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A Survey on the Short-term Outcome of Microlumbar Discectomy with General versus Spinal Anesthesia
- Source :
- Clinics in Orthopedic Surgery
- Publication Year :
- 2019
- Publisher :
- The Korean Orthopaedic Association, 2019.
-
Abstract
- Background: Surgery on the lower thoracic and lumbosacral spine is possible with both general and spinal anesthesia, but most spine surgeons are reluctant to perform the surgery with spinal anesthesia. We aimed to conduct a survey on the short-term outcome of microlumbar discectomy in the patients who had been treated under general or spinal anesthesia. Methods: In this prospective study, we performed a survey on 72 patients who underwent microlumbar discectomy under general anesthesia (group A) or spinal anesthesia (group B). Demographic characteristics, American Society of Anesthesiologists physical status, duration of operation, blood loss, and complications were all documented. Preoperative and early postoperative (at the time of discharge) disability and pain were assessed by using Japanese Orthopedic Association (JOA) scoring system and a visual analog scale questionnaire. Results: The two groups were homogenous preoperatively. The mean intraoperative blood loss was less and the mean operating time was shorter in group A than in group B, but there was no statistically significant difference between groups. The rate of postoperative improvement in JOA score and improvement in pain were similar between groups. Anesthetic complications were unremarkable. Conclusions: Simple lumbar disc operations in the otherwise healthy patients can be safely performed under either spinal or general anesthesia. Both anesthetic methods led to comparable outcomes with minimal complications. © 2019, Korean Orthopaedic Association. All rights reserved.
- Subjects :
- Adult
Male
Microsurgery
Discectomy
medicine.medical_specialty
Visual analogue scale
medicine.medical_treatment
General anesthesia
Anesthesia, General
Anesthesia, Spinal
03 medical and health sciences
0302 clinical medicine
Blood loss
Outcome Assessment, Health Care
medicine
Operating time
Humans
Orthopedics and Sports Medicine
Prospective Studies
Prospective cohort study
Pain Measurement
030222 orthopedics
Lumbar Vertebrae
business.industry
Spinal anesthesia
030229 sport sciences
Middle Aged
Surgery
Outcome assessment
Orthopedic surgery
Anesthetic
Female
Original Article
business
Intervertebral Disc Displacement
Diskectomy
medicine.drug
Subjects
Details
- ISSN :
- 20054408 and 2005291X
- Volume :
- 11
- Database :
- OpenAIRE
- Journal :
- Clinics in Orthopedic Surgery
- Accession number :
- edsair.doi.dedup.....517c60dc05bc2d089c182eb0b3d0eb1f