SciELO - Scientific Electronic Library Online

vol.34 número1Influencia del IMC en la huella plantar de árbitros masculinos de fútbolTerapia con células madre en la osteonecrosis de la cabeza femoral índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados




  • No hay articulos citadosCitado por SciELO

Links relacionados

  • No hay articulos similaresSimilares en SciELO


Revista Cubana de Ortopedia y Traumatología

versión impresa ISSN 0864-215Xversión On-line ISSN 1561-3100


APARICIO MORALES, Antonio Ismael; RIZO FIALLO, Yaima  y  PINEDA GONZALEZ, Alexis Ramón. Controlled Hypotension in Spinal Surgery. Rev Cubana Ortop Traumatol [online]. 2020, vol.34, n.1, e235.  Epub 01-Jun-2020. ISSN 0864-215X.


Controlled hypotension implies any technique that, used alone or in combination, intentionally lowers blood pressure values during the intraoperative period, in order to reduce bleeding and improve the visibility of the surgical field.


To describe the physiological foundations, definitions, techniques and complications of controlled hypotension in spinal surgery.


A literature review was carried out in scientific databases such as Cochrane Database of Systematic Reviews, Pubmed/Medline, EMBASE, SCOPUS, Web of Science, Ebsco Host, ScienceDirect, OVID and the academic search engine Google Scholar, in June 2020.


Controlled hypotension in spinal surgery has limited surgical benefits. However, there is no precise consensus on the hemodynamic thresholds and time limits required for its use, and it is associated with a high risk of potential complications as delirium, postoperative cognitive dysfunction, ischemic stroke, postoperative visual loss, acute kidney injury, myocardial injury, late postoperative neurological deficit and chronic neuropathic pain; therefore, its routine use during the intraoperative period is not recommended.

Palabras clave : controlled hypotension; deliberate hypotension; spinal surgery.

        · resumen en Español     · texto en Español     · Español ( pdf )