EFFICACY OF SACRAL ERECTOR SPINAE PLANE BLOCK FOR POSTOPERATIVE ANALGESIA IN LUMBAR SPINE SURGERY – AN OBSERVATIONAL STUDY
Main Article Content
Keywords
Sacral erector spinae plane block, Lumbar spine surgery, Postoperative analgesia, Regional anesthesia, Ultrasound-guided block, Multimodal analgesia, Opioid-sparing analgesia, Numerical rating scale, Enhanced recovery after surgery
Abstract
Background: Postoperative pain following lumbar spine surgery is often moderate to severe and can delay early mobilization, rehabilitation, and recovery. Although various interfascial plane blocks have been investigated, evidence regarding the use of sacral erector spinae plane block (SESPB) in lumbar spine surgery remains limited.
Objective: To evaluate the efficacy of ultrasound-guided sacral erector spinae plane block in providing postoperative analgesia following lumbar spine surgery.
References
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2. Kurd MF, Kreitz T, Schroeder G, Vaccaro AR. The role of multimodal analgesia in spine surgery. J Am Acad Orthop Surg. 2017;25:260–8. doi: 10.5435/JAAOS-D-16-00049.
3. Waelkens P, Alsabbagh E, Sauter A, et al211 Pain management after complex spine surgery: a systematic review and procedure-specific postoperative pain management (PROSPECT) recommendationsRegional Anesthesia & Pain Medicine 2021;70:A110.
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7. Farag E, Seif J. Thoracolumbar interfascial block (TLIP): a new technique of interfascial plane blocks. J Clin Anesth 2020;61:109640.
8. Tulgar S, Ahiskalioglu A, De Cassai A, Gurkan Y. Efficacy of bilateral erector spinae plane block in the management of pain: current insights. J Pain Res. 2019;12:2597–613. doi: 10.2147/JPR.S182128.
9. Tulgar S, Senturk O, Thomas DT, et al. A new technique for sensory blockage of posterior branches of sacral nerves: ultrasound guided sacral erector spinae plane block. J Clin Anesth. 2019;57:129–30.
10. Mermer A, Simsek G, Mermer HA, Tire Y, Kozanhan B. Effect of sacral erector spinae plane block on post-hemorrhoidectomy pain: A randomized controlled trial. Medicine 2023;102:37(e35168).
11. Kukreja P, Deichmann P, Selph JP, et al. Sacral erector spinae plane block for gender reassignment surgery.Cureus. 2020;12:7665.
12. Oksuz G, Arslan M, Bilal B, Gişi G, Yavuz C. Ultrasound guided sacral erector spinae block for postoperative analgesia in pediatric anoplasty surgeries. J Clin Anesth 2020;60:88.
13. Kilicaslan A, Aydin A, Kekec AF, Ahiskalioglu A. Sacral erector spinae plane block provides effective postoperative analgesia for pelvic and sacral fracture surgery. J Clin Anesth. 2020 May;61:109674. doi: 10.1016/j.jclinane.2019.109674. Epub 2019 Dec 4. PMID: 31812367.1.Kang S, Brennan TJ. Mechanisms of postoperative pain. Anesth Pain Med 2016;11:236–248.
14. Kurd MF, Kreitz T, Schroeder G, Vaccaro AR. The role of multimodal analgesia in spine surgery. J Am Acad Orthop Surg. 2017;25:260–8. doi: 10.5435/JAAOS-D-16-00049.
15. Waelkens P, Alsabbagh E, Sauter A, et al211 Pain management after complex spine surgery: a systematic review and procedure-specific postoperative pain management (PROSPECT) recommendationsRegional Anesthesia & Pain Medicine 2021;70:A110.
16. Kjaergaard M, Moiniche S, Olsen KS. Wound infiltration with local anesthetics for post-operative pain relief in lumbar spine surgery: a systematic review. Acta Anaesthesiol Scand 2012;56:282–290. [PubMed] [Google Scholar]
17. Brandao J, Graca R, Sa M, et al.. Lumbar erector spinae plane block: successful control of acute pain after lumbar spine surgery – a clinical report. Rev Esp Anestesiol Reanim 2019;66:167–171. [PubMed] [Google Scholar]
18. Melvin JP, Schrot RJ, Chu GM, et al.. Low thoracic erector spinae plane block for perioperative analgesia in lumbosacral spine surgery: a case series. Can J Anaesth 2018;65:1057–1065.
