Bilateral Erector Spinae Plane Block as an Opioid Sparing Technique for Selective Dorsal Rhizotomy in Pediatric Patients With Spastic Cerebral Palsy

Tanta University

Status: Completed

Conditions: Sparing; Erector Spinae Plane Block; Spastic Cerebral Palsy; Selective Dorsal Rhizotomy; Pediatric; Opioid

Treatments: Other: Erector Spinae Plane Block

Study type: Interventional

Funder types: Other

Identifiers

NCT06600061

36264PR838/9/24

Details and patient eligibility

About

This study aims to evaluate the efficacy of bilateral erector spinae plane block as an opioid-sparing technique for selective dorsal rhizotomy in pediatric patients with spastic cerebral palsy.

Full description

Cerebral palsy (CP) is the most common physical disability affecting children. Selective dorsal rhizotomy (SDR) is a neurosurgical procedure that permanently reduces lower limb spasticity in children with CP by selectively targeting and removing sensory rootlets with aberrant activity.

Postoperative pain is often distressing for patients and their families and can result in complications, delayed participation in therapy, and poor functional recovery. Erector spinae plane block (ESPB) is a newly described interfascial plane block. ESPB is effective on both visceral and somatic pain.

Enrollment: 30 patients

Sex: All

Ages: 6 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age from 6 to 18 years.
• Both sexes.
• American Society of Anesthesiology (ASA) physical status II, III.
• Patients with spastic cerebral palsy undergoing selective dorsal rhizotomy.

Exclusion criteria

• Allergy to local anesthetics.
• Severe fixed joint deformity.
• Previous orthopedic surgery.
• Patient with abnormal liver/kidney function.
• Patient with skin damage or infection at the proposed puncture site.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

30 participants in 2 patient groups

Erector Spinae Plane Block group

Experimental group

Description:

Patients will receive erector spinae plane block after induction of anesthesia.

Treatment:

Other: Erector Spinae Plane Block

Control group

No Intervention group

Description:

Patients will not receive erector spinae plane block.