Cervical spondylosis combined with spinal stenosis, spinal tumors, and cervical instability
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) PCSS are indicated for patients with cervical spondylosis with posterior longitudinal ligament calcification, cervical spondylosis with spinal canal stenosis, cervical spondylosis with arachnoiditis, spinal canal tumor, and cervical instability; (2) Ages of 18-60 years with gender restriction; (3) The preoperative American Society of anesthesiologists (ASA) anesthesia risk assessment grade is I to II; (4) Patients who signed informed consent.
Exclusion criteria
Exclusion criteria: (1) Long-term opioid users (daily or nearly daily opioid use for > 3 months); (2) Alcohol or drug abuse or allergy to any of the drugs used in this study (local anesthetics, etc.); (3) Psychiatric patients, impaired speech and those unable to complete the visual analog scale (VAS) scale for pain; (4) Local skin infection, bleeding, etc., at the puncture site of anesthesia; (5) Abnormal coagulation (PT, APTT beyond normal, INR < = 1.4), platelet count < 80 × 109 / L), patients with likely abnormal platelet function; (6) Patients with spinal instability; (7) The surgical or anesthesiologist considered the patient unsuitable for inclusion;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Dosage of morphine within 24 h after surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| Intraoperative consumption of opioids;Postoperative Visual Analogue Scale Score;Times of sleep interruption due to pain on the night of surgery;Time until the first walkout of bed after surgery;Time to hospital discharge; The total cost of hospitalization;Total morphine consumption during hospitalization;postoperative adverse events; | — |
Countries
China
Contacts
West China Hospital, Sichuan University