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Epidural Analgesia Compared With Intravenous Analgesia After Pediatric Posterior Spinal Fusion
Journal of Pediatric Orthopaedics , 08/27/09

Gauger VT et al. – Epidural catheters provide modestly improved analgesia in patients after PSF for idiopathic scoliosis. However, the high failure rate in this population emphasizes a need for a close assessment for adequate blockade early in the recovery period. This study provides an excellent platform on which to build future trials that could include increased baseline dosing for the epidural medications, radiographic confirmation of catheter placement, and dual catheter techniques toward the goal of improving pain control in these patients.

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