Page last updated: 2024-10-30

ketorolac and Pseudarthrosis

ketorolac has been researched along with Pseudarthrosis in 3 studies

Ketorolac: A pyrrolizine carboxylic acid derivative structurally related to INDOMETHACIN. It is an NSAID and is used principally for its analgesic activity. (From Martindale The Extra Pharmacopoeia, 31st ed)
ketorolac : A racemate comprising equimolar amounts of (R)-(+)- and (S)-(-)-5-benzoyl-2,3-dihydro-1H-pyrrolizine-1-carboxylic acid. While only the (S)-(-) enantiomer is a COX1 and COX2 inhibitor, the (R)-(+) enantiomer exhibits potent analgesic activity. A non-steroidal anti-inflammatory drug, ketorolac is mainly used (generally as the tromethamine salt) for its potent analgesic properties in the short-term management of post-operative pain, and in eye drops to relieve the ocular itching associated with seasonal allergic conjunctivitis. It was withdrawn from the market in many countries in 1993 following association with haemorrhage and renal failure.
5-benzoyl-2,3-dihydro-1H-pyrrolizine-1-carboxylic acid : A member of the class of pyrrolizines that is 2,3-dihydro-1H-pyrrolizine which is substituted at positions 1 and 5 by carboxy and benzoyl groups, respectively.

Pseudarthrosis: A pathologic entity characterized by deossification of a weight-bearing long bone, followed by bending and pathologic fracture, with inability to form normal BONY CALLUS leading to existence of the false joint that gives the condition its name. (Dorland, 27th ed)

Research Excerpts

ExcerptRelevanceReference
"A retrospective review comparing patients who had postoperative ketorolac and those who did not following posterior spinal fusion and instrumentation (PSFI) for adolescent idiopathic scoliosis (AIS)."7.74Postoperative ketorolac does not predispose to pseudoarthrosis following posterior spinal fusion and instrumentation for adolescent idiopathic scoliosis. ( Agrawal, S; Elerson, E; Lovejoy, JF; McClung, A; Nelson, T; Sucato, DJ, 2008)
"The purpose of this study was to evaluate the effect of postoperative ketorolac administration (ie, dosage and duration of use) on pseudarthrosis following thoracolumbar posterolateral spinal fusions."4.98The Effect of Ketorolac on Thoracolumbar Posterolateral Fusion: A Systematic Review and Meta-Analysis. ( Ajiboye, RM; Drysch, A; Li, J; Orden, MH; Pourtaheri, S; Sharma, A, 2018)
"A retrospective review comparing patients who had postoperative ketorolac and those who did not following posterior spinal fusion and instrumentation (PSFI) for adolescent idiopathic scoliosis (AIS)."3.74Postoperative ketorolac does not predispose to pseudoarthrosis following posterior spinal fusion and instrumentation for adolescent idiopathic scoliosis. ( Agrawal, S; Elerson, E; Lovejoy, JF; McClung, A; Nelson, T; Sucato, DJ, 2008)
"Pseudarthrosis was identified in 12 of 228 patients (5."1.35Ketorolac and spinal fusion: does the perioperative use of ketorolac really inhibit spinal fusion? ( Dawson, EG; Gallina, J; Kuhns, CA; Pradhan, BB; Tatsumi, RL; Wang, JC, 2008)

