Spinal Anesthesia for Removal of Thoraco-Lumbar Pedicle Screw
Abstract
DOI: https://doi.org/10.46405/ejms.v1i1.2
Background: Spinal anesthesia compared to the general anesthesia has
advantages of decreased blood loss, better cardiovascular stability and
postoperative pain control. This study was designed to evaluate pedicle
screw removal at lateral position under spinal anesthesia.
Methods: It is a prospective study done in patients with ASA (American
Society of Anaesthesiologist) I and II with age between 17 to 75 years
of both sex admitted for pedicle screw removal surgery during period
March 2018 to April 2019 AD in Western Hospital and research centre
Nepalgunj. All patients were informed about the risk of conversion
to general anaesthesia in detail. Spinal anaesthesia was given to all 83
patients who came for pedicle screw removal.
Results: Out of all patients 54% were from Hills and remaining 46%
were from Terai. The commonest cause of injury was fall from tree which
was in 48 (57.8%) out of 83 cases. Commonest level of injury was L1
followed by L2. Operation was completed under spinal anesthesia. None
of the patient required conversion to general anaesthesia. 69 (83.1%)
patients did not require any additional medications whereas remaining
14 (16.86%) needed additional medications. It allows good perioperative
haemodynamic stability and also more cost effective.
Conclusion: Spinal anesthesia is safe and effective anesthetic technique
for short duration spinal surgery as for example pedicle screw removal
in terms perioperative events and in prolonged post-operative analgesia,
as well as in terms of patient and surgeon’s satisfaction.
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