Wound infiltration with bupivacaine after surgery to the cervical spine using a posterior approach

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Wound infiltration with bupivacaine after surgery to the cervical spine using a posterior approach.

We have compared pain scores, morphine consumption and duration of stay for 50 adults who underwent elective cervical spine surgery via a posterior incision in a prospective, double-blind, placebo-controlled, randomized study. During wound closure, the paravertebral muscles and subcutaneous tissues were infiltrated with 40 ml of saline (control) or 0.25% bupivacaine. There were no significant d...

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Cervicothoracic Lordosis Can Influence Outcome After Posterior Cervical Spine Surgery

Background Previous studies on the correlation between cervical sagittal balance with improvement in quality of life showed significant results only for parameters of the anterior translation of the cervical spine (such as C2-C7 SVA). Objective We test whether a new parameter, cervicothoracic lordosis, can predict clinical success in this type of surgery. Methods The focused group involved ...

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Tapia's Syndrome after Posterior Cervical Spine Surgery under General Anesthesia

We present a case report to remind surgeons of this unusual complication that can occur in any surgery, even posterior cervical spine surgery under general anesthesia and discuss its causes, treatment methods, and the follow-up results in the literature. The peripheral Tapia's syndrome is a rare complication of anesthetic airway management. Main symptoms are hoarseness of voice and difficulty o...

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The Incidence of Infection after Posterior Cervical Spine Surgery: A 10 Year Review

Background The incidence of infection after posterior cervical spine surgery ranges from 0 to 18%. Higher rates have been reported after posterior procedures compared with anterior procedures, but these studies have been for small series. We report on our rate of surgical site infection (SSI) after posterior cervical spine surgery and the risk factors that influence these infections. Methods We...

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Sub-Tenon's infiltration using bupivacaine 0.5% decreases acute postoperative pain and opioid requirement after posterior segment surgery.

high. Only distal muscular responses would be accepted. We would be interested to know more about patient acceptance of the procedure, as penetration of the pectoral muscle with a thin needle is sometimes painful. What about a large 17 or 18G Tuohy needle? Although sophisticated methods may be helpful in some circumstances, we believe no device will ever replace good training in the ®eld of per...

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 2000

ISSN: 0007-0912

DOI: 10.1093/oxfordjournals.bja.a013387