European Spine Journal

, Volume 19, Issue 7, pp 1099–1103

Efficacy of triamcinolone acetonide and bupivacaine for pain after lumbar discectomy

Authors

    • Department of Trauma and Reconstructive SurgeryAdelaide and Meath Hospital incorporating the National Children Hospital
  • Mohamed El-Dahab
    • Department of Trauma and Reconstructive SurgeryAdelaide and Meath Hospital incorporating the National Children Hospital
  • May Cleary
    • Department of Trauma and Reconstructive SurgeryAdelaide and Meath Hospital incorporating the National Children Hospital
  • Joseph Sparkes
    • Department of Trauma and Reconstructive SurgeryAdelaide and Meath Hospital incorporating the National Children Hospital
Original Article

DOI: 10.1007/s00586-010-1360-7

Cite this article as:
Bahari, S., El-Dahab, M., Cleary, M. et al. Eur Spine J (2010) 19: 1099. doi:10.1007/s00586-010-1360-7

Abstract

The study is a prospective blinded randomised controlled trial to compare the efficacy of triamcinolone acetonide, bupivacaine or in combination in managing pain after lumbar discectomy. Patients undergoing primary single-level lumbar discectomy were randomised. Triamcinolone acetonide, bupivacaine or in combination was instilled at the nerve root as decompression. Preoperative, day 1 and 6 weeks pain score, 24-h postoperative opiate requirements and duration of inpatient stay were recorded. Data was analysed using Mann–Whitney test for statistical significance. 100 patients were recruited. A significant difference was noted in day one postoperative mean pain score, mean 24-h opiate requirement and mean inpatient stay in the triamcinolone acetonide and bupivacaine group. At 8 weeks postoperatively, no significant differences were seen in the pain score in all groups. Significant postoperative pain reduction and opiate requirements in the first 24 h, and significantly shortened duration of inpatient stay were achieved in the triamcinolone acetonide and bupivacaine group compared with other groups.

Keywords

Pain management Discectomy Steroid Local anaesthesia

Copyright information

© Springer-Verlag 2010