Lumbar Spinal Stenosis, Erector Spinae Plane Block
Conditions
Brief summary
Lumbar spinae stenosis surgery is a frequent intervention resulting in important postoperative pain. Management of this postoperative pain is thus important. Different pain management therapies exist. The erector spinae plane (ESP) block was described in 2016. It involves the injection of local anesthetics into the interfascial plane, deep to erector spinae muscle, allowing the blockade of the dorsal and ventral rami of the thoracic spinal nerves. It was initially proposed for analgesia of costal fractures, pulmonary lobectomy and thoracic vertebrae. The ESP block (ESPB) could probably be extended to a large number of surgical procedures. ESPB has so far not been investigated in lumbar spinae stenosis surgery.
Interventions
PROCEDUREESPB
Ultrasound guided performance of ESPB at T12 level after the induction of anesthesia but before the start of the surgery
PROCEDURELocal infiltration by the surgeon
Local infiltration of anesthetics at surgical site after skin incision
Sponsors
Clinique Saint Pierre Ottignies
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
No
Inclusion criteria
\- Any lumbar spinae surgery on 2 or more lumbar levels
Exclusion criteria
* Contraindication to NSAID * Allergy to any local anesthetics
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total 24 h Piritramide consumption | 24 hours | Total consumption of Piritramide consumption after surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quebec back pain disability scale (QBPDS) | At 2 months] | A questionnaire developed to measure the level of functional disability for patients with low back pain |
Countries
Belgium
Contacts
Primary ContactGeorges SAMOURI, MD
Backup ContactNicolas PARISI, MD
Outcome results
None listed