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Journal of Orthopedic Education

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Comparative Study of Lumbar Laminectomy under General Anaesthesia compared with Spinal Anaesthesia

D.B. Naikwade , D.B. Naikwade , Ghanwat V. , Rawat H.

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Journal of Orthopedic Education 1(2):p 65-70, . | DOI:
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Abstract

 Introduction: Present study was planned to know the benefits of laminectomy done under spinal anaesthesia compared with general anaesthesia. Study Design: During 2010 to 2015 seventy patients were operated for lumbar laminectomy, 40 cases under spinal anesthesia and 30 under general anesthesia. All were operated by posterior midline approach in prone position. All were disc prolapse at L3-L4 and L4-L5 level and spinal canal stenosis. All patients had backache with neurological symptoms in lower limb. Age group is 35 yrs. to 60 yrs. Males were 46 and 24 females. Preoperative clinical examination, MRI and X ray were done before selecting patients for surgery. Proper prior operative consent for operative intervention was obtained. Results: 1. Overall study revealed that L3-L4, L4-L5 and L5-S1 disc were commonly responsible for pain and neurological deficit.2. Cases operated under Spinal anesthesia for lumbar disc had better recovery, less bleeding, less complications and early ambulation was possible.3. General anesthesia has more complications and cardiorespiratory complications. Conclusion: Laminectomy done under spinal anesthesia has better outcome. Surgeon, anesthetist and patients have less problems intra and postoperative complications.  

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  • D.B. Naikwade
    ,
  • D.B. Naikwade
    ,
  • Ghanwat V.
    ,
  • Rawat H.
    ,
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