Evaluation of the Relationship of Low Back Pain with Spinal Anesthesia and its Related Factors in Patients Undergoing Urological Surgery
Men's Health Journal,
Vol. 7 No. 1 (2023),
22 Bahman 2023
,
Page e5
https://doi.org/10.22037/mhj.v7i1.41173
Abstract
Background: Spinal anesthesia is the common method in outpatient surgeries, which has complications such as back pain. We aimed to evaluate the relationship between low back pain (LBP) with spinal anesthesia and its related factors in patients undergoing urological surgery. Materials and methods: In this cross-sectional study, 1000 patients undergoing urological surgery were enrolled. The severity of LBP was measured using the VAS (visual analog scale) pain on the 1st day, the 1st week, and the 1st month postoperatively. Patients’ age, sex, and the duration of surgery were collected. data analysis was performed using SPSS software, version 17. Results: Of the 1000 patients undergoing urological surgery, 636 (63.6%) patients and 364 (36.5%) patients underwent spinal and general anesthesia, respectively. In patients under general anesthesia, the LBP prevalence was higher than in patients under spinal anesthesia on the 1st week and the 1st month after surgery (P<0.05). So, the LBP prevalence was as follows: on the 1st day (general anesthesia: 14.5% vs spinal anesthesia: 24.1%, p=0.09), at the 1st week (general anesthesia: 24.9% vs spinal anesthesia:13.5%, P=0.001) and the1th month (general anesthesia: 13.8% vs spinal anesthesia: 4%, P=0.001). On 1st day and 1st week after surgery, the rate of LBP was significantly higher in the >45-year age group than in the age group less than 45 years (P<0.05). The pain rate was higher in patients who had surgery duration of more than 2.5 hours in all three time periods (P=0.001). Conclusion: Although the LBP prevalence on 1st day after surgery in patients undergoing urological surgeries under spinal anesthesia was higher than in patients who underwent general anesthesia, there was a significant decrease in pain levels during the first week and month following the surgery in patients under spinal anesthesia. Older age and longer duration of surgery were related factors to pain.
- Urological surgery
- Spinal anesthesia
- Back pain
- Severit
- Low Back pain
- Backache
- Risk factors
How to Cite
References
Tekgül ZT, Pektaş S, Turan M, Karaman Y, Çakmak M, Gönüllü M. Acute back pain following surgery under spinal anesthesia. Pain Practice. 2015;15(8):706-11.
Lee JH, Yoon DH, Heo BH. Incidence of newly developed postoperative low back pain with median versus paramedian approach for spinal anesthesia. Korean Journal of Anesthesiology. 2020;73(6):518-24.
Olawin AM, Das JM. Spinal anesthesia. StatPearls [Internet]: StatPearls Publishing; 2021.
Siagian A, Shafira KD, Amadita P, editors. The Prevalence of Complications After Spinal Anesthesia in Post-Surgical Patients. 12th Annual Scientific Meeting, Medical Faculty, Universitas Jenderal Achmad Yani, International Symposium on" Emergency Preparedness and Disaster Response during COVID-19 Pandemic"(ASMC 2021)); 2021: Atlantis Press.
Liu H, Brown M, Sun L, Patel SP, Li J, Cornett EM, et al. Complications and liability related to regional and neuraxial anesthesia. Best Practice & Research Clinical Anaesthesiology. 2019;33(4):487-97.
Morros-Vinoles C, Perez-Cuenca M, Cedo-Lluis E, Colls C, Bueno J, Cedó-Vallobá F. Comparison of efficacy and complications of 27g and 29g sprottte needles for subarachnoid anesthesia. Revista Espanola De Anestesiologia Y Reanimacion. 2002;49(9):448-54.
Alqarni A, Loubert C. Backache After Neuraxial Anesthesia. Quick Hits in Obstetric Anesthesia: Springer; 2022. p. 381-4.
Dadkhah P, Hashemi M, Gharaei B, Bigdeli MH, Solhpour A. Comparison of post-spinal back pain after midline versus paramedian approaches for urologic surgeries. Ain-Shams Journal of Anesthesiology. 2020;12(1):1-7.
Ashebir NY, Ayele BW. Prevalence and risk factors of acute backache after spinal anesthesia in surgical procedures at asella teaching and referal hospital, asella, Ethiopia. International Journal of Medicine and Medical Sciences. 2019;11(1):1-10.
ÇELİK EC, EKİNCİ M, ŞENOCAK E, GÖLBOYU BE, KILINÇ OÖ. ONE OF THE COMPLICATIONS OF SPINAL ANESTHESIA: POSTSPINAL BACK-ACHE AND PREEMPTIVE USAGE OF THE TOPICAL DICLOFENAC. Atatürk Üniversitesi Tıp Fakültesi Cerrahi Tıp Bilimleri Dergisi. 2022;1(1):1-7.
Schultz A-M, Ulbing S, Kaider A, Lehofer F. Postdural puncture headache and back pain after spinal anesthesia with 27-gauge Quincke and 26-gauge Atraucan needles. Regional Anesthesia and Pain Medicine. 1996;21(5):461-4.
Miller RD, Eriksson LI, Fleisher LA, Wiener-Kronish JP, Cohen NH, Young WL. Miller's anesthesia e-book: Elsevier Health Sciences; 2014.
Ebert K, Jayanthi V, Alpert S, Ching C, DaJusta D, Fuchs M, et al. Benefits of spinal anesthesia for urologic surgery in the youngest of patients. Journal of Pediatric Urology. 2019;15(1):49. e1-. e5.
Koo C-H, Ryu J-H. Anesthetic considerations for urologic surgeries. Korean journal of anesthesiology. 2020;73(2):92-102.
Rakmani N, Olwan R, Alkhalaf S. Prevalence of back pain and headache after spinal anesthesia for cesarean section compared to general anesthesia. 2022.
Mishra S, Prakash S, Mullick P, Mishra K. Post dural puncture backache in parturients undergoing caesarean delivery under spinal anaesthesia. Indian Journal of Anaesthesia. 2021;65(6):479.
Aryasa T, Pradhana AP, Ryalino C, Hartawan IGAGU. Post-spinal backache after cesarean section: A systematic review. Bali Journal of Anesthesiology. 2021;5(4):234.
Forozeshfard M, Jahan E, Amirsadat J, Ghorbani R. Incidence and factors contributing to low Back pain in the nonobstetrical patients operated under spinal anesthesia: a prospective 1-year follow-up study. Journal of PeriAnesthesia Nursing. 2020;35(1):34-7.
Eidy M, Ansari M, Hosseinzadeh H, Kolahdouzan K. Incidence of back pain following spinal anesthesia and its relationship to various factors in 176 patients. Pak J Med Sci. 2010;26:778-81.
Zeleke TG, Mersha AT, Endalew NS, Ferede YA. Prevalence and Factors Associated with Back Pain among Patients Undergoing Spinal Anesthesia at the University of Gondar Comprehensive and Specialized Hospital, North West Ethiopia: An Institutional Based Cross-Sectional Study. Advances in medicine. 2021;2021:1-8.
Singh B, Sohal AS, Singh I, Goyal S, Kaur P, Attri JP. Incidence of postspinal headache and low backache following the median and paramedian approaches in spinal anesthesia. Anesthesia, essays and researches. 2018;12(1):186.
Maranhao B, Liu M, Palanisamy A, Monks D, Singh P. The association between post‐dural puncture headache and needle type during spinal anaesthesia: a systematic review and network meta‐analysis. Anesthesia. 2021;76(8):1098-110.
- Abstract Viewed: 90 times
- pdf Downloaded: 70 times