19. Farag E, Seif J. Thoracolumbar interfascial block (TLIP): a new technique of interfascial plane blocks. J Clin Anesth 2020;61:109640.
20. Tulgar S, Ahiskalioglu A, De Cassai A, Gurkan Y. Efficacy of bilateral erector spinae plane block in the management of pain: current insights. J Pain Res. 2019;12:2597–613. doi: 10.2147/JPR.S182128.
21. Tulgar S, Senturk O, Thomas DT, et al. A new technique for sensory blockage of posterior branches of sacral nerves: ultrasound guided sacral erector spinae plane block. J Clin Anesth. 2019;57:129–30.
22. Mermer A, Simsek G, Mermer HA, Tire Y, Kozanhan B. Effect of sacral erector spinae plane block on post-hemorrhoidectomy pain: A randomized controlled trial. Medicine 2023;102:37(e35168).
23. Kukreja P, Deichmann P, Selph JP, et al. Sacral erector spinae plane block for gender reassignment surgery.Cureus. 2020;12:7665.
24. Oksuz G, Arslan M, Bilal B, Gişi G, Yavuz C. Ultrasound guided sacral erector spinae block for postoperative analgesia in pediatric anoplasty surgeries. J Clin Anesth 2020;60:88.
25. Kilicaslan A, Aydin A, Kekec AF, Ahiskalioglu A. Sacral erector spinae plane block provides effective postoperative analgesia for pelvic and sacral fracture surgery. J Clin Anesth. 2020 May;61:109674. doi: 10.1016/j.jclinane.2019.109674. Epub 2019 Dec 4. PMID: 31812367.
2. Kurd MF, Kreitz T, Schroeder G, Vaccaro AR. The role of multimodal analgesia in spine surgery. J Am Acad Orthop Surg. 2017;25:260–8. doi: 10.5435/JAAOS-D-16-00049.
3. Waelkens P, Alsabbagh E, Sauter A, et al211 Pain management after complex spine surgery: a systematic review and procedure-specific postoperative pain management (PROSPECT) recommendationsRegional Anesthesia & Pain Medicine 2021;70:A110.
4. Kjaergaard M, Moiniche S, Olsen KS. Wound infiltration with local anesthetics for post-operative pain relief in lumbar spine surgery: a systematic review. Acta Anaesthesiol Scand 2012;56:282–290. [PubMed] [Google Scholar]
5. Brandao J, Graca R, Sa M, et al.. Lumbar erector spinae plane block: successful control of acute pain after lumbar spine surgery – a clinical report. Rev Esp Anestesiol Reanim 2019;66:167–171. [PubMed] [Google Scholar]
6. Melvin JP, Schrot RJ, Chu GM, et al.. Low thoracic erector spinae plane block for perioperative analgesia in lumbosacral spine surgery: a case series. Can J Anaesth 2018;65:1057–1065.
7. Farag E, Seif J. Thoracolumbar interfascial block (TLIP): a new technique of interfascial plane blocks. J Clin Anesth 2020;61:109640.
8. Tulgar S, Ahiskalioglu A, De Cassai A, Gurkan Y. Efficacy of bilateral erector spinae plane block in the management of pain: current insights. J Pain Res. 2019;12:2597–613. doi: 10.2147/JPR.S182128.
9. Tulgar S, Senturk O, Thomas DT, et al. A new technique for sensory blockage of posterior branches of sacral nerves: ultrasound guided sacral erector spinae plane block. J Clin Anesth. 2019;57:129–30.
10. Mermer A, Simsek G, Mermer HA, Tire Y, Kozanhan B. Effect of sacral erector spinae plane block on post-hemorrhoidectomy pain: A randomized controlled trial. Medicine 2023;102:37(e35168).
11. Kukreja P, Deichmann P, Selph JP, et al. Sacral erector spinae plane block for gender reassignment surgery.Cureus. 2020;12:7665.
12. Oksuz G, Arslan M, Bilal B, Gişi G, Yavuz C. Ultrasound guided sacral erector spinae block for postoperative analgesia in pediatric anoplasty surgeries. J Clin Anesth 2020;60:88.
13. Kilicaslan A, Aydin A, Kekec AF, Ahiskalioglu A. Sacral erector spinae plane block provides effective postoperative analgesia for pelvic and sacral fracture surgery. J Clin Anesth. 2020 May;61:109674. doi: 10.1016/j.jclinane.2019.109674. Epub 2019 Dec 4. PMID: 31812367.1.Kang S, Brennan TJ. Mechanisms of postoperative pain. