Thoracolumbar Vertebral Fracture
Conditions
Interventions
Group erector spinae plane block:Perform erector spinae plane block
Local anesthesia group:https://chatgpt.com/c/69bb5cd2-f478-832b-9a40-dbde8c71efde#:~:text=Local%20infiltration%20anesthesia%20of%20the%20puncture%20site%20using%201%25%20lid
Sponsors
Lishui peoples hospital
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: 1.Age >= 65 years; 2.American Society of Anesthesiologists (ASA) physical status classification II–III; 3.No history of major trauma; MRI indicates a fresh spinal fracture (T2 hyperintensity, T1 hypointensity) without spinal canal occupancy or compression. 4.The injured vertebral level ranges from T5 to L5, and elective single-level vertebroplasty is planned;
Exclusion criteria
Exclusion criteria: 1.Pathological vertebral fracture due to spinal tumor; 2.Patients with allergy to local anesthetics; 3.Patients with coagulation disorders; 4.Patients undergoing percutaneous vertebroplasty (PVP) under general anesthesia; 5.Patients with impaired consciousness or inability to communicate effectively; 6.Patients who received analgesic medications preoperatively or have a history of chronic pain; 7.Patients with psychiatric or neurological disorders, impaired consciousness, or inability to communicate effectively; 8.Patients with >=2 injured vertebral segments; 9.Patients who refuse to participate in this study;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of moderate-to-severe intraoperative pain; | — |
Secondary
| Measure | Time frame |
|---|---|
| Maximum intraoperative pain score;Satisfaction with analgesia from the patient, surgeon, and anesthesiologist;Time to first ambulation;Complications and adverse events, including all adverse events such as respiratory depression, severe sinus bradycardia, local anesthetic toxicity, bleeding, nerve injury, infection, and pneumothorax.;Total operating room occupancy time;Total perioperative opioid consumption;Perioperative vital signs (blood pressure, heart rate, SpO?);Incidence of rescue analgesia within 24 hours postoperatively; | — |
Countries
China
Contacts
Public ContactFaxing Wang
Lishui peoples hospital
Outcome results
None listed