Clinical efficacy of ultrasound guided bilateral erector spinae block for single-level lumbar fusion surgery: a prospective, randomized, case-control study

Erector Spinae Plane Block for Perioperative Pain Control and Short-term Outcomes in Lumbar Laminoplasty: A Randomized Clinical Trial

“…9 The ESP block performed in the lumbar spine region by depositing local anesthetics in the fascial plane superficial to the transverse process directly and consistently targets the dorsal rami of the spinal nerves, thus providing sensory input to the posterior wall of the trunk. 1,2,4,6 The spread of local anesthetics into the paravertebral or epidural space, albeit controversial and not consistently observed, may provide visceral pain control in addition to somatic analgesia, but adds the potential risk of lower extremity weakness. [24][25][26] However, ESP block has been used for lower extremity hip, femur and knee procedures and there has been no more motor weakness or interference with physical therapy when compared to other regional anesthesia techniques, such as lumbar plexus and quadratus lumborum block.…”

“…Spine surgery is frequently associated with patient dissatisfaction because of poorly controlled postoperative pain, chronic postoperative opioid dependence and longterm functional disability. 1,2 Since its original description, erector spinae plane (ESP) block, an ultrasound-guided interfascial plane block with local anesthetics deposited between the transverse process and erector spinae muscle, 3,4 is an emerging regional anesthesia technique that continues to gain popularity due its ease of performance and efficacy in pain control. 5 In particular, ESP block, performed at the level of the lumbar spine, directly and consistently targets the dorsal rami of the spinal nerves 1,2,4,6 and has been reported to provide postoperative analgesia in spine surgery in small case series, 7 retrospective studies, 8 and in small randomized controlled studies.…”

“…1,2 Since its original description, erector spinae plane (ESP) block, an ultrasound-guided interfascial plane block with local anesthetics deposited between the transverse process and erector spinae muscle, 3,4 is an emerging regional anesthesia technique that continues to gain popularity due its ease of performance and efficacy in pain control. 5 In particular, ESP block, performed at the level of the lumbar spine, directly and consistently targets the dorsal rami of the spinal nerves 1,2,4,6 and has been reported to provide postoperative analgesia in spine surgery in small case series, 7 retrospective studies, 8 and in small randomized controlled studies. 1,2,[9][10][11] Our primary hypothesis is that ESP block can improve perioperative analgesia with lower pain scores in lumbar laminoplasty patients.…”

“…5 In particular, ESP block, performed at the level of the lumbar spine, directly and consistently targets the dorsal rami of the spinal nerves 1,2,4,6 and has been reported to provide postoperative analgesia in spine surgery in small case series, 7 retrospective studies, 8 and in small randomized controlled studies. 1,2,[9][10][11] Our primary hypothesis is that ESP block can improve perioperative analgesia with lower pain scores in lumbar laminoplasty patients. In secondary analysis, we also prospectively investigated the effects of the ESP block on intraoperative anesthetic requirements, perioperative opioid consumption, and patient satisfaction with pain management after lumbar spine surgery.…”

Effect of Ultrasound-Guided Thoracolumbar Interfascial Plane Block on the Analgesic Requirements in Patients Undergoing Lumbar Spine Surgery Under General Anesthesia: A Randomized Controlled Trial

“… 33 Several studies have investigated the perioperative analgesic effect of ESPB for spinal surgery performed under GA and concluded that patients who received ESPB have lower postoperative pain scores and less postoperative opioid consumption in comparison to those who received GA alone. 34–37 …”