Clinical study of cervical posterior single-door laminoplasty with siting position under local anesthesia
Objective To observe the differences in cervical posterior single-door laminoplasty under local anesthesia with siting position and under general anesthesia with prone position,and explore the clinical application value of siting position local anesthesia in cervical posterior single-door laminoplasty.Methods The medical records of 93 patients undergoing cervical posterior single-door laminoplasty were retrospectively analyzed,and they were divided into sitting local anesthesia group(37 cases)and lying general anesthesia group(56 cases)according to the anesthesia method and position.Operation time,intraoperative blood loss,postoperative complications,hospitalization costs,VAS and JOA score were compared between these two groups.The preoperative and operative center rate and blood pressure were com-pared in the siting local anesthesia group.Results Compared with general anesthesia in prone position,cervical posteri-or single-door laminoplasty under sitting local anesthesia had shorter operation time,reduced intraoperative bleeding,significantly reduced hospitalization costs,and a lower incidence of postoperative transfer to ICU(P＜0.05).The VAS score in the siting local anesthesia group was significantly lower than that in the lying general anesthesia group at 3 months and 1 year after surgery(P＜0.05).The postoperative JOA score of the sitting local anesthesia group was significantly higher than that of the lying general anesthesia group at 3 months and 1 year after surgery(P＜0.05).Conclusion With the advantages of shortening operation time,reducing intraoper-ative bleeding,low incidence of postoperative transfer to ICU,and reducing patients'economic expenditure and burden,posterior single door extended vertebral tube plasty under sitting local anesthesia provides a safe,efficient and economi-cal surgical option for clinicians,especially for patients who cannot or are unwilling to undergo general anesthesia and have financial difficulties.
Cervical degenerative diseasesCervical posterior single-door laminoplastySiting local anesthesiaClini-cal outcomes
崔新华、刘涛、林东、王升、谢长伟、林栋、郭中帅、赵泽、CHEN Chang-qing
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新乡医学院,河南新乡 453000
河南理工大学第一附属医院骨科,河南焦作 454000
河南省人民医院骨科,郑州 450003
Department of Orthopaedics,the First Affiliated Hospital of Henan Polytechnic University,Jiaozuo,Henan 454000,China
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