1. Analgesic therapy for major spine surgery.
- Author
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Puvanesarajah V, Liauw JA, Lo SF, Lina IA, Witham TF, and Gottschalk A
- Subjects
- Failed Back Surgery Syndrome physiopathology, Humans, Pain Measurement, Pain, Postoperative physiopathology, Analgesia methods, Analgesics therapeutic use, Failed Back Surgery Syndrome drug therapy, Neurosurgical Procedures methods, Pain, Postoperative drug therapy, Spine surgery
- Abstract
Pain following spine surgery is often difficult to control and can persist. Reduction of this pain requires a multidisciplinary approach that depends on contributions of both surgeons and anesthesiologists. The spine surgeon's role involves limiting manipulation of structures contributing to pain sensation in the spine, which requires an in-depth understanding of the specific anatomic etiologies of pain originating along the spinal axis. Anesthesiologists, on the other hand, must focus on preemptive, multimodal analgesic treatment regimens. In this review, we first discuss anatomic sources of pain within the spine, before delving into a specific literature-supported pain management protocol intended for use with spinal surgery.
- Published
- 2015
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