Erector Spinae Blocks for Spine Surgery: Fact or Fad? Systematic Review of Randomized Controlled Trials

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dc.contributor.authorElias, Elias M.
dc.contributor.authorNasser, Zeina
dc.contributor.authorElias, Charbel M.
dc.contributor.authorRahman, Ata
dc.contributor.authorNunna, Ravi Shankar
dc.contributor.authorOskouian, Rod Jamshid
dc.contributor.authorChapman, Jens Robert
dc.contributor.departmentInternal Medicine
dc.contributor.departmentDivision of Hematology Oncology
dc.contributor.facultyFaculty of Medicine (FM)
dc.contributor.institutionAmerican University of Beirut
dc.date.accessioned2025-01-24T11:43:57Z
dc.date.available2025-01-24T11:43:57Z
dc.date.issued2022
dc.description.abstractBackground: Patients 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. Methods: A 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. Results: Our 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. Conclusions: Current 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. © 2021 Elsevier Inc.
dc.identifier.doihttps://doi.org/10.1016/j.wneu.2021.11.005
dc.identifier.eid2-s2.0-85119993188
dc.identifier.pmid34767990
dc.identifier.urihttp://hdl.handle.net/10938/30380
dc.language.isoen
dc.publisherElsevier Inc.
dc.relation.ispartofWorld Neurosurgery
dc.sourceScopus
dc.subjectErector spinae plane block
dc.subjectEspb
dc.subjectPostoperative pain
dc.subjectSpine surgery
dc.subjectSystematic review
dc.subjectAdult
dc.subjectAnesthetics, local
dc.subjectHumans
dc.subjectNerve block
dc.subjectPain, postoperative
dc.subjectParaspinal muscles
dc.subjectRandomized controlled trials as topic
dc.subjectBupivacaine
dc.subjectLidocaine
dc.subjectMorphine
dc.subjectOpiate
dc.subjectRopivacaine
dc.subjectTramadol
dc.subjectLocal anesthetic agent
dc.subjectAdolescent
dc.subjectAged
dc.subjectErector spinae muscle
dc.subjectHuman
dc.subjectLumbar spine
dc.subjectQuality control
dc.subjectRandomized controlled trial (topic)
dc.subjectRegional anesthesia
dc.subjectReview
dc.subjectParaspinal muscle
dc.titleErector Spinae Blocks for Spine Surgery: Fact or Fad? Systematic Review of Randomized Controlled Trials
dc.typeReview

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