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Sacral ESP for pain management in transforaminal lumbar interbody fusion cases: A case series – Lumbar Fusion

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The article discusses the use of sacral erector spinae plane block (ESPB) for analgesia in lumbar spine surgeries. The study presents a case series of five patients who underwent transforaminal lumbar interbody fusion (TLIF) and received sacral ESPB. The block was performed under ultrasound guidance, targeting the fascial plane between the S2 median crest and overlying muscles. The patients experienced good postoperative analgesia and required minimal opioid analgesics. The article concludes that sacral ESPB is an effective and safe technique for providing analgesia in TLIF surgeries as part of a multimodal approach to pain management. The main goal of this approach is to reduce the need for opioids

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

Lumbar erector spinae plane block (ESPB) is effective for spine surgeries but is deep and technically demanding. Sacral ESPB is a novel approach for sacrococcygeal procedures and can potentially cover lumbar dermatomes by the cranial drug spread. This is the first reported case series demonstrating the potential analgesic efficacy of sacral ESPB for lumbar spine surgeries. Five patients with radiculopathy at the lumbosacral area level were scheduled for transforaminal lumbar interbody fusion…

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Saudi J Anaesth. 2023 Jul-Sep;17(3):437-439. doi: 10.4103/sja.sja_185_23. Epub 2023 Jun 22.ABSTRACTLumbar erector spinae plane block (ESPB) is effective for spine surgeries but is deep and technically demanding. Sacral ESPB is a novel approach for sacrococcygeal procedures and can potentially cover lumbar dermatomes by the cranial drug spread. This is the first reported case series demonstrating,

Saudi J Anaesth. 2023 Jul-Sep;17(3):437-439. doi: 10.4103/sja.sja_185_23. Epub 2023 Jun 22.

ABSTRACT

Lumbar erector spinae plane block (ESPB) is effective for spine surgeries but is deep and technically demanding. Sacral ESPB is a novel approach for sacrococcygeal procedures and can potentially cover lumbar dermatomes by the cranial drug spread. This is the first reported case series demonstrating the potential analgesic efficacy of sacral ESPB for lumbar spine surgeries. Five patients with radiculopathy at the lumbosacral area level were scheduled for transforaminal lumbar interbody fusion (TLIF). General anaesthesia was induced as per standard practice. All patients received sacral ESP in a prone position under ultrasound guidance with a needle inserted in-plane while targeting the fascial plane between the S2 median crest and overlying muscles. All the included patients had good analgesia in the postoperative period and required minimal opioid analgesic doses. Sacral ESPB is an easy, effective, and safe technique in the scheme of multimodal analgesia for TLIF surgeries as a component of pre-emptive analgesia, where the main goal is an opioid-sparing effect.

PMID:37601490 | PMC:PMC10435809 | DOI:10.4103/sja.sja_185_23

The London Spine Unit : most experienced sugical centre on Harley Street UK

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Sacral ESP for pain management in transforaminal lumbar interbody fusion cases: A case series

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Saudi J Anaesth. 2023 Jul-Sep;17(3):437-439. doi: 10.4103/sja.sja_185_23. Epub 2023 Jun 22.ABSTRACTLumbar erector spinae plane block (ESPB) is effective for spine surgeries but is deep and technically demanding. Sacral ESPB is a novel approach for sacrococcygeal procedures and can potentially cover lumbar dermatomes by the cranial drug spread. This is the first reported case series demonstrating
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