title: Analgesic therapy for major spine surgery.
abstract: Pain following spine surgery is often difficult to control and can persist. Reduction of this pain requires a multidisciplinary approach that depends on contributions of both surgeons and anesthesiologists. The spine surgeon's role involves limiting manipulation of structures contributing to pain sensation in the spine, which requires an in-depth understanding of the specific anatomic etiologies of pain originating along the spinal axis. Anesthesiologists, on the other hand, must focus on preemptive, multimodal analgesic treatment regimens. In this review, we first discuss anatomic sources of pain within the spine, before delving into a specific literature-supported pain management protocol intended for use with spinal surgery.
authors: Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors: Varun
authors: V
authors: Puvanesarajah
authors: Jason A
authors: JA
authors: Liauw
authors: Sheng-fu
authors: SF
authors: Lo
authors: Ioan A
authors: IA
authors: Lina
authors: Timothy F
authors: TF
authors: Witham
authors: Allan
authors: A
authors: Gottschalk
mesh_terms: D000698:Analgesia / Q000379:methods*; D000700:Analgesics / Q000627:therapeutic use*; D055111:Failed Back Surgery Syndrome / Q000188:drug therapy* / Q000503:physiopathology; D006801:Humans; D019635:Neurosurgical Procedures / Q000379:methods*; D010147:Pain Measurement; D010149:Postoperative Pain / Q000188:drug therapy* / Q000503:physiopathology; D013131:Spine / Q000601:surgery*
chemical_list: D000700:Analgesics