Low Back Pain Clinical Trial
Official title:
Postoperative Opioid Use and Pain Scores in Patients Undergoing Transforaminal Lumbar Interbody Fusion After Administration of Preoperative Followed by Scheduled Intravenous Acetaminophen:
The purpose of this project is to study the effects of preoperative followed by scheduled intravenous acetaminophen on pain control for 24 hours postoperatively after minimally invasive 1 or 2 level transforaminal lumbar interbody fusion.
The purpose of this project is to study the effects of preoperative followed by scheduled
intravenous acetaminophen on pain control for 24 hours postoperatively after minimally
invasive 1 or 2 level transforaminal lumbar interbody fusion. The advantages of intravenous
acetaminophen are well known in the literature and its opioid-sparing effects have been
documented in multiple surgical studies.
Multimodal regimens are now being advocated in the literature to decrease opioid use (8, 23).
This is especially significant in spine surgery patients who often have chronic pain
requiring long-term use of these habit-forming drugs as well as in patients who may not be
able to tolerate opiods due to health status.
To our knowledge there are no studies done in the U.S. on the opioid sparing and pain
reducing effects of intravenous acetaminophen on patients undergoing elective minimally
invasive 1 or 2 level transforaminal lumbar interbody fusion. Investigating intravenous
acetaminophen, particularly its pain reducing and opioid sparing effects, may give surgeons
another medication for use in a multimodal approach to pain.
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