Calgary doctor performs spine surgery on conscious patient

(A previous version of this story stated this procedure was believed to have been the first of its kind performed in Canada, based on information provided by Alberta Health Services. That belief was genuine, but incorrect – spine surgery on awake patients has been performed previously in Canada over the years, albeit infrequently. CTV Calgary has revised this story and apologizes for any confusion caused.)
A Calgary doctor who recently performed a spinal surgery on an awake patient hopes to expand this technique in Alberta to ease pressure on the health-care system.
"This is just the first step of a long journey that we have, the plan that we have to help more Albertans," said Dr. Michael Yang, a spine surgeon at Foothills Medical Centre.
Last month, Yang performed a discectomy to remove the damaged part of a herniated disc in the spine, on a patient who was conscious.
Todd Bene, the man on the operating table, got the surgery to relieve his chronic lower back and leg pain.
"I thought, well, I'll try anything once," he said. "It was kind of cool. You know, I didn't feel much. Every once in a while, you would feel a little something."
The surgery took about 55 minutes and Todd Bene was able to go home less than five hours later.
The surgery took about 55 minutes and Bene was able to go home less than five hours later. The next day, he was up cooking breakfast for his grandkids and even made a trip to IKEA.
"It was just night and day for the pain," he said. "I was just so surprised when I got up the first time after the surgery and also standing up straight."
Bene had a previous heart attack, heart failure and coronary artery disease, so Yang thought putting him under general anesthetic would be too risky.
Instead, he chose to perform the surgery without it and only with a local anesthetic — something he learned while studying at the University of Miami.
"The patients have less pain after surgery, less nausea, less vomiting after surgery. Patients are able to get up much quicker and walk around and thereby, facilitating their recovery," Yang said.
"Also, without general anesthetic, it causes less stress on the heart and lungs, so there's less risk of developing complications during the operation."
Todd Bene, who has been dealing with chronic lower back and leg pain, was wide awake for a discectomy to remove the damaged part of a herniated disc.
The surgical team and neuroanesthesiologists worked together to sedate Bene just enough so it wouldn't hurt and he'd be able to communicate if it did.
"So we minimize the harm that we could potentially cause on a patient during the surgery," Yang said. "The surgery itself is not super innovative, but it's putting a team together to be able to do it awake that is innovative."
Yang says he plans to perform more procedures, and hopes to use this method for more complex surgeries, like spinal fusions.
He says spinal fusions, surgery to connect two or more bones in any part of the spine, typically require a two-to-three-day hospital stay, but with this method, the patient could go home the same day.
"This can really help reduce health-care utilization while maintaining excellent outcomes for our patients and be able to help more Albertans get the surgery they need in a more timely fashion," Yang said.
Dr. Michael Yang hopes the surgery on Todd Bene will create opportunities to perform more complex surgeries — like spinal fusions — using this technique.
However, Yang warns "awake surgery" isn’t for everyone. He advises against doing it on patients who are obese, have anxiety or require a longer surgery because there can be more risks.
Meanwhile, Bene has been off work for six weeks and is about to start physiotherapy. He has advice for other patients:
"Just don't be scared of it. It'll change your life."
CTVNews.ca Top Stories

U.S. assassination attempt charges 'confirm' Trudeau's claims about India had 'real substance,' former national security advisers say
The indictment of an Indian national for the attempted assassination of a Sikh separatist and dual U.S.-Canadian national 'validates' Prime Minister Justin Trudeau's allegations that the Indian government may have been involved in the killing of a Canadian citizen as having 'real substance,' according to two of Canada's former national security advisers.
BREAKING Bonnie Crombie wins Ontario Liberal leadership after 3 rounds of voting
Ontario Liberals have selected Bonnie Crombie, a three-term big city mayor and former MP who boasts that she gets under Doug Ford’s skin, as their next leader to go head to head with the premier in the next election.
What was a hospital like in medieval times? Researchers analyzed 400 skeletons to find out
In medieval times, hospitals took care of the 'poor and infirm,' but how were inhabitants selected and what were their lives like? Researchers analyzed 400 skeletons to find out.
Search for runaway kangaroo in Ontario continues
The search continues for the kangaroo that is hopping around somewhere in Ontario after it escaped zoo handlers from a transport truck Thursday night.
7.6 magnitude earthquake strikes off the southern Philippines and a tsunami warning is issued
A powerful earthquake with a preliminary magnitude of 7.6 struck Saturday off the cost of the southern Philippines island of Mindanao and Philippine authorities issued a tsunami warning.
Hoopla expected to hit new heights as Sinclair's farewell game in Vancouver nears
Canada's lopsided 5-0 win over an experimental Australia side in the rain Friday at Starlight Stadium and the hoopla surrounding it provided a taste of what is to come in Christine Sinclair's farewell game at B.C. Place Stadium.
'Big, dark canvas of despair': Rick Hansen speaks on how his mindset changed after being paralyzed
Rick Hansen's life changed the day he was told he'd never walk again, but instead of letting his disability stand in his way, he became an advocate for accessibility rights and a Paralympic Athlete. Here's how that happened.
'Every tool at our disposal': Lawyers submit amended application to challenge Sask. pronoun legislation
LGBTQ2S+ advocates are not backing down in their legal fight against the Sask. Party’s Parents’ Bill of Rights, submitting an amended application against the legislation on Friday evening.
Amid housing crisis, jail seen as preferable to living on the street
Michael Keough has to pause in the middle of his phone call from Newfoundland and Labrador's largest jail to cough and wipe his eyes -- there's black mould on the wall where the phones are, he explains, and it irritates him after a while.