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54. Jahrestagung der Norddeutschen Orthopädenvereinigung e. V.

Norddeutsche Orthopädenvereinigung

16.06. bis 18.06.2005, Hamburg

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Relevance of single shot peridural anesthesia (SSPDA) in patients with spinal stenosis

Meeting Abstract

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  • corresponding author D.P. König - Klinik und Poliklinik für Orthopädie der Universität zu Köln, Köln
  • N. Knupper - Köln
  • H. Fürstenberg - Köln
  • B. Desai - Köln
  • P. Eysel - Köln

Norddeutsche Orthopädenvereinigung. 54. Jahrestagung der Norddeutschen Orthopädenvereinigung e.V.. Hamburg, 16.-18.06.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc05novW3.05

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/nov2005/05nov043.shtml

Published: June 13, 2005

© 2005 König et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

Text

Aim of the study

In a previous study we could demonstrate the efficacy of the SSPDA in patients with back pain. We wanted to evaluate the outcome of patients with lumbar stenosis after SSPDA

Methods

In loss of resistance technique we inject Sufentanil, Ropivacain and Triamcinolon into the epidural space. Before and after the injection we record the pain level (Visual Analoge Scale) and changes of the ODI (Oswestry-Low-Back-Pain-Disability-Questionnaire/ODI).

Results

With the SSPDA we find a satisfaction rate of 82% in the short term period and 83% satisfaction in the long term follow up. The pain sore decreases from an average 7,7 to 2,7 within 24 h. In the long term follow-up examination the quality of life improves considerably with an reduction of the dissabilty recorded with the ODI from 61,5% to 28,6%.

In patients with spinal stenosis the ODI reduction is 27%. In comparison to this group in patients with radicular pain we found an reduction of 37%. 22 consecutive patients with spinal stenosis underwent MRI Scanning to determine the width of the spinal canal. We found a correlation with the degree of spinal stenosis and the outcome after the SSPDA.

Conclusion

The SSPDA is a helpful tool in treating patients with back pain. The long term results show an improvement in the ODI. Patients with spinal stenosis have less improvement correlating with the degree of spinal stenosis.