The Effect of Dexamethasone Administration Route and Local Anesthetic Concentration on Pain, Inflammatory Response, and Neuromonitoring in Children Undergoing Scoliosis Correction
Recruiting now · Phase 4
Conditions studied: Scoliosis Idiopathic Adolescent
In brief
Scoliosis correction surgery in children is a complex procedure with significant risks, including postoperative pain, inflammatory response, and potential neurological complications. Effective pain control and minimizing inflammation are critical for faster recovery and improved patient outcomes. Dexamethasone is commonly used as an adjuvant in regional anesthesia due to its anti-inflammatory effects and ability to prolong analgesia. However, limited research exists on the optimal route of dexamethasone administration (intravenous vs. perineural) and the best local anesthetic concentration for pain management, inflammatory response, and neuromonitoring during surgery. This study aims to compare the effects of different dexamethasone administration routes and local anesthetic concentrations on postoperative pain, inflammation (NLR, PLR), and neuromonitoring in pediatric scoliosis surgery. Results may improve regional anesthesia protocols, enhance patient safety, and offer valuable insights for clinical practice.
Key facts
- Study ID
- NCT06789029
- Run by
- Poznan University of Medical Sciences
- People needed
- 60
- Starts
- 2025-02-01
- Expected to finish
- 2026-09-30
- Last updated by the study team
- 2026-05-22
Who can join
Age: 10 and older, up to 18. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- >10 and <18 years old
- scheduled for idiopathic scoliosis surgery
You may not qualify if…
- included infection at the site of the regional block,
- coagulation disorders,
- immunodeficiency,
- American Society of Anesthesiologists (ASA) physical status of IV or higher,
- history of regular steroid medication.
Where it is running
- Poznan University of Medical Sciences — Poznan, Poland (enrolling)
Full record on ClinicalTrials.gov
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