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- Elias Elias, Zeina Nasser, Charbel Elias, Ata Rahman, Ravi Nunna, Rod J Oskouian, and Jens R Chapman.
- Swedish Neuroscience Institute, Swedish Medical Center, Seattle, Washington, USA. Electronic address: elias.lyes@gmail.com.
- World Neurosurg. 2022 Feb 1; 158: 106112106-112.
BackgroundPatients undergoing spine surgery may experience substantial postoperative pain. The aim of this systematic review is to examine the clinical efficacy of a newly introduced regional anesthetic block, the erector spinae plane block (ESPB), for adults undergoing posterior spine surgeries.MethodsA formal systematic database search was conducted in PubMed, Ovid Medline, Embase, Cochrane library, and Google Scholar for randomized controlled trials comparing ESPB with control or placebo.ResultsOur systematic review demonstrates a reduction of postoperative pain and opioid consumption in patients who had ESPB compared with control groups for lumbar spine surgery. However, the effect obtained revealed only a short-term benefit.ConclusionsCurrent evidence is insufficient to support the widespread use of ESPB for spine surgery. More studies are warranted to confirm or refute its role in clinical practice.Copyright © 2021 Elsevier Inc. All rights reserved.
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