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Órgano Oficial de difusión científica de la Asociación Mexicana de Cirujanos de Columna A. C.

2025, Number 3

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Cir Columna 2025; 3 (3)

Effect of erector spinae plane block versus surgical site infiltration on postoperative pain and rescue analgesia in patients undergoing laminectomy

Chavira CL, Castañeda MM, Félix LPM, Piña RJF

Language: Spanish
References: 51
Page: 167-175
PDF size: 228.47 Kb.


ABSTRACT

Introduction: laminectomy is a surgical procedure commonly performed to relieve symptoms associated with spinal stenosis or other spinal conditions that cause compression of the spinal cord or nerve roots. Currently, it is unknown whether the erector spinae plane block is superior to surgical site infiltration in managing postoperative pain and reducing the need for rescue analgesia in patients undergoing laminectomy. Objective: to compare the effect of the erector spinae plane block versus surgical site infiltration on postoperative pain and rescue analgesia in patients undergoing laminectomy. Material and methods: a randomized, single-blind clinical trial was conducted on patients scheduled for laminectomy at the General Hospital of Mexicali from December 2024 to March 2025. After approval of the protocol by the Research Ethics Committee, patients of both sexes scheduled for laminectomy were invited to participate. Those who agreed signed the informed consent and were randomly assigned to the study groups. Patients in Group B received an ultrasound-guided erector spinae plane block with ropivacaine 3.75% (20 mL on each side of the targeted vertebral level), while those in Group I received surgical site infiltration with ropivacaine 7.5% in a volume of 20 mL. Postoperative pain scores (at recovery, 8, 16, and 24 hours postoperatively) and rescue buprenorphine doses within the first 24 hours postoperatively were compared between groups. A descriptive and inferential statistical analysis was performed using SPSS v.26. A p-value < 0.05 was considered significant. Results: the group receiving the erector spinae plane block showed lower pain levels at recovery (2 vs. 5, p = 0.008), at eight hours (2 vs. 6, p < 0.001), 16 hours (3 vs. 8, p < 0.001), and 24 hours (3 vs. 6, p = 0.006). Additionally, they required less rescue analgesia with buprenorphine (25% vs. 100%, p < 0.001). Conclusion: the erector spinae plane block provides better postoperative pain control and reduces the need for rescue analgesia compared to surgical site infiltration in patients undergoing laminectomy.


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