Academic Journal
Post-Spinal Backache! A Myth or an Overlooked Complication
| Title: | Post-Spinal Backache! A Myth or an Overlooked Complication |
|---|---|
| Authors: | Aftab Hussain, Muhammad Asif Saleem, Rehana Feroze, Faisal Wahid, Saleem Pervaiz Bajwa, Muhammad Akram |
| Source: | Pakistan Armed Forces Medical Journal, Vol 73, Iss 3 (2023) |
| Subject Terms: | Backache, Back pain, General anesthesia, Post-spinal backache, Spinal anesthesia, Medicine, Medicine (General), R5-920 |
| Publisher Information: | Army Medical College Rawalpindi, 2023. |
| Publication Year: | 2023 |
| Collection: | LCC:Medicine LCC:Medicine (General) |
| Description: | Objective: To find out the difference in the backache when a 27G Quincke needle with no more than two attempts is used for spinal anaesthesia versus general anaesthesia. Study Design: Prospective comparative study. Place and Duration of Study: Anesthesia Department, Combined Military Hospital, Lahore Pakistan, from Jun 2020 to May 2021. Methodology: A total of 150 patients were divided into two Groups. C-sections were performed under general and spinal anaesthesia in Group-GA and Group-SA, respectively. General anaesthesia was induced with intravenous anaesthetics following rapid sequence induction. The 27G Quincke needle was used for spinal anaesthesia with no more than two attempts. Post-operative follow-ups for backache were carried out at 24-hours, 1, 4 and 12 weeks. Results: At 24-hours post-operative follow-up, 8 patients from the GA-Group and 17 from the SA-Group had backache; the difference was significant (p-value of 0.049). At week-1, two patients from the GA-Group and five from the SA-Group complained of backache (p-value 0.246). Similarly, at week-4, only one patient from the GA Group and four from the SAGroup had backache (p-value 0.127). At the 12-week follow-up, only one patient complained of backache, and she belonged to the SA- Group (p-value 0.316). Conclusion: Spinal anesthesia results in a significantly high frequency of backache as compared to general anaesthesia in the immediate post-operative period; however, there is no long-term difference in backache. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 0030-9648 2411-8842 |
| Relation: | https://www.pafmj.org/index.php/PAFMJ/article/view/7144; https://doaj.org/toc/0030-9648; https://doaj.org/toc/2411-8842 |
| DOI: | 10.51253/pafmj.v73i3.7144 |
| Access URL: | https://doaj.org/article/a0f65cde7b9e49d498a1a8e2ba9601fa |
| Accession Number: | edsdoj.0f65cde7b9e49d498a1a8e2ba9601fa |
| ISSN: | 0030964824118842 |
| DOI: | 10.51253/pafmj.v73i3.7144 |
| Database: | Directory of Open Access Journals |