Erector Spinae Plane Blocks (ESP) for Postoperative Pain in Lumbo-sacral Spine Surgery

University of California San Francisco (UCSF)

Status: Unknown

Conditions: Lumbar Spine Surgery; Erector Spinae Plane Block

Treatments: Procedure: Bilateral lumbar erector spinae plane block

Study type: Interventional

Funder types: Other

Identifiers

NCT04233736

19-28625

Details and patient eligibility

About

The goal of this study is to evaluate the analgesic efficacy of bilateral erector spinae plane (ESP) blocks after lumbar and lumbo-sacral spine surgery by assessing postoperative pain scores and opiate requirements as the primary outcome measures. We are aiming to investigate how ESP blocks, performed under ultrasound guidance at the T12 vertebral level, contribute to postoperative pain control. This will be determined by measuring numerical rating pain scores repeatedly following surgery and opiate consumption until patient discharge from hospital. These primary outcome measures will be compared between a treatment group of participants, who will receive ESP blocks and a control group who will receive a sham block. Our primary hypothesis is that ESP blocks significantly reduce postoperative pain and opiate requirements

Enrollment: 160 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Spine surgery at or below the L1 vertebral level
• Midline surgical approach

Exclusion criteria

• Previous lumbar or lumbo-sacral surgery with or without hardware placement
• Evidence of dura pathology (including CSF leak)
• Spine tumor
• Non-English speaking

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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160 participants in 2 patient groups

Treatment group

Active Comparator group

Treatment:

Procedure: Bilateral lumbar erector spinae plane block

Control group

Sham Comparator group

Treatment:

Procedure: Bilateral lumbar erector spinae plane block