USE OF THE ERECTOR SPINAE PLANE BLOCK IN SPINAL SURGERIES

Abstract

ABSTRACT Postoperative pain management in spinal surgeries remains a challenge, and the erector spinae plane (ESP) block has emerged as a promising analgesic technique, offering significant benefits in pain reduction and opioid consumption. This prospective case series aimed to evaluate the efficacy and safety of ESP block in patients undergoing elective lumbar surgeries. Patients aged 18 to 60 years undergoing surgeries of up to two levels were included, with bilateral ESP blocks performed in conjunction with general anesthesia before the start of surgery. Data were collected in the Post-Anesthesia Care Unit, at 6, 12, 24, and 48 hours postoperatively. The analysis included pain intensity, opioid use, and the occurrence of side effects. Results demonstrated that the ESP block provided satisfactory analgesia, with low morphine usage and no significant adverse effects. Postoperative pain was effectively controlled, with no prolonged hospitalization or block-related complications. Although this study is limited by its case series design, the findings suggest that ESP block may be an effective strategy for pain management in lumbar surgeries. Level of Evidence IV; Case series.

Keywords

• Surgical Procedures
• Operative
• Pain
• Spine
• Anesthesia Recovery Period
• Analgesics
• Opioid.