ABSTRACT
The Pain is the most common complaint in various diseases. Postoperative pain is common complication and spatially in elderly patient because of exacerbation of heard and vessel was impotents. The aim of this study was evaluation of the effect of low-dose IV dexamethasone on postoperative pain in patients with lumbar discectomy. In a clinical trial that studied in neurosurgery wards of Shohada and Imam Reza hospitals affiliated to the Tabriz University of Medical Sciences on patients underwent lumbar discectomy, the effect of low-dose IV dexamethasone on postoperative pain was evaluated. 80 patients divided in 2 equal groups, we used IV morphine [present routine treatment] in group A and IV morphine in addition to 8mg IV dexamethasone in group B, for reducing post lumbar discectomy pain. 21 patients in group A, and 22 in group B were male and 19 patients in group A and and 18 in group B were female [P=0.823]. Mean age of patients in groups A and B was 39.32 and 39.22 years, respectively [P=0.945]. Mean of pain score [VAS] at 6 hours post-operation in group A and B was 6.97 and 6.75, respectively [P=0.065]. VAS at 12, 18 or 24 hours post-operation in both groups didn't differ significantly, too [P>0.05]. We didn't observe any significant reduction in post lumbar discectomy pain after adding 8 mg dexamethasone into morphine. Regarding other studies, it seems that higher doses of dexamethasone should be used to achieve a significant pain reduction
ABSTRACT
Thoracic spine fractures and their operation have many undesirable problems and complications including pneumothorax, hemothorax, chyiothorax, trachea and esophagus injuries, mediastinurn hemtoma, rib and sternum fractures and injuries of major vessels. This study surveys the incidence of the above mentioned complications. 50 hospitalized patients in the trauma ward of Tabriz Imarn Hospital from 2005 to 2010 were studied retrospectively these patients had Thoracic spine fractures needing stabilization and fusion. 78% of the patient's mere male and 22% female with the mean age of 34. The most common cause of trauma was motor vehicle accidents [56%]. Rib fracture was reported in 18% of the patients, pneumothorax in 10% and lung contusion in 12%. No cases of chylothorax, major vessels and trachea and esophagus injuries or complications related to the operation were reported. Patient's with thoracic spine fractures considering the extended injuries associated with primary trauma and complications related to operation in thoracic region need the cooperation of diverse specialists