Research

Studies (3)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's2 (66.67)29.6817
2010's1 (33.33)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Li, J1
Ajiboye, RM1
Orden, MH1
Sharma, A1
Drysch, A1
Pourtaheri, S1
Pradhan, BB1
Tatsumi, RL1
Gallina, J1
Kuhns, CA1
Wang, JC1
Dawson, EG1
Sucato, DJ1
Lovejoy, JF1
Agrawal, S1
Elerson, E1
Nelson, T1
McClung, A1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Effectiveness of Corticosteroid vs Ketorolac Shoulder Injections: a Prospective Double-Blinded Randomized Trial[NCT04895280]Phase 4400 participants (Anticipated)Interventional2024-04-30Not yet recruiting
Effectiveness of Corticosteroid vs. Ketorolac Shoulder Injections: A Prospective Double-Blinded Randomized Trial[NCT04115644]Phase 482 participants (Actual)Interventional2017-05-01Terminated (stopped due to Covid-19 and we failed to submit annual report for 2017 and 2018)
Effect of Toradol on Post-operative Foot and Ankle Healing[NCT03727048]Phase 4128 participants (Actual)Interventional2016-08-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Visual Analog Scale

Pain as measured by the Visual Analog Scale after first injection. The visual analog scale is a 0-10 scale, 0 being no pain, 10 being unbearable pain. (NCT04115644)
Timeframe: Baseline - immediately after the injection

Interventionscore on a scale (Mean)
Group 1 (Control)3.197
Group 2 (Ketorolac)3.577
Group 3 (Kenalog)3.677

Visual Analog Scale

Pain as measured by the Visual Analog Scale prior to first injection. The visual analog scale is a 0-10 scale, 0 being no pain, 10 being unbearable pain. (NCT04115644)
Timeframe: Baseline - pre-injection

Interventionscore on a scale (Mean)
Group 1 (Control)5.77
Group 2 (Ketorolac)4.57
Group 3 (Kenalog)4.67

Visual Analog Scale

Pain as measured by the Visual Analog Scale. The visual analog scale is a 0-10 scale, 0 being no pain, 10 being unbearable pain. (NCT04115644)
Timeframe: Day 2

Interventionscore on a scale (Mean)
Group 1 (Control)2.347
Group 2 (Ketorolac)2.837
Group 3 (Kenalog)2.67

Visual Analog Scale

Pain as measured by the Visual Analog Scale. The visual analog scale is a 0-10 scale, 0 being no pain, 10 being unbearable pain. (NCT04115644)
Timeframe: Week 1

Interventionscore on a scale (Mean)
Group 1 (Control)3.397
Group 2 (Ketorolac)3.7
Group 3 (Kenalog)3.257

Visual Analog Scale

Pain as measured by the Visual Analog Scale. The visual analog scale is a 0-10 scale, 0 being no pain, 10 being unbearable pain. (NCT04115644)
Timeframe: Week 12

Interventionscore on a scale (Mean)
Group 1 (Control)3.447
Group 2 (Ketorolac)1.417
Group 3 (Kenalog)2.027

Visual Analog Scale

Pain as measured by the Visual Analog Scale. The visual analog scale is a 0-10 scale, 0 being no pain, 10 being unbearable pain. (NCT04115644)
Timeframe: Week 2

Interventionscore on a scale (Mean)
Group 1 (Control)3.547
Group 2 (Ketorolac)2.67
Group 3 (Kenalog)2.57

Visual Analog Scale

Pain as measured by the Visual Analog Scale. The visual analog scale is a 0-10 scale, 0 being no pain, 10 being unbearable pain. (NCT04115644)
Timeframe: Week 4

Interventionscore on a scale (Mean)
Group 1 (Control)3.547
Group 2 (Ketorolac)2.67
Group 3 (Kenalog)2.317

Visual Analog Scale

Pain as measured by the Visual Analog Scale. The visual analog scale is a 0-10 scale, 0 being no pain, 10 being unbearable pain. (NCT04115644)
Timeframe: Week 6

Interventionscore on a scale (Mean)
Group 1 (Control)3.357
Group 2 (Ketorolac)2.757
Group 3 (Kenalog)2.687

Reviews

1 review available for ketorolac and Pseudarthrosis

ArticleYear
The Effect of Ketorolac on Thoracolumbar Posterolateral Fusion: A Systematic Review and Meta-Analysis.
    Clinical spine surgery, 2018, Volume: 31, Issue:2

