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05). WBC level on POD 1 was significantly higher in the PMDI group (p less then 0.05), whereas the CRP levels on POD 1 (p less then 0.01), 3 (p less then 0.01), and 5 (p less then 0.01) were significantly lower in the PMDI group than in the epidural catheter group. The frequency of side effects was not significantly different between the groups. CONCLUSION PMDI was as effective as epidural catheter use for pain control. A higher percentage of patients who underwent PMDI could perform SLR on POD 1; therefore, the functional recovery was e