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Eector Spinae Plane Block vs Placebo in ERAS Lumbar Surgery: No Added Analgesic Benefit

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Ace Report Cover
November 2025

Eector Spinae Plane Block vs Placebo in ERAS Lumbar Surgery: No Added Analgesic Benefit

Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1

Non-efficacy of ultrasound-guided erector spinae plane block in postoperative analgesia of non-instrumented spine surgery: a randomized, double-blind, controlled trial.

Brain Spine . 2025 Aug 6:5:104379.

Contributing Authors:
G Lonjon N Ross A Dhenin M Vassal A Gourari N Bouic A Bonnal

Synopsis

One hundred patients undergoing non-instrumented lumbar surgery (discectomy or decompression at one or two levels) were randomized to receive an ultrasound-guided bilateral erector spinae plane (ESP) block with levobupivacaine (n=50) or a sham ESP block with normal saline (n=50) in addition to a standardized general anesthetic and multimodal Enhanced Rehabilitation After Surgery (ERAS)-based analg...

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