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Conference Paper: Efficacy of postoperative pain management of the iliac crest bone graft harvesting site in adolescent idiopathic scoliosis patients: a parallel, double-blinded, randomized controlled trial

TitleEfficacy of postoperative pain management of the iliac crest bone graft harvesting site in adolescent idiopathic scoliosis patients: a parallel, double-blinded, randomized controlled trial
Authors
Issue Date2015
Citation
The 36th SICOT Orthopaedic World Congress, Guangzhou, China, 17-19 September 2015. How to Cite?
AbstractRationale: Autogenous iliac crest bone graft (ICBG) harvesting is a common procedure utilized for scoliosis surgery. Postoperative pain at the ICBG donor-site is a major concern. The following is a parallel, double-blinded, randomized controlled trial addressing the pain management efficacy of continuous anesthetic infusion versus saline at the ICBG site in AIS patients during the immediate postoperative period was addressed. Methods: A Level I trial design of AIS patients (age range: 10 to 18 years of age) undergoing posterior instrumentation and fusion at a single institute was performed. Participants were randomized into two groups. Group A consisted of control subjects who received 3ml per hour of saline locally at the ICBG site and Group B consisted of treatment subjects who received a constant rate of infusion of 3ml/hour of 0.25% levobupivacaine. Results: Twelve subjects were recruited (n=5 Group A; 7 Group B). No difference was noted at baseline between groups and parameters. Postoperatively, no difference was noted in surgical site pain between groups (p>0.05). However, decreased ICBG and contralateral ICBG pain decreased two-fold in Group B patients in comparison to Group A. Similarly Group B subjects had notably decreased postoperative overall pain scores. No significant differences were noted for the pain scores due to the small sample size. Conclusions: This pilot study noted a trend that continuous anesthetic infusion reduces pain at the ICBG site and may further decrease overall physical bodily pain. This study further established a sample size calculation to facilitate large-scale studies addressing these parameters.
DescriptionSession - Free Papers Conservative Treatment: abstract no. 40110
Persistent Identifierhttp://hdl.handle.net/10722/220346

 

DC FieldValueLanguage
dc.contributor.authorSamartzis, D-
dc.contributor.authorBow, HYC-
dc.contributor.authorCheung, JPY-
dc.contributor.authorSham, PLM-
dc.contributor.authorMak, KC-
dc.contributor.authorCheung, WY-
dc.contributor.authorWong, YW-
dc.contributor.authorLuk, KDK-
dc.contributor.authorCheung, KMC-
dc.contributor.authorLawmin, J-
dc.date.accessioned2015-10-16T06:39:00Z-
dc.date.available2015-10-16T06:39:00Z-
dc.date.issued2015-
dc.identifier.citationThe 36th SICOT Orthopaedic World Congress, Guangzhou, China, 17-19 September 2015.-
dc.identifier.urihttp://hdl.handle.net/10722/220346-
dc.descriptionSession - Free Papers Conservative Treatment: abstract no. 40110-
dc.description.abstractRationale: Autogenous iliac crest bone graft (ICBG) harvesting is a common procedure utilized for scoliosis surgery. Postoperative pain at the ICBG donor-site is a major concern. The following is a parallel, double-blinded, randomized controlled trial addressing the pain management efficacy of continuous anesthetic infusion versus saline at the ICBG site in AIS patients during the immediate postoperative period was addressed. Methods: A Level I trial design of AIS patients (age range: 10 to 18 years of age) undergoing posterior instrumentation and fusion at a single institute was performed. Participants were randomized into two groups. Group A consisted of control subjects who received 3ml per hour of saline locally at the ICBG site and Group B consisted of treatment subjects who received a constant rate of infusion of 3ml/hour of 0.25% levobupivacaine. Results: Twelve subjects were recruited (n=5 Group A; 7 Group B). No difference was noted at baseline between groups and parameters. Postoperatively, no difference was noted in surgical site pain between groups (p>0.05). However, decreased ICBG and contralateral ICBG pain decreased two-fold in Group B patients in comparison to Group A. Similarly Group B subjects had notably decreased postoperative overall pain scores. No significant differences were noted for the pain scores due to the small sample size. Conclusions: This pilot study noted a trend that continuous anesthetic infusion reduces pain at the ICBG site and may further decrease overall physical bodily pain. This study further established a sample size calculation to facilitate large-scale studies addressing these parameters.-
dc.languageeng-
dc.relation.ispartofSICOT Orthopaedic World Congress-
dc.relation.ispartof第三十六届世界骨科大会-
dc.titleEfficacy of postoperative pain management of the iliac crest bone graft harvesting site in adolescent idiopathic scoliosis patients: a parallel, double-blinded, randomized controlled trial-
dc.typeConference_Paper-
dc.identifier.emailSamartzis, D: dspine@hku.hk-
dc.identifier.emailBow, HYC: cbow@hku.hk-
dc.identifier.emailCheung, JPY: cheungjp@hku.hk-
dc.identifier.emailMak, KC: kincmak@hku.hk-
dc.identifier.emailCheung, WY: lcheung@hkucc.hku.hk-
dc.identifier.emailWong, YW: yatwa@hkucc.hku.hk-
dc.identifier.emailLuk, KDK: hrmoldk@hkucc.hku.hk-
dc.identifier.emailCheung, KMC: cheungmc@hku.hk-
dc.identifier.authoritySamartzis, D=rp01430-
dc.identifier.authorityCheung, JPY=rp01685-
dc.identifier.authorityMak, KC=rp01957-
dc.identifier.authorityLuk, KDK=rp00333-
dc.identifier.authorityCheung, KMC=rp00387-
dc.identifier.hkuros255857-
dc.identifier.hkuros260287-

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