| Influence of pedicle fixation on postoperative pain. | |
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MedLine Citation:
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PMID: 8504226 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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From October 1988 through November 1990, 29 lumbar and lumbosacral spine fusion patients, 11 instrumented and 18 noninstrumented, were observed. Seventeen were men and 12 were women, with a mean age of 42.6 years (range, 22-83). The narcotic equivalent (NE) in milligrams/kilogram/day of medication used was analyzed. Age, sex, height, and weight were compared to the type, dose, mode, and duration of medication administration. Morphine was the reference point narcotic at 1.0:1.0. Levels fused, use of instrumentation, and prior surgery were related to NE. No significant differences in age, total body weight, height, levels fused, or hospital stay were established. There were 89.6% of patients over the ideal body weight by a mean 17.47 kg or 38.3 lb. The mean population NE was 3.76 mg/kg/day. Prior surgery patients tended to request narcotics intramuscularly for a longer period, while older patients tended to receive less medication. Patient obesity was related to lower NE. This study could not demonstrate a decrease in postoperative pain as it relates to the amount of narcotic medication received with the use of pedicle instrumentation. |
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Authors:
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R Q Knight; D P Chan; J R Devanny; J R DiMao |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of spinal disorders Volume: 6 ISSN: 0895-0385 ISO Abbreviation: J Spinal Disord Publication Date: 1993 Apr |
Date Detail:
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Created Date: 1993-07-02 Completed Date: 1993-07-02 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8904842 Medline TA: J Spinal Disord Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 141-5 Citation Subset: IM |
Affiliation:
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Section of Orthopaedic Surgery, Virginia Mason Clinic, Seattle, WA 98111. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Analgesics / administration & dosage Female Humans Male Middle Aged Orthopedic Fixation Devices* Pain, Postoperative / drug therapy, therapy* Spinal Fusion / instrumentation, methods* |
| Chemical | |
Reg. No./Substance:
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0/Analgesics |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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