J Korean Soc Spine Surg.  2018 Sep;25(3):122-127. 10.4184/jkss.2018.25.3.122.

Comparison of Postoperative Pain Control Methods in Patients with Spinal Stenosis after Posterior Spinal Decompression

• Song WS
• Lee YS
• Park BH
• Kim JM
• Byun CW

• KMID: 2421604
• DOI: http://doi.org/10.4184/jkss.2018.25.3.122

Abstract

STUDY DESIGN: Prospective study.
OBJECTIVES
This study compared the early postoperative analgesic effects and the postoperative nausea and vomiting (PONV) associated with 3 methods of pain control after posterior spinal decompression. SUMMARY OF LITERATURE REVIEW: Spinal surgery causes severe postoperative pain. Efficient and safe methods for postoperative analgesia after spinal surgery are necessary.
MATERIALS AND METHODS
To determine the clinical symptoms and to assess improvements in postoperative pain, 52 patients in whom single-level posterior lumbar decompression was planned were randomly assigned to 3 groups. For postoperative pain control, 18 patients received a preoperative single-shot epidural injection (SEI), 16 patients received a postoperative continuous epidural injection (CEI), and 18 patients received only postoperative intravenous patient-controlled analgesia (IV-PCA). Patient ratings of pain intensity (visual analog scale score from 0 [no pain] to 10 [most severe pain]), nausea (from 0 [no nausea] to 5 [severe nausea]), and vomiting (from 0 [no vomiting] to 5 [severe vomiting]) were recorded immediately after the operation and at 4 hours, 12 hours, 1 day, and 2 days postoperatively.
RESULTS
The CEI group showed significantly enhanced analgesic effects, followed by the SEI group and the IV PCA group (p < 0.05). PONV due to postoperative pain control was more severe in the IV PCA group than in the other 2 groups (p < 0.05).
CONCLUSIONS
Continuous epidural injection (CEI) is effective for postoperative pain control and minimizes the occurrence of PONV after posterior spinal decompression.

Keyword

Postoperative pain control; IV-PCA; SEI; CEI

MeSH Terms

Analgesia
Analgesia, Patient-Controlled
Decompression*
Humans
Injections, Epidural
Methods*
Nausea
Pain, Postoperative*
Passive Cutaneous Anaphylaxis
Postoperative Nausea and Vomiting
Prospective Studies
Spinal Stenosis*
Vomiting

Figure

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  Fig. 1. Time course of postoperative in the SEI, CEI and IV-PCA groups assessed by VAS. Values are mean.

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