Is it possible to just have a spinal for removal of a titanuim rod and screws in femur? Having surgery to remove them soon and I rather be awake

Perhaps. It's a possible option to discuss with your anesthesiologist. Not everyone is a good candidate. I had this done myself because I have so much trouble with post operative nausea. I had the spinal and then had a light sedative so I could nap. Operating rooms are noisy, chilly with a whole lot of stuff going on that I really didn't need to hear. It was a good option for me. Good luck.