Injection of Bupivacaine into Disc Space to Detect Painful Nonunion after Anterior Lumbar Interbody Fusion (ALIF) Surgery in Patients with Discogenic Low Back Pain.
10.3349/ymj.2014.55.2.487
- Author:
Seiji KIMURA
1
;
Seiji OHTORI
;
Sumihisa ORITA
;
Gen INOUE
;
Yawara EGUCHI
;
Masashi TAKASO
;
Nobuyasu OCHIAI
;
Kazuki KUNIYOSHI
;
Yasuchika AOKI
;
Tetsuhiro ISHIKAWA
;
Masayuki MIYAGI
;
Hiroto KAMODA
;
Miyako SUZUKI
;
Yoshihiro SAKUMA
;
Gou KUBOTA
;
Yasuhiro OIKAWA
;
Kazuhide INAGE
;
Takeshi SAINOH
;
Kazuyo YAMAUCHI
;
Tomoaki TOYONE
;
Junichi NAKAMURA
;
Shunji KISHIDA
;
Jun SATO
;
Kazuhisa TAKAHASHI
Author Information
1. Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan. sohtori@faculty.chiba-u.jp
- Publication Type:Original Article
- Keywords:
Lumbar;
spine;
bupivacaine;
pain;
intervertebral disc
- MeSH:
Back Pain;
Bupivacaine*;
Diagnosis;
Humans;
Intervertebral Disc;
Intervertebral Disc Degeneration;
Low Back Pain*;
Magnetic Resonance Imaging;
Methods;
Spinal Fusion;
Spine
- From:Yonsei Medical Journal
2014;55(2):487-492
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Bupivacaine is commonly used for the treatment of back pain and the diagnosis of its origin. Nonunion is sometimes observed after spinal fusion surgery; however, whether the nonunion causes pain is controversial. In the current study, we aimed to detect painful nonunion by injecting bupivacaine into the disc space of patients with nonunion after anterior lumbar interbody fusion (ALIF) surgery for discogenic low back pain. MATERIALS AND METHODS: From 52 patients with low back pain, we selected 42 who showed disc degeneration at only one level (L4-L5 or L5-S1) on magnetic resonance imaging and were diagnosed by pain provocation on discography and pain relief by discoblock (the injection of bupivacaine). They underwent ALIF surgery. If the patients showed low back pain and nonunion 2 years after surgery, we injected bupivacaine into the nonunion disc space. Patients showing pain relief after injection of bupivacaine underwent additional posterior fixation using pedicle screws. These patients were followed up 2 years after the revision surgery. RESULTS: Of the 42 patient subjects, 7 showed nonunion. Four of them did not show low back pain; whereas 3 showed moderate or severe low back pain. These 3 patients showed pain reduction after injection of bupivacaine into their nonunion disc space and underwent additional posterior fixation. They showed bony union and pain relief 2 years after the revision surgery. CONCLUSION: Injection of bupivacaine into the nonunion disc space after ALIF surgery for discogenic low back pain is useful for diagnosis of the origin of pain.
