Epidural anesthesia for lumbar spine surgery

P. E. Greenbarg, Mark Brown, V. S. Pallares, J. S. Tompkins, N. H. Mann

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

A retrospective review of the hospital records of 80 patients undergoing elective lumbar spine surgery was performed, in order to determine the effect of anesthetic technique on various clinical parameters. Forty patients receiving epidural bupivacaine anesthesia were matched with 40 patients receiving general endotracheal anesthesia; these two groups were homogeneous based on age, sex, type of operative procedure, and number of spinal levels operated upon. Significant results included lower injectable narcotic requirements (p < 0.001), lower incidence of postoperative urinary retention (p < 0.01), and lower operative blood loss (p < 0.1) for patients receiving epidural anesthesia. Epidural bupivacaine provided satisfactory anesthesia, and allowed intraoperative testing of lower extremity motor function. In a follow-up survey, 38 of 40 patients who received epidural anesthesia were satisfied with the technique. For patients undergoing decompressive lumbar spine surgery, epidural bupivacaine anesthesia is an effective, well tolerated technique with several potential advantages, and an acceptable incidence of complications, as compared with general endotracheal anesthesia.

Original languageEnglish
Pages (from-to)139-143
Number of pages5
JournalJournal of Spinal Disorders
Volume1
Issue number2
StatePublished - Dec 1 1988

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Epidural Anesthesia
Spine
Endotracheal Anesthesia
Bupivacaine
General Anesthesia
Urinary Retention
Hospital Records
Narcotics
Incidence
Operative Surgical Procedures
Anesthetics
Lower Extremity
Anesthesia
Injections

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Greenbarg, P. E., Brown, M., Pallares, V. S., Tompkins, J. S., & Mann, N. H. (1988). Epidural anesthesia for lumbar spine surgery. Journal of Spinal Disorders, 1(2), 139-143.

Epidural anesthesia for lumbar spine surgery. / Greenbarg, P. E.; Brown, Mark; Pallares, V. S.; Tompkins, J. S.; Mann, N. H.

In: Journal of Spinal Disorders, Vol. 1, No. 2, 01.12.1988, p. 139-143.

Research output: Contribution to journalArticle

Greenbarg, PE, Brown, M, Pallares, VS, Tompkins, JS & Mann, NH 1988, 'Epidural anesthesia for lumbar spine surgery', Journal of Spinal Disorders, vol. 1, no. 2, pp. 139-143.
Greenbarg PE, Brown M, Pallares VS, Tompkins JS, Mann NH. Epidural anesthesia for lumbar spine surgery. Journal of Spinal Disorders. 1988 Dec 1;1(2):139-143.
Greenbarg, P. E. ; Brown, Mark ; Pallares, V. S. ; Tompkins, J. S. ; Mann, N. H. / Epidural anesthesia for lumbar spine surgery. In: Journal of Spinal Disorders. 1988 ; Vol. 1, No. 2. pp. 139-143.
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