Abstract:

Purpose: The purpose of this study is to study the effect of the anesthesia method and preoperative properties on postoperative results and complications in patients who are undergoing percutaneous phyphoplasty (PKP) surgery. Method: Patients according to the methods of anesthesia; 1: general anesthesia (session), 2: central block (spinal and epidural anesthesia), 3: peripheral block (erector spina flat block and paravertebral block) were divided into 3 groups. Preoperative characteristics of patients, pain values recorded with visual pain scale (VAS) at the time specified, hemodynamic parameters, need for additional sedation, perioperative and postoperative complications were recorded prospectively. Results: Group 1 included 22, Group 2 included 20 and Group 3 included 24 patients. In Group 1, the average parasetamol, tramadol doses, postoperative VAS scores and the need for additional sedation were statistically significantly higher than in other groups (p<0,001 for all). The postoperative first mobilization and departure time were observed at a statistically significant lower level compared to other groups in group 3 (p<0,001 for both). Patient satisfaction in Group 3 was observed at a statistically significant level higher than in Group 1 (p<0,001). The postoperative maintenance unit ratio was higher in group 1 than in other groups and significantly lower in group 3 than in other groups (p<0,001). The peripheral illness rate was statistically significantly lower (p=0,008). There was no statistically meaningful difference in terms of average arterial pressure, heart rate, SpO2, duration of surgery, perioperative and postoperative complications rates. The result: in patients with advanced age and complexities, we consider that central and especially peripheral block methods as an anesthesia method in PKP surgeons can be preferred more safely and with greater patient satisfaction.

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