The effects of spinal anaesthesia and surgery on carbohydrate and fat metabolism were studied in thirty patients by determining plasma concentrations of human growth hormone (HGH), insulin, blood glucose and free fatty acids (FFA). Hyperbaric spinal anaesthesia with lignocaine or quatacaiae alone and subsequent surgery did not influence the plasma HGH, insulin or FFA levels. Mean blood glucose ...

background : hyperbaric and isobaric bupivacaine has been shown to reduce bispectral index (bis) during spinal anesthesia. the aim of this study was to compare the effect of isobaric bupivacaine and hyperbaric bupivacaine on the bis during cesarean section with spinal anesthesia. methods : in this double-blind randomized controlled clinical trial, 84 pregnant women with asa ( american society o...

Seizures are a rare and unexpected complication following spinal surgery. There is paucity of literature about seizure occurrence following spinal surgery including dysraphism. Only a few isolated reports in the form of case reports have been published in literature. So still this entity remains unfamiliar for neurosurgeons and orthopedists operating on traumatic spinal cases or spinal dysraphi...

BACKGROUND It has been stated that individuals who have spondylotic encroachment on the cervical spinal cord without myelopathy are at increased risk of spinal cord injury if they experience minor trauma. Preventive decompression surgery has been recommended for these individuals. The purpose of this paper is to provide the non-surgical spine specialist with information upon which to base advic...

Background and Aim: Surgical site infection is an important complication after spinal surgery. Prevention and treatment of this complication requires more and reliable information. In this article, we investigated the epidemiology, pathogenesis, diagnosis and treatment of post-operative infection in spine procedures by reviewing previous related studies. Methods and Materials/Patients: In this...

Study Design Combination of narrative and systematic literature reviews. Objectives Massive perioperative blood loss in complex spinal surgery often requires blood transfusions and can negatively affect patient outcome. Systemic use of the antifibrinolytic agent tranexamic acid (TXA) has become widely used in the management of surgical bleeding. We review the clinical evidence for the use of in...

Background: Postoperative paralytic ileus is not a rare complication after lumbar spinal surgery especially in elderly patients. Chewing kind of sham feeding that has been reported to stimulate bowel motility, but so far there was no study showed these positive results may or be extrapolated the population. We sought determine whether chewing gum facilitates function recovery patients undergoin...

There is a high incidence of spinal deformity in children with the Prader-Willi syndrome. We have encountered major complications following spinal surgery in this condition. We report our experience and conclude that spinal surgery is a formidable undertaking and the risks should be appreciated by the surgeon and the parents.