CONTINUOUS INTRALESIONAL ANALGESIA AFTER SPINE RECONSTRUCTION SURGERY IN PATIENTS WITH TUBERCULOUS SPONDYLITIS

Objective. To assess the efficacy of postoperative continuous intralesional analgesia in patients with tuberculous spondylitis.

Material and Methods. Patients (n = 56) with tuberculous spondylitis undergoing radical reconstructive spinal surgery were randomized into two groups depending on the type of post-operative analgesia: standard parenteral analgesia in Group I, and continuous intralesional infusion with local anesthetic in Group II. The amount of administered narcotic and non-narcotic analgesics was evaluated with formalized Analgesic Assessment Scale, postoperative activity - with the Patient Activity Scale, and pain intensity - with the VAS. Side effects of analgesic therapy were registered.

Results. Statistical analysis revealed reliable differences in terms of the assessed analgesic amounts, VAS indexes and frequency of side effects between groups. Results in Group I were reliably higher than in Group II.

Conclusion. The study showed efficacy and safety of continuous wound analgesia with infusion of ropivacaine 0.2 % through a special catheter in the early postoperative period. 

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