Epidural fentanyl, intravenous morphine, and oral rofecoxib, analgesia for control of post -laminectomy pain in case of lumbar canal stenosis

ABSTRACT

Fifty-four patients of lumber canal stenosis as proved clinically and radiologically treated by lumber laminectomy were randomly allocated to one of three groups, 18 cases each. The first group received epidural fentanyl infusion, the second group received intravenous morphine and the third group received oral rofecoxib in the early 48 hours postoperatively. Study of the analgesic effect for control post-laminectomy pain was done, which revealed a big difference in the analgesic effect of three used methods during the first 16 hours. The superior method was epidural fentanyl analgesia, and a satisfactory level of analgesia was obtained with the three methods by the end of first 16 hours and became stationary till the end of the 48 hours