Özet:

Introduction and Purpose: According to general anesthesia (GA), more stable perioperative hemodynamic conditions, lower costs and lower rates of perioperative complications have been in patients with spinal anesthesia (SA) lumbar laminectomy surgery. Our goal is to observe the effects of SA and GA on the pain scale and tradomol consumption in older patients who have passed this operation Material Method: In the retrospective-planned study, a total of ASA I-II-III patients who have passed a single-level lumbar laminectomy surgery between 01.01.2017 and 31.12.2017 were included in the study in the physical state of advanced age (>65 years of age). Patients in the group S(n=62) and patients in the group G(n=59) were included. During the 24 hours after the operation, postoperative mobilization times, complications, visual analog scale (VAS) and postoperative Tradomol HCL consumption were recorded by examining records.   Results and Debate: The average VAS was similar between the groups (p> 0.05). The total consumption of Tramadol HCL was 120.96 mg and 213.55 mg (p <0.05) for S and G groups. The first tramadol was 589.51 and 233.13 minutes (p <0.05) for the HCL, S and G groups. Postoperative mobilization times and side effects do not differ between the groups (p> 0.05). The results of this study showed that SA is a safer and more comfortable anesthetic method than general anesthesia in one-level lumbar laminectomy surgery. The result: Lumbary laminectomy surgery is safe in patients aged with SA, the postoperative pain control is better and the consumption of Tradamol is lower. Further research is needed to verify these findings.

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