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KMID : 1040020110020010026
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International Journal of Pain
2011 Volume.2 No. 1 p.26 ~ p.30
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Comparative Study in Clinical Outcomes according to Patient Controlled Analgesia (PCA) with or without Nonsteroidal Anti-inflammatory Drugs on Spinal Fusion
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Park Ye-Soo
Baek Seung-Wook
Cho Hyun-Joong
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Abstract
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Background: The aim of study was to evaluate clinical outcomes according to patient controlled analgesia with or without nonsteroidal anti-inflammatory drugs on spinal fusion.
Methods: From 2008 to 2010, 30 patients got single or two segmental decompression and posterolateral fusion. Group 1 was taking postoperative pain control by patient controlled analgesia with nonsteroidal anti-inflammatory drugs and Group 2 was not taking nonsteroidal anti-inflammatory drugs. We examined visual analog scale for degree of the pain and judged a final bone fusion by radiographic evaluation, also researched the complications.
Results: The incidence of incomplete union or nonunion was higher in group 1 but no significantly different. The complication, the common side-effect of used opioid like nausea, respiratory depression and vomiting, rates also is not significantly different.
Conclusions: We couldn’t find out the difference about a pain and a complication by using patient controlled analgesia with nonsteroidal anti-inflammatory drugs in two comparing groups. However, using nonsteroidal anti-inflammatory drugs via patient controlled analgesia after surgery, may inhibit spinal fusion. We have to consider using patient controlled analgesia with nonsteroidal anti-inflammatory drugs after spinal fusion and research more case control study.
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KEYWORD
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nonsteroidal anti-inflammatory drugs, patient controlled analgesia, spinal fusion
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