Spinal anesthesia (SA) is an emergent technique for lumbar fusion surgery in the elderly population. The use of SA is an attractive option in the geriatric population with comorbidities for several reasons, including the potential for reduced systematic stress, blood loss, and postoperative delirium. 1 Here, we discuss a lengthy complex lumbar fusion surgery case in a high-risk elderly patient under spinal anesthesia. Clinical presentation 1 A 73-year-old female was presented with recurrent lower back and right leg pain post elective lumbar decompression surgery.
Medical history Elective lumbar decompression surgery was performed six months before the presentation. The surgery provided transient symptomatic relief; however, the symptoms persisted despite an epidural injection. Generalized osteoarthrosis and chronic obstructive pulmonary disease (COPD), chronic coronary artery disease,…
