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Risk Factor for Additional Intravenous Medication during Transforaminal Full-endoscopic Lumbar Discectomy under Local Anesthesia
- Source :
- Neurologia medico-chirurgica
- Publication Year :
- 2021
- Publisher :
- The Japan Neurosurgical Society, 2021.
-
Abstract
- Transforaminal full-endoscopic lumbar discectomy (TELD) can be performed under local anesthesia. However, there have been no reports on risk factors for a change in vital signs or the need for additional medications to maintain adequate analgesia during this procedure. The purpose of this study was to identify risk factors for additional intravenous medication during TELD under local anesthesia. The following factors were retrospectively evaluated in 113 consecutive patients who underwent TELD under local anesthesia at our institution: demographic characteristics, radiological features at the intervertebral disc level, distance between the superior articular process and the exiting nerve root, height of the intervertebral disc, height of the bulging disc, height of the intervertebral foramen, and distance from the insertion site to the spinous process on magnetic resonance imaging (MRI) and computed tomography (CT) scans of the lumbar spine. Logistic regression analysis was performed to determine factors associated with the need for additional drugs. In all, 23 cases (20.4%) required additional intraoperative medications because of hypertension, hypotension, bradycardia, or pain. Logistic regression analysis revealed that age (partial regression coefficient 0.05, p = 0.02) and bulging disc height (partial regression coefficient −0.7, p = 0.003) influenced the need for additional drugs. There were significant associations of need for additional intravenous medication with older age (>62 years) and a smaller bulging disc height (
- Subjects :
- transforaminal full-endoscopic lumbar discectomy
medicine.medical_specialty
Nerve root
complications
Vital signs
Logistic regression
030218 nuclear medicine & medical imaging
lumbar disc herniation
03 medical and health sciences
0302 clinical medicine
Risk Factors
medicine
Humans
Diskectomy, Percutaneous
Local anesthesia
Risk factor
Intervertebral foramen
Aged
Retrospective Studies
Lumbar Vertebrae
medicine.diagnostic_test
business.industry
Endoscopy
Magnetic resonance imaging
Intervertebral disc
minimally invasive spine surgery
Surgery
Treatment Outcome
medicine.anatomical_structure
Original Article
Neurology (clinical)
business
local anesthesia
Intervertebral Disc Displacement
030217 neurology & neurosurgery
Anesthesia, Local
Diskectomy
Subjects
Details
- Language :
- English
- ISSN :
- 04708105
- Volume :
- 61
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Neurologia Medico-Chirurgica
- Accession number :
- edsair.doi.dedup.....3570f6fb422def34936d43da86c38c75