So far , the evidence available from the studies included is insufficient to prove that neuraxial anesthesia is more effective and safer than general anesthesia for orthopedic surgery .
However , this systematic review does not rule out clinical ly important differences with regard to mortality , stroke , myocardial infa rct ion , length of hospitalization , postoperative cognitive dysfunction or pneumonia
CONTEXT AND OBJECTIVE Taking the outcome of mortality into consideration , there is controversy about the beneficial effects of neuraxial anesthesia for orthopedic surgery .
The aim of this study was to compare the effectiveness and safety of neuraxial anesthesia versus general anesthesia for  orthopedic surgery .
Spinal anesthesia versus general anesthesia for elective lumbar spine surgery: A randomized clinical trial
BACKGROUND : Either general or regional anesthesia can be used for lumbar disk surgery . The common anesthetic technique is general anesthesia ( GA ) . The aim of this study was to compare the intra and postoperative outcomes of spinal anesthesia ( SA ) with GA in these patients . METHODS : Seventy-two patients were enrolled in the study . They were r and omized into two groups with 37 patients in GA Group and 35 ones in SA Group . The heart rate ( HR ) , mean arterial pressure ( MAP ) , blood loss , surgeons satisfaction with the operating conditions , the severity of postoperative pain based on visual analogue scale ( VAS ) and analgesic use were recorded . RESULTS : The mean blood loss was significantly less in the SA Group compared to GA Group ( p < 0.05 ) . Intraoperative maximum blood pressure and heart rate changes were significantly less in SA Group ( p < 0.05 ) . The surgeons satisfaction was significantly more in the SA Group ( p < 0.05 ) . The number of patients who used postoperative analgesic as well as postoperative mean VAS was significantly less in SA Group in comparison with GA group ( p < 0.05 for both ) . CONCLUSIONS : Our study showed that SA was superior to GA in providing postoperative analgesia and decreasing blood loss while maintained better perioperative hemodynamic stability without increasing adverse side effects
So far , the evidence available from the studies included is insufficient to prove that neuraxial anesthesia is more effective and safer than general anesthesia for orthopedic surgery .
However , this systematic review does not rule out clinical ly important differences with regard to mortality , stroke , myocardial infa rct ion , length of hospitalization , postoperative cognitive dysfunction or pneumonia
CONTEXT AND OBJECTIVE Taking the outcome of mortality into consideration , there is controversy about the beneficial effects of neuraxial anesthesia for orthopedic surgery .
The aim of this study was to compare the effectiveness and safety of neuraxial anesthesia versus general anesthesia for  orthopedic surgery .