Abstract:
STUDY DESIGN:Survey. OBJECTIVE:The purpose of this research was to help determine whether sedation is indicated before lumbar and cervical interventional pain management procedures, and additionally, to determine whether benzodiazepams are effective at controlling anxiety for these procedures. SUMMARY OF BACKGROUND DATA:The use of sedation before diagnostic and therapeutic epidurals seems to vary widely and no guidelines have been issued that address whether sedation is indicated and for which patients. There is a need to provide periprocedural protocols to provide the safest, most comfortable experience for the patient. METHODS:Three hundred one consecutive spinal injection patients were given a choice to take oral or IV diazepam, or no sedation before a spinal injection. All participating patients filled in a validated anxiety questionnaire before the injection. Patients were asked after the injection whether they were satisfied with their decision regarding sedation and whether their anxiety was controlled effectively. RESULTS:Fifty-eight percent of our patients chose to be sedated. Those patients who requested sedation were more anxious. The majority of patients were satisfied with their decision regarding sedation, and diazepam effectively controlled anxiety in 90% of patients. CONCLUSION:Routine sedation does not seem to be required for patients receiving spinal injections, but more-anxious patients benefit from sedation before an injection. Benzodiazepams are effective in controlling anxiety for the majority of patients.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Kim N,Delport E,Cucuzzella T,Marley J,Pruitt Cdoi
10.1097/BRS.0b013e31815b7e9fsubject
Has Abstractpub_date
2007-12-01 00:00:00pages
E748-52issue
25eissn
0362-2436issn
1528-1159pii
00007632-200712010-00032journal_volume
32pub_type
临床试验,杂志文章相关文献
SPINE文献大全abstract:STUDY DESIGN:Risks and benefits of using a tibial graft for posterior spinal fusion in neuromuscular scoliosis were evaluated in a long-term follow-up study. A consecutive series of 72 patients underwent posterior spinal fusion for neuromuscular scoliosis. OBJECTIVES:Radiologic outcome was assessed to evaluate the qua...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199407001-00012
更新日期:1994-07-15 00:00:00
abstract:STUDY DESIGN:Retrospective analysis. OBJECTIVE:We set out to evaluate the radiographic and patient-reported outcomes following C1-C2 arthrodesis for atlantoaxial osteoarthritis (AAOA) using modern instrumentation and techniques. SUMMARY OF BACKGROUND DATA:Few studies have evaluated outcomes following C1-C2 arthrodesi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001783
更新日期:2017-03-01 00:00:00
abstract:STUDY DESIGN:Using a rat spondylosis model, the distributions of cells expressing the basic fibroblast growth factor and its receptor were investigated in normal and degenerated intervertebral discs. Cell-proliferating activity in degenerated discs was also assessed. OBJECTIVES:This study was conducted to determine wh...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199509150-00002
更新日期:1995-09-15 00:00:00
abstract:STUDY DESIGN:Clinical, neuroradiologic, and neurophysiologic description of 21 patients with compressive cervical spondylotic myelopathy (CCSM). OBJECTIVE:To describe the utility of cutaneous silent periods (CSPs) for functional evaluation of mild CCSM. SUMMARY OF BACKGROUND DATA:Electroneurography, electromyography,...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31818f8be3
更新日期:2009-01-01 00:00:00
abstract:STUDY DESIGN:Trunk sway occurring during clinical stance and gait tasks was compared between a group of subjects with a chronic whiplash injury, resulting from an automobile collision, and a normal collective. OBJECTIVES:To examine if population specific trunk sway patterns for stance and gait could be identified for ...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/01.BRS.0000083170.34304.A3
更新日期:2003-08-01 00:00:00
abstract:STUDY DESIGN:Retrospective review of a prospectively collected, multicentered database from the Scoliosis Research Society. OBJECTIVES:To evaluate incidences of complications in a series of spinal fusions for Scheuermann kyphosis (SK) and to assess whether the incidence of complications is associated with patient age ...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/BRS.0b013e3181c47f0f
更新日期:2010-01-01 00:00:00
abstract:STUDY DESIGN:A cross-sectional study. OBJECTIVE:The aim of this study was to investigate the prevalence of ossification of posterior longitudinal ligament (OPLL) in patients with degenerative cervical myelopathy (DCM). SUMMARY OF BACKGROUND DATA:OPLL of the cervical spine is one of the main entities of DCM in Asian p...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003526
更新日期:2020-10-01 00:00:00
