RESUMO
The Harrington-sublaminar wiring technique has been used to treat idiopathic scoliosis for over 6 years. In all cases, satisfactory correction was obtained. The advantages of this technique include biomechanically stable fixation, elimination of a postoperative support or simple immobilization in removable underarm orthoses, and the ability to correct a two-plane deformity (i.e., lordoscoliosis). The potential disadvantages include increased operating time over Harrington rod alone, possible neural injury, and failure of instrumentation.
Assuntos
Dispositivos de Fixação Ortopédica , Escoliose/diagnóstico por imagem , Fusão Vertebral/instrumentação , Adulto , Criança , Humanos , Período Pós-Operatório , Radiografia , Traumatismos da Medula Espinal/etiologia , Fusão Vertebral/efeitos adversosRESUMO
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 less than 0.001), lower incidence of postoperative urinary retention (p less than 0.01), and lower operative blood loss (p less than 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 surgery, 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.
Assuntos
Anestesia Epidural , Bupivacaína , Coluna Vertebral/cirurgia , Anestesia Epidural/efeitos adversos , Anestesia Geral/efeitos adversos , Feminino , Seguimentos , Hemorragia/etiologia , Humanos , Injeções , Complicações Intraoperatórias , Laminectomia , Tempo de Internação , Região Lombossacral , Masculino , Pessoa de Meia-Idade , Entorpecentes/administração & dosagem , Complicações Pós-Operatórias , Retenção Urinária/etiologiaRESUMO
The Harrington- Luque technique was used to treat five cases of idiopathic scoliosis. In all cases satisfactory correction was obtained. The advantages of this technique include biomechanically stable fixation, post-operative immobilization in removable underarm orthoses, and the ability to correct a two-plane deformity (i.e., lordoscoliosis ). The potential disadvantages include increased operating time, possible neural injury, and failure of instrumentation.
