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在患有椎骨髓病的患者中同时存在的腰部疼痛

Hiroyuki Nakarai1,2, So Kato2,3, Yujiro Hirao4

  • 1Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY.

Clinical spine surgery
|January 21, 2024
PubMed
概括

在超过一半的患者中,椎骨髓炎手术显著改善了同时存在的腰部疼痛 (LBP),其中47%的患者获得了临床上有意义的改善. 治疗宫骨髓病可能会缓解相关的LBP.

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Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
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