The effect of epidural vs intravenous analgesia for posterior spinal fusion surgery.

Background: The study objective was to compare epidural vs intravenous postoperative analgesia in posterior spinal fusion surgery patients.

Methods: This prospective, double-blinded, randomized study was performed in a tertiary care teaching hospital involving 31 American Society of Anesthesiologists physical status I and II adolescent/young adult patients scheduled for elective posterior spinal fusion surgery for idiopathic scoliosis. Patients were divided into three treatment groups according to the epidural solution infused: group 1 (n = 10) 0.

Radiographic outcomes using freeze-dried cancellous allograft bone for posterior spinal fusion in pediatric idiopathic scoliosis.

The senior author (A.G.) has gained extensive experience using freeze-dried cancellous allograft chips to obtain solid posterior fusion in patients with adolescent idiopathic scoliosis.

Innominate osteotomy in adolescents and adults who have acetabular dysplasia.

The results were evaluated for twenty-eight adolescents and adults (thirty-one hips) who had had a Salter innominate osteotomy because of acetabular dysplasia and pain in the hip. The mean age at the time of the index operation was twenty-two years, and the mean duration of radiographic follow-up was seventy-one months. Radiographs were available for twenty-five patients (twenty-eight hips) at the most recent follow-up evaluation.

Efficacy of intermittent epidural morphine following posterior spinal fusion in children and adolescents.

Postoperative pain is a distressing and disabling feature of scoliosis surgery. Epidural morphine has recently been advocated to reduce the frequency and severity of postoperative pain in adults. A retrospective study of 35 patients was conducted to determine whether epidural administration of morphine is useful in the management of postoperative pain in children and adolescents following posterior spinal fusion.