Bilateral ultrasound-guided erector spinae plane block for postoperative persistent low back pain in lumbar disc surgery

Akyüz, Mehmet; Firidin, Mustafa Nevzat

doi:10.1007/s00586-022-07212-z

Cited by 3 publications

(8 citation statements)

References 27 publications

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“…relieving postoperative pain after lumbar spinal surgery or lower limb surgery [6,7]. Low back pain is one of the most common musculoskeletal pain that physicians might encounter in their pain clinic.…”

Section: A a B Bmentioning

confidence: 99%

“…Low back pain is one of the most common musculoskeletal pain that physicians might encounter in their pain clinic. Although the clinical course of back pain is benign, it can result in disability and significant socioeconomic impact when treated improperly [7]. There is one case report showing the clinical efficacy of lumbar ESP to improve low back pain [11].…”

Section: A a B Bmentioning

confidence: 99%

“…The location of ESP block is far from the nerve root and spinal cord, therefore, it provides better safety profile compared to epidural injection. Even in altered coagulation status, ESP block could be performed safely without any complication [1,7,9].…”

Section: A a B Bmentioning

confidence: 99%

“…In the abdomen and thoracic wall, thoracic ESP can be applied for pain control after cardiac surgery [2], mastectomy [3], video-assisted thoracic surgery [4], and thoracotomy [5]. More recently, good postoperative pain controls have been reported after lumbar spinal or lower limb surgeries when lumbar ESP was applied [6,7].…”

Section: Introductionmentioning

confidence: 99%

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Erector Spinae Plane Block in Patients with Low Back Pain

2022

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The erector spinae plane (ESP) block is a novel interfascial block technique to relieve various postoperative pain. We described successful management of acute or subacute low back pain in 3 patients using ultrasound guided ESP blocks. Three patients of low back pain visited our pain clinic with variable duration of pain development with numerical rating scale 7. Before the visit of pain clinic, they were treated with physical therapy and acupuncture with minimal efficacy. For their pain relief, lumbar ESP block at L4 or L5 level using ultrasound guidance was performed. After lumbar ESP block, all 3 patients showed good treatment effect in relieving their low back pain (numerical rating scale 1-2). This effect was maintained even after 2 months after injection. Lumbar ESP block is a good treatment option for acute or subacute low back pain. Further studies are needed to clarify the clinical efficacy.

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Section: A a B Bmentioning

confidence: 99%

Section: A a B Bmentioning

confidence: 99%

Section: A a B Bmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Erector Spinae Plane Block in Patients with Low Back Pain

2022

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“…A local anesthetic is injected into the interfascial plane below the erector spinae muscle to manage acute or chronic pain in the thoracic and lumbar areas [ 2 ]. Randomized clinical trials have demonstrated that ESPB could decrease postoperative pain intensity and opioid consumption and improve postoperative recovery in spinal surgery patients [ [3] , [4] , [5] ]. In addition, the ESPB procedure is easy to perform with a low incidence of complications [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Topical lyophilized thrombin application improves wound healing for posterior spinal surgery

Zhao,

Liu,

et al. 2024

Heliyon

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Ultrasound‐guided erector spinae plane block in patients with chronic lumbar facet joint pain: A prospective case‐controlled study

Ata,

Kesikburun,

Karamehmetoğlu

et al. 2024

Pain Practice

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PurposeThe aim was to evaluate the efficacy of ultrasound‐guided erector spinae plane (ESP) block and compare with the conventional physical therapy in chronic low back pain (LBP).Materials and MethodsThis prospective case‐controlled study included patients with chronic LBP. Their clinical and demographic data were obtained, and they were divided into two groups for conventional physical therapy and ESP blocks. Prior to treatment, on the first day, the second week, and the third month, the Oswestry Disability Index (ODI) and visual analog scale (VAS) pain score were evaluated.ResultsThe study included 43 patients, 21 in the ESP block group and 22 in the conventional physical therapy group. The VAS in movement was higher in the ESP block group at baseline (p = 0.047). On the first day after the treatments, the ESP block group showed lower resting (p < 0.001) and movement (p = 0.001) VAS values than the conventional physical therapy group. At the end of 3 months, both groups had improved VAS and ODI scores (all p < 0.001).ConclusionUS‐guided ESP block might be considered a successful, safe, and technically simple alternative treatment in patients with chronic LBP to control pain and reduce the cost of physical therapy and lost workdays.

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Bilateral ultrasound-guided erector spinae plane block for postoperative persistent low back pain in lumbar disc surgery

Cited by 3 publications

References 27 publications

Erector Spinae Plane Block in Patients with Low Back Pain

Erector Spinae Plane Block in Patients with Low Back Pain

Topical lyophilized thrombin application improves wound healing for posterior spinal surgery

Ultrasound‐guided erector spinae plane block in patients with chronic lumbar facet joint pain: A prospective case‐controlled study

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