Lumbar Spinal Stenosis
Conditions
Interventions
Drug administration group: Sacral epidural block using a mixture of 5mg/0.5ml morphine hydrochloride and 19.5ml saline solution (20ml total) One shot administered immediately before surgery
Placebo
Sponsors
Ijinkai Takeda General Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients undergoing microscopic spinal decompression for one or two intervertebral segments lumbar spinal stenosis between the third lumbar vertebra and the first sacral vertebra 2. American Society of Anesthesiologists (ASA) physical status grade 2 or lower
Exclusion criteria
Exclusion criteria: 1. Planned reoperation cases, reoperation cases for adjacent segment disorders following prior surgery 2. Emergency surgery cases 3. Lumbar spinal stenosis cases due to spinal or spinal cord tumors 4. Cases with spinal infections, including spinal tuberculosis 5. Lumbar spinal stenosis cases associated with vertebral fractures 6. Cases receiving preoperative opioid administration 7. Cases with a history of hypersensitivity to water-soluble morphine
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1 Percentage of patients who did not require analgesics within 48 hours after extubation 2 Time from extubation to administration of rescue analgesics in patients who required them | — |
Secondary
| Measure | Time frame |
|---|---|
| 1 Total intraoperative opioid analgesic administration excluding epidural preoperative administration 2 Post-extubation pain scale 3 Post-extubation pruritus scale 4 Postoperative nausea and vomiting scale | — |
Countries
Japan
Contacts
Public ContactKunio Yokoyama
Ijinkai Takeda General Hospital Department of Neurosurgery
Outcome results
None listed