Sheffer Benjamin W, Kelly Derek M, Rhodes Leslie N, Sawyer Jeffrey R
Department of Orthopaedic Surgery and Biomedical Engineering, Campbell Clinic, The University of Tennessee Health Science Center, Le Bonheur Children's Hospital, 51 North Dunlap Street, Memphis, TN 38105, USA.
Department of Orthopaedic Surgery and Biomedical Engineering, Campbell Clinic, The University of Tennessee Health Science Center, Le Bonheur Children's Hospital, 51 North Dunlap Street, Memphis, TN 38105, USA.
Orthop Clin North Am. 2017 Oct;48(4):481-486. doi: 10.1016/j.ocl.2017.06.004. Epub 2017 Jul 15.
Pain management after spinal deformity correction surgery for scoliosis in the pediatric population can be difficult. Deformity correction with posterior spinal fusion causes significant tissue trauma. Historically, pain control has been achieved with intravenous opiates. Opiates provide excellent analgesic effect; however, they have serious consequences when used alone. In adult total joint arthroplasty, multimodal pain control has become an increasingly common method to achieve pain control without these sequelae. Recently, the same techniques have been studied in pediatric spinal deformity correction surgery. This article outlines the state of pain management in pediatric spine patients.
小儿脊柱侧弯畸形矫正手术后的疼痛管理可能具有挑战性。后路脊柱融合术矫正畸形会造成严重的组织创伤。从历史上看，一直通过静脉注射阿片类药物来控制疼痛。阿片类药物具有出色的镇痛效果；然而，单独使用时会产生严重后果。在成人全关节置换术中，多模式疼痛控制已成为一种越来越常见的方法，可在不产生这些后遗症的情况下实现疼痛控制。最近，同样的技术也在小儿脊柱畸形矫正手术中得到了研究。本文概述了小儿脊柱疾病患者的疼痛管理状况。
