  11. Urick D, Sciavolino B, Wang TY, et al. Perioperative outcomes of general versus spinal anesthesia in the lumbar spine surgery population: A systematic review and meta-analysis of data from 2005 through 2021. J Clin Orthop Trauma. 2022;30:101923.
  12. Finsterwald M, Muster M, Farshad M, et al. Spinal versus general anesthesia for lumbar spine surgery in high risk patients: Perioperative hemodynamic stability, complications and costs. J Clin Anesth. 2018;46:3-7.
  13. Rangnekar A, Praveen GV, Chugh A, et al. Efficiency of spinal anesthesia versus general anesthesia for minimal invasive single level transforaminal lumbar interbody fusion: a retrospective analysis of 178 patients. J Minim Invasive Spine Surg Tech. 2022;7(1):107-12.
  14. Attari MA, Mirhosseini SA, Honarmand A, and Safavi MR. Spinal anesthesia versus general anesthesia for elective lumbar spine surgery: A randomized clinical trial. J Res Med Sci. 2011;16(4):524-9.
  15. Sharma S, Dev B, and Butt MF. Comment on Attari et al: Spinal anesthesia versus general anesthesia for elective lumbar spine surgery: randomized clinical trial. J Res Med Sci. 2011;16(5):712.
  16. Morris MT, Morris J, Wallace C, et al. An Analysis of the Cost-Effectiveness of Spinal Versus General Anesthesia for Lumbar Spine Surgery in Various Hospital Settings. Global Spine J. 2019;9(4):368-74.
  17. Demirel CB, Kalayci M, Ozkocak I, et al. A prospective randomized study comparing perioperative outcome variables after epidural or general anesthesia for lumbar disc surgery. J Neurosurg Anesthesiol. 2003;15(3):185-92.
  18. McLain RF, Bell GR, Kalfas I, et al. Complications associated with lumbar laminectomy: a comparison of spinal versus general anesthesia. Spine (Phila Pa 1976). 2004;29(22):2542-7.
  19. Kahveci K, Doger C, Ornek D, et al. Perioperative outcome and cost-effectiveness of spinal versus general anesthesia for lumbar spine surgery. Neurol Neurochir Pol. 2014;48(3):167-73.
  20. Walcott BP, Khanna A, Yanamadala V, et al. Cost analysis of spinal and general anesthesia for the surgical treatment of lumbar spondylosis. J Clin Neurosci. 2015;22(3):539-43.
  21. Agarwal P, Pierce J, and Welch WC. Cost Analysis of Spinal Versus General Anesthesia for Lumbar Diskectomy and Laminectomy Spine Surgery. World Neurosurg. 2016;89:266-71.
  22. Ogrenci A, Akar E, Koban O, et al. Spinal anesthesia in surgical treatment of lumbar spine tumors. Clin Neurol Neurosurg. 2020;196:106023.