Understanding the Role of Anesthesia in Spinal Surgery

anesthesia in spine surgery, surgeons

Anesthesia plays a critical role in spine surgeries, facilitating both patient comfort and surgical precision.

The spine plays a vital role in our bodies as it works to hold us upright and connects different parts of our skeleton to one another. Although made of bones, the spine actually includes many ligaments and elastic spinal discs.

Because of their sensitive nature, spine surgeries often involve complex and delicate maneuvers around nerves, spinal structures, and muscles. Precise anesthesia management is crucial to ensure the patient’s safety while maintaining optimal surgical conditions.

What type of anesthesia is used in spinal surgery?

General anesthesia is used for most spinal surgeries. General anesthesia can be administered intravenously or by inhalation. Common compositions of intravenous anesthetics include propofol, sodium thiopental, etomidate, methohexital, and ketamine, and common inhaled anesthetics are made of oxide and volatile fluorinated liquids like isoflurane, desflurane, and sevoflurane.

Anesthesiologists tailor the type and level of anesthesia to each procedure’s requirements, from minimally invasive interventions to more extensive spinal fusions. Other options for anesthesia can include regional techniques like spinal or epidural anesthesia that can numb targeted areas while minimizing the typical anesthetic effects.

Is anesthesia needed in all spinal surgeries?

The choice of anesthesia depends on several factors, including the surgery’s complexity, patient health, and positioning needs.

More involved spine surgeries often require general anesthesia because it allows for complete muscle relaxation and control over the airway, reducing potential complications from movement or breathing irregularities during surgery.

For less invasive procedures, regional anesthesia can be just as effective, especially if the patient has underlying conditions that make general anesthesia riskier.

woman doctor with female patient after surgery

What can I expect in the postoperative process?

Postoperatively, the use of advanced pain management techniques, including patient-controlled analgesia and targeted nerve blocks, can enhance recovery by reducing pain and allowing earlier mobilization. 

The role of anesthesia in spine surgery extends beyond the operating room, as careful perioperative pain management is essential for promoting healing and improving quality of life in the weeks following surgery.

After spinal surgery, you may feel stiff and sore as well as experience some discomfort as your anesthesia wears off. Many patients experience nausea, muscle aches, dry mouth, grogginess or confusion, shivering and/or blurry vision– but don’t panic! These side effects of anesthesia are normal because, remember, your body just went through a major surgery. Side effects shouldn’t last more than 24 hours, so be sure not to drive or operate any heavy machinery within this timeframe.

Trust in your medical team

Now that you have the information on the role of anesthesia in spinal surgery, you can feel comforted moving forward. Place an emphasized trust in your medical team as they have your best interest at-heart and will work to achieve optimal results.