Anesthesia for Neurosurgery - Surgery on the Spine and Spinal Cord

Surgery on the spine and spinal cord is undertaken for a variety of conditions, including intervertebral disk disease, spondylosis, stenosis, neoplasm, scoliosis, and trauma. The physiology of the spinal cord and brain is similar, even though absolute rates of blood flow and metabolism are lower in the spinal cord. Maintaining spinal cord perfusion pressure (which equals MAP minus extrinsic pressure on the cord) and reducing cord compression are clinical management objectives.

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