abstract:STUDY DESIGN:Narrative review. OBJECTIVE:Describe current issues of outcomes assessment in spine research, with a focus on their application to advocacy oriented research. SUMMARY OF BACKGROUND DATA:Outcomes measurement in back pain has advanced substantially over the past decade. METHODS:Qualitative assessment of o...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e318053d45f
更新日期:2007-05-15 00:00:00
abstract:STUDY DESIGN:New babies with neurologic deficits resulting from intraspinal extension of congenital neuroblastoma is very unusual. Two patients with congenital dumbbell neuroblastoma with paraplegia are described, and 16 other cases are reviewed. OBJECTIVE:To study the clinical features and prognosis of congenital dum...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/00007632-199506000-00019
更新日期:1995-06-01 00:00:00
abstract:STUDY DESIGN:We measured the expression and responses of Toll-Like Receptor 4 (TLR4) activation in the intervertebral disc (IVD) in vitro and in vivo. We hypothesize that stimulation of the IVD with the TLR4 ligand lipopolysaccharide (LPS) results in upregulation of a coordinated set of proinflammatory mediators and in...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31826b71f4
更新日期:2013-07-15 00:00:00
abstract:STUDY DESIGN:This is a retrospective review of the epidemiology of contraindications to lumbar total disc replacement (TDR). OBJECTIVE:To define the prevalence of contraindications to lumbar total disc replacement in a cohort of patients undergoing lumbar surgery in the senior author's (F.P.C.) practice. SUMMARY OF B...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000144829.57885.20
更新日期:2004-11-15 00:00:00
abstract::Correlations of age, height, weight, lordosis, and kyphosis with noninvasive spinal mobility measurements were studied in 301 men and 175 women, aged 35-55 years, who suffered from chronic or recurrent low back pain (LBP). Correlations of the different spinal movements with the degree of LBP were analyzed, with correc...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198706000-00008
更新日期:1987-06-01 00:00:00
abstract::The histologic effects of posterior lumbar surgery and retained extradural foreign bodies on the cauda equina were investigated in rats over time. The following four groups of rats were provided: Group 1, sham operation (laminar exposure alone); Group 2, laminectomy alone; Group 3, laminectomy with retained extradural...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199310000-00010
更新日期:1993-10-01 00:00:00
abstract:STUDY DESIGN:Translation and psychometric testing. OBJECTIVE:To adapt the neck disability index (NDI) cross-culturally to Arabic language and to investigate the reliability and validity of the Arabic version of NDI in an Arabic-speaking sample with neck pain. SUMMARY OF BACKGROUND DATA:Although largely used, no previ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31828b2d09
更新日期:2013-05-01 00:00:00
abstract:STUDY DESIGN:A matched-pairs animal study. OBJECTIVE:To confirm the accuracy of magnetic resonance imaging (MRI) as a means of evaluating edema and fat degeneration of the multifidus muscle by comparing measurements made using MRI with those made using histological examination. SUMMARY OF BACKGROUND DATA:MRI is consi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000286
更新日期:2014-05-01 00:00:00
abstract:STUDY DESIGN:An in vitro biologic study of the effects of adenovirus expressing bone morphogenetic proteins (BMPs) and adenovirus expressing Sox9 on extracellular matrix metabolism by bovine nucleus pulposus cells. OBJECTIVE:To compare the effects of recombinant adenoviral vectors expressing various BMPs (2, 3, 4, 5, ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000232792.66632.d8
更新日期:2006-09-01 00:00:00
abstract:STUDY DESIGN:Assessment of activated T and B cells in a subcutaneous chamber filled with autologous nucleus pulposus using flow cytometry and immunohistochemistry. OBJECTIVES:To examine if subcutaneously placed autologous nucleus pulposus may attract activated T and B cells in an animal model. SUMMARY OF BACKGROUND D...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000251651.61844.2d
更新日期:2007-01-15 00:00:00
abstract::Pain is an extremely complex process that involves the interaction of an array of neurotransmitters and neuromodulators at all levels of the neuraxis. Identification of the receptors and processes that are involved in the transmission of pain at a spinal level has led to the use of new agents and new techniques in pai...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/00007632-199701010-00016
更新日期:1997-01-01 00:00:00
abstract:STUDY DESIGN:An experimental animal study. OBJECTIVE:To study if antitumor necrosis factor-alpha (TNF-alpha) antibody, which is administered at different times, reduces the pain behavior induced by application of nucleus pulposus (NP) to the nerve root. SUMMARY OF BACKGROUND DATA:Treatment with TNF-alpha inhibitor re...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000255097.18246.bc
