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Erector Spinae Plane Block for Lumbar Spinal Surgery: A Systematic Review
Yong Qiu1, Teng-Jiao Zhang1, Zhen Hua1
1Anesthesiology Department, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing 100730, People's Republic of China.
Journal of Pain Research
|July 17, 2020
Summary
Erector spinae plane block (ESPB) shows potential for reducing pain after lumbar surgery but requires more research. Current evidence is insufficient to confirm its effectiveness and safety for widespread use.
Area of Science:
- Anesthesiology
- Regional Anesthesia
- Pain Management
Background:
- Erector spinae plane block (ESPB) is a novel trunk fascia block introduced in 2016.
- Its application in lumbar spine surgery is gaining interest but remains controversial regarding efficacy and safety.
Purpose of the Study:
- To review and summarize the current clinical applications of ESPB in lumbar spine surgery.
- To evaluate the effectiveness and safety of ESPB for this specific surgical context.
Main Methods:
- A systematic literature search was conducted across PubMed, EMBASE, Cochrane Library, and ClinicalTrials.gov up to July 30, 2019.
- Studies involving "lumbar spine surgery" and "ESPB" were included, adhering to PRISMA guidelines.
- Data extracted included pain scores, analgesic consumption, and adverse events.
Main Results:
- Eleven publications with 171 participants were analyzed, including RCTs, cohort studies, and case series.
- ESPB was performed at thoracic to lumbar levels (T8-L4) using anesthetics like bupivacaine, ropivacaine, and lidocaine.
- Evidence suggests a reduction in postoperative pain scores and analgesic requirements.
Conclusions:
- The effectiveness and safety of ESPB for lumbar spine surgery remain debated.
- Current evidence is insufficient to advocate for the routine use of ESPB in this patient population.
- High-quality randomized controlled trials are essential to clarify the role of ESPB in lumbar surgery.
