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Ultrasound-Guided Erector Spinae Plane Block for lumbar Spinal Stenosis surgery

Open Journal of Anesthesiology 2021年第3期11卷 72-84页

作者： Ayhan Şahin Onur Baran Ahmet Gültekin Gülcan Gücer Şahin Cavidan Arar Department of Anesthesiology and Reanimation Medical Faculty of Nam&#305 k Kemal University Tekirda&#287 Turkey Department of Radiology Medical Faculty of Nam&#305 k Kemal University Tekirda&#287 Turkey

Background: In this retrospective observational study, we evaluated patients who underwent elective lumbar stenosis surgery between February 1, 2019, and April 1, 2019. Patients who underwent surgery for lumbar spinal stenosis under general anesthesia alone were compared with those who underwent general anesthesia combined with erector spinae plane block. Aims: We aimed to retrospectively evaluate whether erector spinae plane block reduced opioid consumption following surgery for spinal stenosis. Study Design: A retrospective observational study. Methods: We collected data on the pain scores, time for the first requirement for patient-controlled analgesia with tramadol, the cumulative patient-controlled analgesia dose, requirement for rescue analgesia, time to first stand up postoperatively and the incidence of postoperative nausea and vomiting. Results: Sixty patients were included in the study. The numerical rating scale’s pain scores were significantly lower in the erector spinae plane group at 1, 2, 4, 6, 12 and 24 hours than in the general anesthesia group. The cumulative dose of patient-controlled analgesia w

关键词： Erector Spinae Plane Block Ultrasound Guidance lumbar surgery Regional Anesthesia

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Application of the cortical bone trajectory technique in posterior lumbar fixation

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World Journal of Clinical Cases 2023年第2期11卷 255-267页

作者： Shi-Bo Peng Xi-Chuan Yuan Wei-Zhong Lu Ke-Xiao Yu Department of Orthopedics Chongqing Nanchuan Hospital of Traditional Chinese MedicineChongqing 408400China Department of Orthopedics Chongqing Hospital of Traditional Chinese MedicineChongqing 400021China

The cortical bone trajectory(CBT) is a novel technique in lumbar fixation and *** unique caudocephalad and medial-lateral screw trajectories endow it with excellent screw purchase for vertebral fixation via a minimally invasive *** combined use of CBT screws with transforaminal or posterior lumbar interbody fusion can treat a variety of lumbar diseases,including spondylolisthesis or stenosis,and can also be used as a remedy for revision surgery when the pedicle screw *** has obvious advantages in terms of surgical trauma,postoperative recovery,prevention and treatment of adjacent vertebral disease,and the surgical treatment of obese and osteoporosis ***,the concept of CBT internal fixation technology appeared relatively recently;consequently,there are few relevant clinical studies,and the long-term clinical efficacy and related complications have not been ***,large sample and prospective studies are needed to further reveal the long-term complications and fusion *** a supplement to the traditional pedicle trajectory fixation technique,the CBT technique is a good choice for the treatment of lumbar diseases with accurate screw placement and strict indications and is thus deserving of clinical recommendation.

关键词： Cortical bone trajectory Management of midle line fusion lumbar interbody fusion lumbar surgery Review

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mproved Intermittent-clamped Drainage in Lower lumbar Internal Fixation： A Randomized Prospective Study

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Chinese Medical Journal 2016年第23期129卷 2804-2809页

作者： Qing-Ying Hao Chu-Yin Liu Chan-Juan Fu Xiao-Hua Zhang Ming-Sheng Tan Department of Spinal surgery China-Japan Friendship Hospital Beijing 100029 China Graduate School Beijing-University Of Chinese Medicine Beijing 100029 China

Background： Continuous negative pressure drainage （CNPD） is widely used after lower lumbar internal fixation; however, it may cause tremendous blood loss and lead to postoperative hernorrhagic anemia. The present study explored the efficacy and safety of improved intermittent-clamped drainage （ICD） for lower lumbar internal fixation. Methods： This was a prospective study that included 156 patients with decompression of the spinal canal and internal fixation for the first time from January 2012 to December 2014. The patients were randomly divided into ICD group and CNPD group, and each group had 78 cases. A drainage tube was placed under the deep fascia in all patients within 10 min after the commencement of wound closure. The postoperative drainage amount at different time points, the hemoglobin level, and postoperative complications were recorded and compared between the two groups. Shapiro-Wilk test, independent samples t-test, and Mann-Whitney U-test were used in this study. Results： The drainage amount was significantly reduced in the ICD group, as compared with the CNPD group （Z = 10.74, P 〈 0.01 ）. The mean total drainage amount （in rot） of the single-segment and two-segment procedures was significantly greater in the CNPD group than the ICD group （Z =10.63 and 10.75, respectively; P 〈 0.01 ）. For the adverse events, there was no significant difference in postoperative temperature, wound problem, and complications between the two groups. Conclusions： The present study showed a statistically significant reduction in postoperative drainage amount between ICD and CNPD groups, and ICD is an effective, convenient, and safe method for routine use in lower lumbar surgery. It is essential to focus on the effect of clamping drainage with long-segment surgical procedure and complex lumbar disease in the thrther investigation, as well as the effect of clamping on long-term functional outcomes.

关键词： Blood Loss Complications Drainage lumbar surgery

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Ossified pseudomeningocele after laminectomy

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Chinese Medical Journal 2012年第22期125卷 4152-4153页

作者： ZHANG Tao XU Jian-guang Shanghai Jiao Tong Univ Dept Orthoped Surg Hosp Shanghai 6 Shanghai 200233 Peoples R China

Spinal pseudomeningoceles are rare extradural collections of cerebrospinal fluid （CSF） that result from unintended durotomy during lumbar spine surgery. Most pseudomeningoceles are asymptomatic, but some patients may present with recurrence of preoperative symptoms. In rare cases, delayed myelopathy can also be observed. Among spinal pseudomeningoceles, ossified pseudomeningoceles are even rarer, and to the best of our knowledge,

关键词： laminectomy lumbar surgery ossified pseudomeningocele spinal stenosis

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