Journal of Regional Anatomy and Operative Surgery 2017;26(3):178-180

doi:10.11659/jjssx.09E016011

Application of extrapedicular infiltration anesthesia in unipedicular percutaneous vertebroplasty or percutaneous kyphoplasty

Liehua LIU ; Jiangang WANG ; Xiaojia WANG ; Yingwen LYU ; Zhoukui REN ; Jinhua YU ; Xiu LIU ; Qiang ZHOU

Keywords

local infiltration anesthesia; 1％ lidocaine; unipedicular puncture; percutaneous vertebroplasty; percutaneous kyphoplasty

Country

China

Language

Chinese

Abstract

Objective To introduce extrapedicular infiltration anesthesia as an improved method of local anesthesia which applied to unipedicular percutaneous vertebroplasty or percutaneous kyphoplasty.Methods From March 2015 to March 2016,20 patients in our hospital received percutaneous vertebroplasty or percutaneous kyphoplasty with 1％ lidocaine local infiltration anesthesia and extrapedicular infiltration anesthesia.The visual analogue score of patients during the operation and whether they needed additional sedative anesthesia were evaluated.The anaesthetic effect of nerve root block was observed.Results The visual analogue score of all the patients ranged from 1 point to 3 point,averagely (2.5 ± 0.7) point.Among the 20 patients,there were 2 cases of 1 point,7 cases of 2 point and 11 cases of 3 point.No patients required additional sedative anesthesia,and no nerve root block effects were observed.Conclusion Extrapedicular infiltration anesthesia provides good local anesthetic effects without significant complications,which deserved further use in unipedicular percutaneous vertebroplasty and percutaneous kyphoplasty.