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. 2022 Jun 8;13:69–77. doi: 10.1016/j.ibneur.2022.05.009

Table 1.

Indications and contraindications for awake spine surgery (Fiani et al., 2021).

Indications Contraindications
  • Surgeries involving a maximum of two vertebrae levels

  • Surgeries that are minimally invasive or utilize endoscopic technique

  • Surgeries requiring neural feedback

  • Aging populations

  • Patients deterred from general anesthesia

  • Surgeries involving > 2 vertebrae

  • Surgeries with unpredictable durations

  • Patients with risks of respiratory compromise

  • High BMI

  • Obstructive sleep apnea

  • Pre-existing anxiety or depression

  • Bleeding disorders or coagulopathies

  • Intracranial hypertension

  • Failed back syndrome

  • Radiological demonstration of arachnoiditis or severe spinal stenosis

  • Smoking