更新日期:2007-02-15 00:00:00
abstract:STUDY DESIGN:Case series and review of literature. OBJECTIVE:To report three cases of vascular injury during posterior lumbar disc surgery, two of these occurred during open discectomy, and one during an endoscopic surgery. Aim is to highlight importance of early diagnosis and prompt steps taken to prevent morbidity a...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0000000000003100
更新日期:2019-10-15 00:00:00
abstract:STUDY DESIGN:A retrospective, follow-up cohort study. OBJECTIVE:To evaluate the 25-year (or longer) outcome of discectomy for lumbar disc herniation by validated instruments. SUMMARY OF BACKGROUND DATA:A comprehensive patient-oriented evaluation should include measurements of pain and disability along with a reliable...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000240726.26096.be
更新日期:2006-10-15 00:00:00
abstract:STUDY DESIGN:Agreement study. OBJECTIVE:To perform an independent interobserver and intraobserver agreement evaluation of the new AOSpine Thoracolumbar Spine Injury Classification System. SUMMARY OF BACKGROUND DATA:The new AOSpine Thoracolumbar Spine Injury Classification System was recently published. It showed subs...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000656
更新日期:2015-01-01 00:00:00
abstract::Two hundred five patients with neck pain were evaluated clinically and roentgenographically for a minimum of 10 years after onset of symptoms. Seventy-nine percent had a decrease in pain, and 43% were free of pain; however, 32% had moderate or severe residual pain. Patients who had been injured and initially had sever...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198701000-00001
更新日期:1987-01-01 00:00:00
abstract:STUDY DESIGN:Retrospective, case-control, matched cohort. OBJECTIVE:Compare the radiographic and clinical outcomes of adult spinal deformity patients treated with thoracic pedicle screw (TPS) or thoracic hook constructs. SUMMARY OF BACKGROUND DATA:The efficacy of TPS instrumentation for pediatric spinal deformity cor...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000256445.31653.0e
更新日期:2007-03-01 00:00:00
abstract:STUDY DESIGN:Cost-utility analysis of an annular closure device (ACD) based on data from a prospective, multicenter randomized controlled trial (RCT) OBJECTIVE.: The aim of this study was to determine the cost-effectiveness of a novel ACD in a patient population at high risk for recurrent herniation following discectom...
journal_title:Spine
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1097/BRS.0000000000002746
更新日期:2019-01-01 00:00:00
abstract:STUDY DESIGN:Prospective randomized controlled animal model. OBJECTIVE:The purpose of this study is to determine whether the readministration of human recombinant bone morphogenetic protein-2 (rhBMP-2) induces an immune response and inhibits successful fusion in repeat posterolateral spinal surgery. SUMMARY OF BACKGR...
journal_title:Spine
pub_type: 杂志文章,随机对照试验
doi:10.1097/BRS.0b013e3181cdd396
更新日期:2011-02-01 00:00:00
abstract:STUDY DESIGN:Patients in the scoliosis screening database were analyzed with respect to curve convexity, severity, and outcome, using standard statistical methods. OBJECTIVES:This study assessed whether left thoracic scoliosis is always pathologic and inquired why this is the case. SUMMARY OF BACKGROUND DATA:Left tho...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199406000-00013
更新日期:1994-06-15 00:00:00
abstract:STUDY DESIGN:To investigate the incidence of acute neurologic complications of use of sublaminar wires with third-generation spine instrumentation for the treatment of idiopathic scoliosis. OBJECTIVES:To assess the safety of sublaminar wires in the surgical treatment of idiopathic scoliosis. SUMMARY OF BACKGROUND DAT...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200003150-00007
更新日期:2000-03-15 00:00:00
abstract:STUDY DESIGN:A laboratory study using isolated ligamentous human cadaveric cervical spines to investigate canal occlusion during (transient) and after (steady-state) axial compressive fracture. OBJECTIVES:To determine whether differences exist between transient and postinjury canal occlusion under axial compressive lo...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200001010-00010
更新日期:2000-01-01 00:00:00
abstract:STUDY DESIGN:Single-center retrospective case series. OBJECTIVE:The purpose of this study was to assess the safety and accuracy of three-dimensional (3D)-printed individualized drill guides for pedicle and lateral mass screw insertion in the cervical and upper-thoracic region, by comparing the preoperative 3D surgical...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003747
更新日期:2021-02-01 00:00:00