Ultrasound-guided erector spinae plane block in percutaneous transforaminal endoscopic discectomy Surgery
Conditions
Interventions
Intervention Group (ESPB): The ultrasound-guided erector spinae plane block (ESPB) is administered once prior to surgery. No repeated dosing is involved.
Control Group (LA): Local anesthesia is simil
Sponsors
Dehua County Hospital
Eligibility
Sex/Gender
All
Age
32 Years to 56 Years
Inclusion criteria
Inclusion criteria: 1. Invalid conservative treatment for twelve weeks 2. Patients complaining of lower back and lower limb pain or numbness and motor weakness due to LDH 3. Symptoms associated with pre-operative MRI and CT scans 4. None of the patients had a prior history of percutaneous foraminal surgery 5. Imagological examination showing single-segmental LDH without accompanying thickening and calcification of posterior longitudinal ligament and ligamentum flavum
Exclusion criteria
Exclusion criteria: 1. Patients with surgical contraindication 2. Multiple segments of disc herniation, vertebral infection or tumor 3. Lumbar spondylolisthesis, obvious degenerative deformities, instability, and scoliosis 4. Substantial diseases of important organs 5. Patients who withdrew their participation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Intraoperative VAS scores (Visual Analog Scale) at foraminoplasty, annulus fibrosus operation, and end of surgery. 2. Measured using VAS during the procedure. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Mean arterial pressure (MAP) and heart rate (HR) at four perioperative time points (T0–T3) 2. Operation time, intraoperative blood loss, length of hospital stay 3. Modified Macnab criteria at 3-month follow-up 4. Pre- and postoperative VAS and ODI scores at 3 and 6 months 5. Reoperation willingness on post-op Day 1 | — |
Countries
China
Contacts
Public ContactXiaoting Zheng
Outcome results
None listed