{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:37:00Z","timestamp":1787071020227,"version":"build-2736575974"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2025,9,6]],"date-time":"2025-09-06T00:00:00Z","timestamp":1757116800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["J West Afr Coll Surg"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Lumbar spine surgery has been traditionally performed under general anaesthesia for a variety of reasons, including less time constraints, a secured airway with the patient in prone position, and preference by anaesthesiologists. However, spinal anaesthesia (SA) has been reported to be a safe alternative and is preferable in high-risk patients with other comorbidities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To determine the effectiveness of SA in non-instrumented lumbar spine surgeries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology:<\/jats:title>\n                    <jats:p>A retrospective study was performed on 32 patients who had underwent lumbar spine surgery under SA between January 2022 and January 2024. Patients who had instrumented spine surgeries were excluded from this study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There were statistically significant satisfactory outcomes in patients postoperatively, using the Oswestry scoring system. There were few complications recorded, including a dural tear in one patient (3.1%) and post spinal headache in two patients (6.3%). There were no mortalities recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The use of SA in lumbar spine surgery offers a safe alternative to general anaesthesia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jwas.jwas_131_24","type":"journal-article","created":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T10:01:41Z","timestamp":1757412101000},"page":"151-153","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Spinal Anaesthesia in Non-instrumented Lumbar Spine Surgery: Does it Work?"],"prefix":"10.4103","volume":"16","author":[{"given":"Obiegbu Henry","family":"Obinna","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nze Iheanyichukwu","family":"Noel","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Okafor Sylvester","family":"Ezechukwu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Crestwood Multi-Specialty Hospital, Onitsha, Anambra State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Obiegbu Chisom","family":"Renee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Crestwood Multi-Specialty Hospital, Onitsha, Anambra State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,9,6]]},"reference":[{"key":"CIT0001-20260318","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1016\/j.wneu.2021.10.172","article-title":"What is the learning curve for lumbar spine surgery under spinal anaesthesia?","volume":"158","author":"West","year":"2022","journal-title":"World Neurosurg"},{"key":"CIT0002-20260318","doi-asserted-by":"crossref","first-page":"89","DOI":"10.3340\/jkns.2018.0177","article-title":"Surgical outcomes according to dekyphosis in patients with ossification of the posterior longitudinal ligament in the thoracic spine","volume":"63","author":"Kim","year":"2020","journal-title":"J Korean Neurosurg Soc"},{"key":"CIT0003-20260318","doi-asserted-by":"crossref","first-page":"377","DOI":"10.14245\/ns.1938100.050","article-title":"Bi-cortical screw purchase at upper instrumented vertebrae (UIV) can cause UIV fracture after adult spinal 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controlled trials","volume":"72","author":"Meng","year":"2017","journal-title":"Anaesthesia"},{"key":"CIT0010-20260318","doi-asserted-by":"crossref","first-page":"91","DOI":"10.2147\/LRA.S141233","article-title":"Efficiency of spinal anesthesia versus general anaesthesia for lumbar spine surgery: A retrospective analysis of 544 patients","volume":"10","author":"Pierce","year":"2017","journal-title":"Local Reg Anesth"},{"key":"CIT0011-20260318","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1016\/j.wneu.2020.04.199","article-title":"Percutaneous endoscopic thoracic decompression for thoracic spine stenosis under local anaesthesia","volume":"139","author":"Cheng","year":"2020","journal-title":"World Neurosurg"},{"key":"CIT0012-20260318","first-page":"1","article-title":"Regional versus general anaesthesia for spine surgery. A comprehensive review","volume":"66","author":"Mergeay","year":"2015","journal-title":"Acta Anaesthesia Belg"}],"container-title":["Journal of West African College of Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jwas.jwas_131_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:40:25Z","timestamp":1787067625000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jwas.jwas_131_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,6]]},"references-count":12,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jwas.jwas_131_24","relation":{},"ISSN":["2276-6944","2992-5827"],"issn-type":[{"value":"2276-6944","type":"print"},{"value":"2992-5827","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,6]]},"assertion":[{"value":"2024-09-09","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-07","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}