Erector Spinae Blocks for Spine Surgery: Fact or Fad? Systematic Review of Randomized Controlled Trials

Elias Elias; Zeina Nasser; Charbel Elias; Ata Rahman; Ravi Nunna; Rod J. Oskouian; Jens R. Chapman

doi:10.1016/j.wneu.2021.11.005

Erector Spinae Blocks for Spine Surgery: Fact or Fad? Systematic Review of Randomized Controlled Trials

Elias Elias, Zeina Nasser, Charbel Elias, Ata Rahman, Ravi Nunna, Rod J. Oskouian, Jens R. Chapman

Research output: Contribution to journal › Review article › peer-review

9 Scopus citations

Abstract

Background: Patients undergoing spine surgery may experience substantial postoperative pain. The aim of this systematic review is to examine the clinical efficacy of a newly introduced regional anesthetic block, the erector spinae plane block (ESPB), for adults undergoing posterior spine surgeries. Methods: A formal systematic database search was conducted in PubMed, Ovid Medline, Embase, Cochrane library, and Google Scholar for randomized controlled trials comparing ESPB with control or placebo. Results: Our systematic review demonstrates a reduction of postoperative pain and opioid consumption in patients who had ESPB compared with control groups for lumbar spine surgery. However, the effect obtained revealed only a short-term benefit. Conclusions: Current evidence is insufficient to support the widespread use of ESPB for spine surgery. More studies are warranted to confirm or refute its role in clinical practice.

Original language	English (US)
Pages (from-to)	106-112
Number of pages	7
Journal	World neurosurgery
Volume	158
DOIs	https://doi.org/10.1016/j.wneu.2021.11.005
State	Published - Feb 2022
Externally published	Yes

Keywords

Erector spinae plane block
ESPB
Postoperative pain
Spine surgery
Systematic review

ASJC Scopus subject areas

Surgery
Clinical Neurology

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10.1016/j.wneu.2021.11.005

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title = "Erector Spinae Blocks for Spine Surgery: Fact or Fad? Systematic Review of Randomized Controlled Trials",

abstract = "Background: Patients undergoing spine surgery may experience substantial postoperative pain. The aim of this systematic review is to examine the clinical efficacy of a newly introduced regional anesthetic block, the erector spinae plane block (ESPB), for adults undergoing posterior spine surgeries. Methods: A formal systematic database search was conducted in PubMed, Ovid Medline, Embase, Cochrane library, and Google Scholar for randomized controlled trials comparing ESPB with control or placebo. Results: Our systematic review demonstrates a reduction of postoperative pain and opioid consumption in patients who had ESPB compared with control groups for lumbar spine surgery. However, the effect obtained revealed only a short-term benefit. Conclusions: Current evidence is insufficient to support the widespread use of ESPB for spine surgery. More studies are warranted to confirm or refute its role in clinical practice.",

keywords = "Erector spinae plane block, ESPB, Postoperative pain, Spine surgery, Systematic review",

author = "Elias Elias and Zeina Nasser and Charbel Elias and Ata Rahman and Ravi Nunna and Oskouian, {Rod J.} and Chapman, {Jens R.}",

note = "Funding Information: Conflict of interest statement: The authors declare that the article content was composed in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. Publisher Copyright: {\textcopyright} 2021 Elsevier Inc.",

year = "2022",

month = feb,

doi = "10.1016/j.wneu.2021.11.005",

language = "English (US)",

volume = "158",

pages = "106--112",

journal = "World neurosurgery",

issn = "1878-8750",

publisher = "Elsevier Inc.",

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T1 - Erector Spinae Blocks for Spine Surgery

T2 - Fact or Fad? Systematic Review of Randomized Controlled Trials

AU - Elias, Elias

AU - Nasser, Zeina

AU - Elias, Charbel

AU - Rahman, Ata

AU - Nunna, Ravi

AU - Oskouian, Rod J.

AU - Chapman, Jens R.

N1 - Funding Information: Conflict of interest statement: The authors declare that the article content was composed in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. Publisher Copyright: © 2021 Elsevier Inc.

PY - 2022/2

Y1 - 2022/2

N2 - Background: Patients undergoing spine surgery may experience substantial postoperative pain. The aim of this systematic review is to examine the clinical efficacy of a newly introduced regional anesthetic block, the erector spinae plane block (ESPB), for adults undergoing posterior spine surgeries. Methods: A formal systematic database search was conducted in PubMed, Ovid Medline, Embase, Cochrane library, and Google Scholar for randomized controlled trials comparing ESPB with control or placebo. Results: Our systematic review demonstrates a reduction of postoperative pain and opioid consumption in patients who had ESPB compared with control groups for lumbar spine surgery. However, the effect obtained revealed only a short-term benefit. Conclusions: Current evidence is insufficient to support the widespread use of ESPB for spine surgery. More studies are warranted to confirm or refute its role in clinical practice.

AB - Background: Patients undergoing spine surgery may experience substantial postoperative pain. The aim of this systematic review is to examine the clinical efficacy of a newly introduced regional anesthetic block, the erector spinae plane block (ESPB), for adults undergoing posterior spine surgeries. Methods: A formal systematic database search was conducted in PubMed, Ovid Medline, Embase, Cochrane library, and Google Scholar for randomized controlled trials comparing ESPB with control or placebo. Results: Our systematic review demonstrates a reduction of postoperative pain and opioid consumption in patients who had ESPB compared with control groups for lumbar spine surgery. However, the effect obtained revealed only a short-term benefit. Conclusions: Current evidence is insufficient to support the widespread use of ESPB for spine surgery. More studies are warranted to confirm or refute its role in clinical practice.

KW - Erector spinae plane block

KW - ESPB

KW - Postoperative pain

KW - Spine surgery

KW - Systematic review

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SN - 1878-8750

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JO - World neurosurgery

JF - World neurosurgery

ER -

Erector Spinae Blocks for Spine Surgery: Fact or Fad? Systematic Review of Randomized Controlled Trials

Abstract

Keywords

ASJC Scopus subject areas

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