ROLE OF THE SURGICAL POSITION IN THE DEVELOPMENT OF POSTOPERATIVE LOW-BACK-PAIN

被引:13
作者
CLARKE, AM [1 ]
STILLWELL, S [1 ]
PATERSON, MEL [1 ]
GETTY, CJM [1 ]
机构
[1] NO GEN HOSP,DEPT ORTHOPAED,HERRIES RD,SHEFFIELD S5 7AU,S YORKSHIRE,ENGLAND
来源
JOURNAL OF SPINAL DISORDERS | 1993年 / 6卷 / 03期
关键词
POSTOPERATIVE BACKACHE; LITHOTOMY; GENERAL ANESTHESIA;
D O I
10.1097/00002517-199306030-00009
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The aetiology of postoperative back pain is contentious. Although the role of the surgical position has not been fully established, the lithotomy position is often implicated. In order to investigate this common surgical complication further, a prospective study has been performed on 101 hysterectomy patients. The supine (52 patients) and the lithotomy (49 patients) positions have been compared and contrasted within this series. Ten patients in the supine group (20%) and seven patients in the lithotomy group (14%) developed postoperative low back pain (p > 0. 1). The mean duration of symptoms postoperatively for the whole series was 7 months. We conclude that postoperative backache is an under-estimated complication of surgery and that this problem occurs equally whether the supine or the lithotomy positions are used.
引用
收藏
页码:238 / 241
页数:4
相关论文
共 8 条
  • [1] Brown E.M., Elman D.S., Postoperative backache, Anesth Analg, 40, pp. 683-685, (1961)
  • [2] Courington L.W., Little D.M., The role of posture in anaesthesia, Clin Anaesth, 3, pp. 25-53, (1968)
  • [3] Healy T., Wilkins R.G., Patient posture and the anaesthetist, Ann R Coll Surg Engl, 66, pp. 55-57, (1984)
  • [4] Hickmott K.C., Healy T., Roberts S.P., Faragher E.B., Back pain following general anaesthesia and surgery: Evaluation of risk factors and the effect of an inflatable lumbar support, Br J Surg, 77, pp. 571-575, (1990)
  • [5] Lincoln J.R., Sawyer H.P., Complications related to body posi-tions during surgical procedures, Anaesthesiology, 22, pp. 801-809, (1961)
  • [6] Macarthur C., Lewis M., Knox E.G., Crawford J.S., Epidural anaesthesia and long term backache, Br Med J, 301, pp. 9-12, (1990)
  • [7] O'donovan N., Healy T., Faragher E.B., Wilkins R.G., Hamilton A.A., : Postoperative backache: The use of an inflatable wedge, Br J Anaesth, 58, pp. 280-283, (1986)
  • [8] Schlever-Saunders E., Prevention of postoperative backache in women, Br Med J, 1, pp. 28-29, (1954)