Ischemic Optic Neuropathy Following Spine Surgery

Case Control Analysis and Systematic Review of the Literature

Anshit Goyal, MBBS; Mohamed Elminawy, MBBCh; Mohammed Ali Alvi, MBBS; Timothy R. Long, MD; John J. Chen, MD, PhD; Elizabeth Bradley, MD; Brett A. Freedman, MD; Mohamad Bydon, MD


Spine. 2019;44(15):1087-1096. 

In This Article


Spine surgery remains one common cause of postoperative ischemic optic neuropathy. Within spine surgery, multiple level instrumented fusions, intraoperative hypotension, longer operative times, and higher blood loss appear to be associated settings for development of this condition. Given the rare and random nature of this devastating complication, data remain limited, thereby, emphasizing the need for adequate counseling in patients undergoing spine surgery.