Stanford Medicine spinal surgeon Todd Alamin, MD, performs spinal decompression under conscious sedation with local anesthetic. Avoiding general anesthesia (GA) and spinal anesthesia (SA) makes decompression surgery possible for higher-risk and older patients.
Select patients and those over the age of 65 are at higher risk for hypotension and postoperative cognitive dysfunction (POCD) associated with GA and SA. Yet this subset of patients often suffers from severe spinal stenosis. Dr. Alamin’s technique allows surgical decompression in the safest way possible for those patients.