    Topics: Adolescent; Adult; Humans; Ketorolac; Lumbar Vertebrae; Middle Aged; Pseudarthrosis; Spinal Fusion;

2018

Other Studies

2 other studies available for ketorolac and Pseudarthrosis

ArticleYear
Ketorolac and spinal fusion: does the perioperative use of ketorolac really inhibit spinal fusion?
    Spine, 2008, Sep-01, Volume: 33, Issue:19

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Bone Screws; California; Female; Humans; Injections, Intrav

2008
Ketorolac and spinal fusion: does the perioperative use of ketorolac really inhibit spinal fusion?
    Spine, 2008, Sep-01, Volume: 33, Issue:19

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Bone Screws; California; Female; Humans; Injections, Intrav

2008
Ketorolac and spinal fusion: does the perioperative use of ketorolac really inhibit spinal fusion?
    Spine, 2008, Sep-01, Volume: 33, Issue:19

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Bone Screws; California; Female; Humans; Injections, Intrav

2008
Ketorolac and spinal fusion: does the perioperative use of ketorolac really inhibit spinal fusion?
    Spine, 2008, Sep-01, Volume: 33, Issue:19

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Bone Screws; California; Female; Humans; Injections, Intrav

2008
Ketorolac and spinal fusion: does the perioperative use of ketorolac really inhibit spinal fusion?
    Spine, 2008, Sep-01, Volume: 33, Issue:19

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Bone Screws; California; Female; Humans; Injections, Intrav

2008
Ketorolac and spinal fusion: does the perioperative use of ketorolac really inhibit spinal fusion?
    Spine, 2008, Sep-01, Volume: 33, Issue:19

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Bone Screws; California; Female; Humans; Injections, Intrav

2008
Ketorolac and spinal fusion: does the perioperative use of ketorolac really inhibit spinal fusion?
    Spine, 2008, Sep-01, Volume: 33, Issue:19

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Bone Screws; California; Female; Humans; Injections, Intrav

2008
Ketorolac and spinal fusion: does the perioperative use of ketorolac really inhibit spinal fusion?
    Spine, 2008, Sep-01, Volume: 33, Issue:19

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Bone Screws; California; Female; Humans; Injections, Intrav

2008
Ketorolac and spinal fusion: does the perioperative use of ketorolac really inhibit spinal fusion?
    Spine, 2008, Sep-01, Volume: 33, Issue:19

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Bone Screws; California; Female; Humans; Injections, Intrav

2008
Postoperative ketorolac does not predispose to pseudoarthrosis following posterior spinal fusion and instrumentation for adolescent idiopathic scoliosis.
    Spine, 2008, May-01, Volume: 33, Issue:10

    Topics: Adolescent; Anti-Inflammatory Agents, Non-Steroidal; Bone Transplantation; Child; Female; Humans; Il

2008
Postoperative ketorolac does not predispose to pseudoarthrosis following posterior spinal fusion and instrumentation for adolescent idiopathic scoliosis.
    Spine, 2008, May-01, Volume: 33, Issue:10

    Topics: Adolescent; Anti-Inflammatory Agents, Non-Steroidal; Bone Transplantation; Child; Female; Humans; Il

2008
Postoperative ketorolac does not predispose to pseudoarthrosis following posterior spinal fusion and instrumentation for adolescent idiopathic scoliosis.
    Spine, 2008, May-01, Volume: 33, Issue:10

    Topics: Adolescent; Anti-Inflammatory Agents, Non-Steroidal; Bone Transplantation; Child; Female; Humans; Il

2008
Postoperative ketorolac does not predispose to pseudoarthrosis following posterior spinal fusion and instrumentation for adolescent idiopathic scoliosis.
    Spine, 2008, May-01, Volume: 33, Issue:10

    Topics: Adolescent; Anti-Inflammatory Agents, Non-Steroidal; Bone Transplantation; Child; Female; Humans; Il

2008