Erector Spinae Plane Block for Control of Postoperative Pain in Patients Undergoing Thoracolumbar Spinal Fracture Fixation

Introduction: Post operative pain control in thoracolumbar spinal fixation following fracture is important for early rehabilitation. Erector Spinae Plane block (ESB) is an effective method. Study Design: A prospective comparative longitudinal observational study. Objective: The objective is to study...

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Bibliographic Details
Main Authors: Sushruta Bhattacharya, Priti Banerjee, Sunit Hazra, Kiran Kumar Mukhopadhyay
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-01-01
Series:Journal of Orthopedics, Traumatology and Rehabilitation
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Online Access:https://journals.lww.com/10.4103/jotr.jotr_128_23
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Summary:Introduction: Post operative pain control in thoracolumbar spinal fixation following fracture is important for early rehabilitation. Erector Spinae Plane block (ESB) is an effective method. Study Design: A prospective comparative longitudinal observational study. Objective: The objective is to study the efficacy of erector spinae plane block (ESB) with general anesthesia (GA) in postoperative analgesia in comparison to GA only in thoracolumbar spinal fracture surgery. Materials and Methods: A total of 40 patients enrolled for the study were randomly allocated into two groups, 20 patients received GA without ESB and 20 patients with GA and ESB. Numerical rating scale (NRS) pain score was noted in postoperative period at 1, 2, 4, 6, 9, and 24 hours, respectively. Results: There was a statistically significant difference in NRS score for 1, 2, 4, 6, and 9 h and the ESB group had better pain control but at 24 h, there was no statistically significant difference was noted. Conclusion: Postoperative pain control directly affects the recovery of a patient in any surgical condition. Thoracolumbar spine fracture fixation is a major surgery and postoperative pain control plays a major role during the early recovery period. ESB has been shown a very effective, cost-effective method of pain control in thoracolumbar spine surgery for fractures.
ISSN:0975-7341
2347-3746