Evaluation of Anesthesia Methods in Patients Undergoing Percutaneous Kyphoplasty: A Prospective Study

Abstract

Objective:The aim of this research is to examine the effects of the anesthesia method and preoperative characteristics on postoperative results and complications in patients who underwent percutaneous kyphoplasty (PKP).Method:Patients were put into three groups according to the anesthesia methods used: (1) General anesthesia (sedation), (2) Central block (spinal and epidural anesthesia), (3) Peripheral block (erector spina plane block, and paravertebral block). Patients’ pain values, hemodynamic parameters, additional need for sedation, and perioperative and postoperative complications were recorded prospectively together with visual pain scales (VAS).Results:There were 22 individuals in group 1, 20 individuals in group 2, and 24 individuals in group 3. The average paracetamol and tramadol doses, postoperative VAS scores, and additional need for sedation were statistically significantly higher in group 1 (for all p<0.001) compared to other groups. Postoperative time to first mobilization and discharge were significantly lower in group 3 (for both, p<0.001). Patient satisfaction in group 3 was found to be significantly higher than that in group 1 (p<0.001). The rate of post-anesthesia care unit was higher in group 1 and lower in group 3 (p<0.001) and the rate of perioperative nausea rate was statistically significantly lower (p=0.008). The research samples did not differ statistically significantly from one another with regard to mean arterial pressure, heart rate, SpO2, operation time, perioperative, and postoperative complication rates.Conclusion:We think that central and especially peripheral block methods might be preferred because anesthesia methods in PKP surgery are safer and they provide satisfaction in patients with advanced age and various comorbidities.

Keywords

• erector spina plane block
• paravertebral block
• percutaneous kyphoplasty
• sedoanalgesia
• vertebroplasty