engleski

Spinal anesthesia in a patients with spastic cerebral palsy

Effective pain relief is gold standard after surgical correction of orthopaedic patients with cerebral palsy. The aim of this study was to compare the effects of spinal and general anaesthesia on recovery of patients with cerebral palsy with planned surgical correction of locomotor deformation. In a randomized-controlled trial from 2000-2005 yr, we enrolled 322 consecutive patients with spastic cerebral palsy undergoing orthopedic surgery. One of the two groups 69/322 middle aged 24years receiving 15 mg of 0.5 % bupivacaine intrathecally(Group I) or general anaesthesia (Group II). After orthopaedic corrective surgery in spinal anaesthesia, there was no progression of his spasticity, muscle atrophy or no aggravation of autonomic system immediately after the operation, 3 months later and 6 months later, respectively. This cases suggests that spinal anesthesia can be applied in spastic cerebral palsy patients. Both anaesthetic techniques provided sufficient immediate respiratory function. However, spinal anaesthesia assured better pain control after surgery, less vomiting and pain spasm (hypertonus)of muscle when compared spinal and general anaesthesia. Reference: Sakić S, et.al. The analysis of walk cycle in patients with spastic cerebral palsy after surgical management on the lower extremity. Coll. Antropol. 31 (2007) (3) 781-6.

spastic cerebral palsy; spinal anaesthesia

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