Single- Versus Two-Level ESP Block for Analgesia After Lumbar Stabilization Surgery

Comparison Of Single- Versus Two-Level Erector Spinae Plane Block For Postoperative Analgesia In Patients Undergoing Lumbar Stabilization Surgery

Status

Not yet recruiting

Phases

Unknown

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT07363096

Acronym

ESP-Lumbar

Enrollment

Registered

2026-01-23

Start date

2026-02-01

Completion date

2027-01-03

Last updated

2026-01-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Erector Spina Plan Block, Lumbar Spinal Fusion Surgery, Postoperative Pain Management

Keywords

Erector Spina Plane Block, Acute Pain, Postoperative Pain Management

Brief summary

Lumbar stabilization surgery is commonly associated with moderate to severe postoperative pain. Effective pain control is important to improve patient comfort, early mobilization, and recovery. The erector spinae plane (ESP) block is a regional anesthesia technique that has been increasingly used for postoperative pain management in spine surgery. This study aims to compare the effectiveness of single-level versus two-level ultrasound-guided ESP block for postoperative pain control in patients undergoing lumbar stabilization surgery. Patients will be randomly assigned to receive either a single-level ESP block or a two-level ESP block in addition to standard analgesic treatment. Postoperative pain scores, opioid consumption, and the incidence of side effects will be evaluated during the postoperative period. The results of this study may help determine the most effective ESP block technique for pain management after lumbar stabilization surgery.

Interventions

PROCEDURESingle-Level Erector Spinae Plane Block

Ultrasound-guided erector spinae plane block performed at a single vertebral level for postoperative analgesia.

PROCEDURETwo-Level Erector Spinae Plane Block

Ultrasound-guided erector spinae plane block performed at two adjacent vertebral levels for postoperative analgesia.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

TRIPLE (Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

18 Years to 80 Years

Healthy volunteers

Inclusion criteria

* ASA I-II-III, * BMI:18-40, * Patients undergoing lumbar stabilization surgery involving 2 to 4 vertebral levels * Patients who personally provide written informed consent to participate in the study

Exclusion criteria

* Patients with chronic pain conditions * Patients with a history of chronic opioid use * Patients undergoing emergency lumbar stabilization surgery

Design outcomes

Primary

Measure	Time frame	Description
Intraoperative Remifentanyl Consumption	During the intraoperative period	The amount of Remifentanyl that patients need to maintain anesthesia during the intraoperative period will be recorded

Secondary

Measure	Time frame	Description
Pain Scores	First 24 hours after surgery	Pain will be assessed at rest and while movement using the from 0 ( no pain) to 10 (worst pain). Pain assessment will be done at the 1st, 2nd, 4th, 12th and 24th hours after surgery

Countries

Turkey (Türkiye)

Contacts

CONTACTHatice Ayça SARIBUDAK, MD

aycasaribudak@gmail.com905437290893

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026