Publication date: Available online 10 August 2018
Source: Seminars in Spine Surgery
Author(s): Michael T. Nolte, Islam M. Elboghdady, Sravisht Iyer
Abstract
The focus of this manuscript will be to discuss the evidence supporting the various modalities, routes of administration, and timing of analgesic medication in the setting of spine surgery. We outline the evidence supporting multi-modal analgesia and describe strategies to optimize pain control while limiting opioid use. We discuss the importance of pre-emptive analgesia, optimal intraoperative pain regimens and non-opioid alternatives that may be used to help treat post-operative pain. The role of regional anesthesia as an adjunct to oral medications is also discussed.
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