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Submitted: 05 Jul 2022
Accepted: 23 Aug 2022
ePublished: 27 Aug 2022
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J Renal Endocrinol. 2022;8: e17075.
doi: 10.34172/jre.2022.17075
  Abstract View: 45
  PDF Download: 15

Original Article

Risk factors for post-spinal anesthesia headache and low back pain after orthopedic lower limb surgery in obese patients in Shohada hospital of Tabriz

Amin Moradi 1 ORCID logo, Naghi Abedini 1* ORCID logo

1 Clinical Research Development Unit, Shohada Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.
*Corresponding Author: *Corresponding Author: Naghi Abedini, Email: naghi26@tbzmed.ac.ir, , Email: abedini_n@yahoo.com

Abstract

Introduction: The various factors affecting the incidence of post-spinal anesthesia low back pain and headache, such as high body mass index (BMI), the anesthesiologist’s expertise, and spinal needle gauge, make it impossible to adequately plan preventive measures.

Objectives: This study aimed to determine the risk factors for post-spinal anesthesia headache and low back pain after orthopedic lower limb surgery in obese patients in Shohada hospital of Tabriz, Iran.

Patients and Methods: This descriptive cross-sectional and prospective study was conducted on 200 obese candidates for lower limb surgery under spinal anesthesia in 2019. An anesthesiologist used a 25-gauge needle to induct spinal anesthesia for evaluating the incidence of post-spinal anesthesia headache, low back pain, and their risk factors.

Results: The incidence of post-spinal anesthesia headache in obese participants was 6.5% on the first day, 3.5% in the first week, and 1% in the first month; whereas the incidence of low back pain was 16% on the first day, 9% in the first week, and 3.5% in the first month. Postoperative headache and low back pain exhibited a significant correlation with the history of spinal anesthesia and low back pain; therefore, they were found as the main risk factors for these complications.

Conclusion: This study found lower post-spinal anesthesia headache and low back pain than in previous studies, which decreased further over time. Skilled anesthesiologists are recommended to use a small-gauge needle to induct spinal anesthesia to participants with a history of spinal anesthesia and low back pain.


Citation: Moradi A, Abedini N. Risk factors for post-spinal anesthesia headache and low back pain after orthopedic lower limb surgery in obese patients in Shohada hospital of Tabriz. J Ren Endocrinol. 2022;8:e17075. doi: 10.34172/jre.2022.17075.
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