1267. Acupuncture as Pain Control after Degenerative Lumbar Spine Surgery

Award: Second Place Pain Eposter Award

Authors: chen boan; Chang Shih-Chia; Yan Jiun-Lin Yan; Chang Chen-Nen (Taoyuan City, Taiwan)

Introduction: Spine surgery is one of the most common neurosurgical procedures due to the increasing need from degenerative spine disease. However, the post-operative wound pain remains the major complaint which delays patient recovery. Various of pain control methods had been used to solve this. In this study, we compared the effect of routine analgesics, patient-controlled analgesic (PCA) and acupuncture as pain control after the degenerative lumbar surgery. Methods: We retrospective review patients who received degenerative lumbar spine surgery in 2013 in our institution. Surgical procedures included open laminectomy, discectomy, or transpedicle screw . History of trauma, tumor, infection or inadequate data were excluded. Clinical data as well as the pre-operative and the post operative visual analogue scale (VAS) of pain were compared in three different pain control groups. All patient received oral non-steroid anti-inflammatory drugs. In the routine analgesic group, the patients received additional morphine for severe pain control. The PCA group received intravenous morphine with a basal dose plus user demand dose. The acupuncture group was treated by our Chinese medical physician every other day after the surgery. Results: 73 patients were included in this study. 31 patients received acupuncture, whilst 18 patients received PCA and 21 patients received routine analgesic for pain control. In the post-operative day (POD) 3, the acupuncture and PCA both showed significant decrease of VAS ( p < 0.001), compared to the VAS of POD 0 which was not seen in the routine analgesic group. However, there is significant rebound pain after stop of the PCA. No major complication such as bleeding, infection or dizziness were noted in the acupuncture group. Conclusion: The acupuncture can be used as a safe and effective pain control method for surgical wound pain control immediate after open degenerative lumbar spine surgery.