Research Article

Methylprednisolone as an Adjunct to Local Infiltration on Laminoplasty or Laminectomy before Wound Closure: A Randomized Controlled Trial

Table 2

Comparison between primary outcomes and secondary outcomes among the MR (methylprednisolone plus ropivacaine) group and the R (ropivacaine) group in the first 48 hours postoperatively.

Time/variableMR group (n = 66)R group (n = 64) value

Primary outcome
Cumulative sufentanil dose within 48 h (μg)  SD32.5  20.650.9  27.2<0.001

Secondary outcomes
Cumulative sufentanil dose (μg)
 0–4 h,  SD11.5  7.115.6  8.20.003
 4–8 h,  SD9.8  5.614.6  7.4<0.001
 8–24 h, median (IQR)6.0 (4.0, 10.0)10.0 (8.0, 16.0)<0.001
 24–48 h, median (IQR)4.0 (0, 6.5)8.0 (4.0, 12.0)<0.001

NRSM, median (IQR)
 2 h6.0 (5.0, 8.0)7.0 (6.0, 9.0)0.116
 4 h6.0 (5.0, 7.0)7.0 (6.0, 9.0)0.006
 8 h5.0 (4.2, 7.0)7.0 (5.0, 8.0)<0.001
 24 h4.0 (3.0, 5.2)5.0 (4.0, 7.0)0.005
 48 h3.0 (2.0, 5.0)5.0 (3.0, 6.0)0.003
 3 days2.0 (1.8, 4.0)3.0 (2.2, 5.0)0.001
 1 week0 (0, 1)1 (0, 2)0.024
 2 weeks0 (0, 0)0 (0, 0)0.034
 4 weeks0 (0, 0)0 (0, 0)0.983

NRSR, median (IQR)
 2 h3.0 (1.0, 4.0)4.0 (2.2, 6.0)0.007
 4 h2.5 (1.8, 4.0)4.0 (2.0, 5.0)0.001
 8 h2.0 (1.0, 3.0)3.0 (2.2, 5.0)<0.001
 24 h1.0 (0, 2.0)2.0 (1.0, 3.0)<0.001
 48 h0.5 (0, 1.0)2.0 (1.0, 3.0)<0.001
 3 days0 (0, 1)1.0 (0, 2.0)<0.001
 1 week0 (0, 0)0 (0, 0)0.061
 2 weeks0 (0, 0)0 (0, 0)0.076
 4 weeks0 (0, 0)0 (0, 0)0.983

PSS, median (IQR)
 2 h4.0 (3.0, 6.0)4.0 (2.0, 5.0)0.078
 4 h5.0 (4.0, 6.0)4.0 (2.2, 5.0)0.007
 8 h5.0 (5.0, 7.0)5.0 (3.0, 6.0)0.001
 24 h7.0 (5.0, 8.0)5.0 (4.0, 7.0)0.003
 48 h8.0 (6.0, 8.0)7.0 (6.0, 8.0)0.002
 3 days8.0 (7.0, 9.0)8.0 (6.0, 8.0)0.001
 1 week10.0 (9.0, 10.0)9.0 (9.0, 9.0)<0.001
 2 weeks10.0 (10.0, 10.0)10.0 (10.0, 10.0)0.220
 4 weeks10.0 (10.0, 10.0)10.0 (10.0, 10.0)0.325

Number of participants who did not receive oral rescue analgesic after the 48-hour postoperative period18 (27.3%)20 (31.3%)0.618

Oral rescue analgesics received after the 48-hour postoperative period (tablets)0 (0–3)0 (0–3)0.715

Note: oxycodone and acetaminophen tablets (Mallinckrodt Inc.), each tab containing 5 mg oxycodone hydrochloride (equivalent to 4.4815 mg) and 325 mg acetaminophen.