Abstract
Background: Low back pain (LBP) is a frequent postoperative complaint following spinal anesthesia, with variable prevalence and multifactorial etiology. Its occurrence can adversely affect recovery and quality of life in surgical patients. Aim of the study: The study aims to analyze the prevalence of low back pain among patients undergoing general surgery with spinal anesthesia. Methods & Materials: This cross-sectional study was conducted at a tertiary care hospital in Bangladesh over one year. A total of 175 patients aged 16-70 years who underwent general surgery under spinal anesthesia were enrolled. Data on demographic, surgical, and anesthesia-related variables were collected through structured questionnaires and medical records. Statistical analysis was performed using SPSS version 26, with p ≤ 0.05 considered significant. Result: Postoperative LBP was reported in 52% of patients. Male gender was independently associated with a higher risk of LBP (OR 2.9, 95% CI 1.90-4.16, p<0.001). Supine positioning was relatively protective, whereas prone and lithotomy positions were linked with increased LBP incidence. Duration of surgery and puncture site did not show significant associations. Conclusion: Low back pain is a common outcome following spinal anesthesia in general surgery, with male gender and surgical positioning identified as significant risk factors. Preventive strategies should target high-risk groups to minimize postoperative morbidity. Future multicenter studies are needed to confirm these findings and guide clinical practice.
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