Posterior lumbar fusion of one or two vertebrae
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients body weight more than 45kg and less than 100kg American Society of Anesthesiologists grade I, II, or III Patients who will undergo 1- or 2-vertebral open lumbar posterior fusion
Exclusion criteria
Exclusion criteria: Previous spinal surgery Renal dysfunction (eGFR<60mL/min/1.73m2) Hepatic dysfunction (AST>30, ALT>30) drug (loxoprofen Na, acetaminophen, ropivacaine, fentanyl) allergy Complicated pyogenic spondylitis Complicated spinal fracture Complicated bladder and rectal disorders Complicated preoperative paresthesia of the lower extremities with inability to walk Complications of malignant tumor
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative low back pain VAS (0hr, 1hr, 2hr, 6hr, 12hr, 24hr, first walk after drain removal) | — |
Secondary
| Measure | Time frame |
|---|---|
| Age Sex Body weight Duration of blocking procedure iv-PCA consumption in the first 24 hours after surgery Number of times rescue drug (1000 mg IV acetaminophen) was used Time from postoperative to first rescue drug delivery Satisfaction (on a scale of 1-5) Number of cases of high-level mistakes in the ultrasound group Dose area product Duration of radiation exposure Complications of ESPB (paraplegia, local anesthesia, needle site infection) Postoperative hematoma Dural injury Postoperative infection | — |
Countries
Japan
Contacts
Faculty of Medicine, Fukuoka University Department of Orthopedics Surgery