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ocal versus intravenous ketorolac for postoperative pain control after lumbar spinal fusio

Phase 4
Conditions
Postoperative pain following spinal fusion surgery can lead to a series of significant complications
local and intravenous ketorolac, postoperative pain, lumbar spinal fusion
Registration Number
TCTR20231030002
Lead Sponsor
Institutional Review Board Royal Thai Army Medical Department
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Enrolling by invitation
Sex
All
Target Recruitment
75
Inclusion Criteria

1. Ages of 20 and 75
2. undergoing lumbar spinal fusion between 1-3 levels
3. no history of long-term opioid use
4. Patients who are ASA classification 1-3

Exclusion Criteria

1.Ongoing infection
2.History of cancer
3.Allergic to ketorolac or analgesia
4.Smoking
5.Contraindication for NSAIDs : chronic kidney disease(GFR<60 ml/min/1.73m2)
6.Patients who had history of GI bleeding and gastritis
7.Previous back surgery
8.Unwilling to participate in the study

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Postoperative morphine consumption per day (administered using a patient-controlled analgesia pump) postoperative day0-3 Postoperative morphine consumption per hous
Secondary Outcome Measures
NameTimeMethod
Pain score at specific hours after the operation postoperative until discharge visual analog scale (VAS),Satisfaction postoperative until discharge Questionaire,Drain output postoperative until drain removed ml. per day,Length of stay postoperative until discharge day,renal side effect postoperative day1 creatinine clearance on postoperative day1,Fusion rate at 1 year (by CT scan) at 12 months after intervention CT scan
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