Inoue T, et al. - In this single-institute retrospective study, researchers assessed postoperative complications in dialysis-dependent patients undergoing elective cervical and lumbar decompression surgery. The rate of perioperative blood transfusion was significantly higher in dialysis-dependent vs non–dialysis-dependent patients among patients who underwent posterior decompression alone for cervical or lumbar lesions. It was noted that the incidence of postoperative complications in dialysis-dependent patients (9.2%) was not significantly different from that in non–dialysis-dependent patients (6.8%) and no severe complications or mortality occurred in association with cervical decompression. For dialysis-dependent patients with a fragile general condition, decompression surgery alone was considered a rational surgical method with less invasiveness.