Back to Search
Start Over
Sex-specific and Age-specific Analgesia for Early Postoperative Pain Management After Lumbar Decompressive Surgery: A Randomized Clinical Trial
- Source :
- Clinical spine surgery. 32(7)
- Publication Year :
- 2018
-
Abstract
- This was a randomized clinical trial.To compare the efficacy and safety of nonsteroidal anti-inflammatory drug and opioid for acute pain management after lumbar decompressive surgery.Multimodal analgesia is associated with synergistic effects while reducing opioid-related adverse effects. However, there is no consensus on the ideal multimodal analgesic regimen. We assumed that each agent in various multimodal regimens under different conditions may have different effects.This prospective randomized clinical trial recruited adult patients who underwent single-level lumbar decompressive surgery. Patients were randomized to receive our postoperative analgesic regimen including either nonsteroidal anti-inflammatory drug (celecoxib) or opioid (extended-release oxycodone) from postoperative day 3 to 14. The Visual Analog Scale (VAS) and Oswestry Back Pain Disability Index (ODI) were used to evaluate effectiveness preoperatively and on postoperative days 2, 3, 7, and 14, and at 6 months. Drug-related adverse effects were also recorded.One hundred patients were enrolled and 93 patients (46 patients with celecoxib vs. 47 patients with oxycodone) were randomized. No differences were observed in patient demographics and preoperative VAS and ODI between the 2 groups. VAS and ODI were not different at all postoperative time points. However, subanalysis according to sex and age, revealed significant differences in efficacy: celecoxib was effective in female individuals and oxycodone was effective in male individuals on postoperative days 7 and 14; oxycodone was effective in patients aged above 65 years on postoperative days 7 and 14. Although nausea/vomiting and constipation were more common in the oxycodone group than in the celecoxib group, other adverse effects were not different.In patients who underwent single-level lumbar decompressive surgery, treatment with celecoxib and oxycodone for postoperative pain management showed no significant differences in efficacy. However, subanalysis showed that each drug was effective in different ages and sex groups.Level II.
- Subjects :
- musculoskeletal diseases
Male
Decompression
Postoperative pain
MEDLINE
law.invention
03 medical and health sciences
Disability Evaluation
0302 clinical medicine
Lumbar
Randomized controlled trial
law
medicine
Humans
Orthopedics and Sports Medicine
Pain Measurement
030222 orthopedics
Analgesics
Pain, Postoperative
Sex Characteristics
Lumbar Vertebrae
business.industry
Age Factors
Middle Aged
Decompression, Surgical
Sex specific
Opioid
Anesthesia
Surgery
Female
Neurology (clinical)
Analgesia
business
030217 neurology & neurosurgery
Sex characteristics
medicine.drug
Subjects
Details
- ISSN :
- 23800194
- Volume :
- 32
- Issue :
- 7
- Database :
- OpenAIRE
- Journal :
- Clinical spine surgery
- Accession number :
- edsair.doi.dedup.....2f4aedc177b5050b6f273928d60f7a20