Postoperative Outcomes of Regional Blocks in Cervical Disc Surgery

Samsun University

Status: Not yet enrolling

Conditions: Servical Disc Herniation; Acute Pain

Study type: Observational

Funder types: Other

Identifiers

NCT07694180

GOKAEK 2026/11/21

Details and patient eligibility

About

The aim of this study is to evaluate the postoperative analgesic efficacy of the Serratus Posterior Superior Intercostal Plane Block (SPSIP block) in patients undergoing Anterior Cervical Discectomy and Fusion (ACDF) surgery and to compare the outcomes with those of patients who do not receive regional anesthesia.

Full description

Cervical disc disorders may lead to various signs and symptoms, including neck pain, radicular pain in the upper extremities, sensory disturbances, motor weakness, and functional impairment. Anterior cervical discectomy and fusion (ACDF) is a widely accepted surgical procedure for the treatment of cervical disc herniation and other degenerative cervical spine disorders. However, postoperative pain remains a significant concern and may adversely affect recovery and patient comfort.

A multimodal analgesic approach is commonly preferred for postoperative pain management following cervical spine surgery. The incorporation of regional anesthesia techniques may reduce opioid consumption and opioid-related adverse effects while facilitating earlier mobilization, shorter hospital stay, and improved patient satisfaction.

In patients undergoing ACDF surgery, the Serratus Posterior Superior Intercostal Plane Block (SPSIPB) has emerged as a promising regional anesthesia technique for postoperative pain control. This study aims to evaluate the postoperative analgesic efficacy of SPSIPB and compare postoperative outcomes between patients receiving SPSIPB and those managed without regional anesthesia.

Enrollment: 66 estimated patients

Sex: All

Ages: 18 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients aged between 18 and 70 years.
• American Society of Anesthesiologists (ASA) physical status I, II, or III.
• Patients scheduled for elective anterior cervical discectomy and fusion (ACDF) surgery under general anesthesia.
• Patients who provide written informed consent and agree to participate in the study.

Exclusion criteria

• Patients with a history of bleeding diathesis or those receiving anticoagulant therapy.
• Patients with a known allergy or hypersensitivity to local anesthetics or opioid medications.
• Patients with infection at the planned block site.
• Patients with a history of previous cervical spine surgery.
• Patients with a history of gabapentinoid or corticosteroid use within the last 3 weeks.

Trial design

66 participants in 2 patient groups

Group-SPSİPB

Description:

The Serratus Posterior Superior Intercostal Plane Block (SPSIPB) will be administered under ultrasound guidance 30 minutes before the induction of anesthesia for anterior cervical discectomy and fusion (ACDF) surgery.

Group-Control

Description:

Patients in the control group will not receive any regional anesthesia technique before surgery and will undergo anterior cervical discectomy and fusion (ACDF) surgery under standard general anesthesia. Postoperative pain management will be provided according to the institution's routine multimodal analgesia protocol.