Evaluating the Effectiveness of Erector Spinae Block vs Local Infiltration in Enhancing Early Recovery Following Vertebroplasty: A Randomized Controlled Trial

Abstract

Introduction: Osteoporotic vertebral compression fracture is a debilitating condition affecting the aging population. Percutaneous vertebroplasty (PVP) and kyphoplasty are key treatment options to alleviate pain and restore vertebral height. Erector spinae block, which provides segmental analgesia to the affected vertebrae, provides a novel approach to better patient experience in patients undergoing vertebroplasty. Materials and methods: The 42 patients enrolled in the study were split into two groups of 21 each: (1) Erector spinae plane (ESP) group—patients receiving erector spinae block before vertebroplasty and (2) L group—patients receiving local infiltration. Intraoperative fentanyl dosage; surgeon satisfaction score; visual analog scale (VAS) scores at 4, 12, and 24 hours; and mobility scores at 12 and 24 hours were compared. Results: Patients who received erector spinae block prior to vertebroplasty had reduced fentanyl consumption; increased surgeon comfort scores; and better 4, 12, and 24-hour VAS scores. They also showed statistically significant improvement in 12- and 24-hour postoperative mobility scores. Clinical significance: Compared to general anesthesia, which was followed earlier for PVP, alternate approaches such as erector spinae block exist, which provide a better patient experience.

Keywords

• erector spinae block
• osteoporosis
• spineplex cement
• vas score
• vertebroplasty