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The Journal of Bone and Joint Surgery 78:150 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Correspondence

Correspondence

Timothy P. Gray, M.D., Philip A. G. Karpos, M.D., Clement K. Jones, M.D. and Michael J. McNamara, M.D.

TO THE EDITOR:

I am writing regarding "Persistent Leakage of Cerebrospinal Fluid after Intrathecal Administration of Morphine in an Operation on the Lumbar Spine. A Report of Two Cases" (76-A: 916–918, June 1994), by Karpos et al. The authors reported on two patients who had received an intrathecal injection of morphine at the site of a laminotomy during a routine procedure on the lumbar spine. As a result of their experience, the authors concluded: "We no longer administer opioids intrathecally during operations on the lumbar spine."

This conclusion is unfortunate. I suggest to the authors that a simple change in the technique of administration would solve this problem without depriving patients of an . . . [Full Text of this Article]


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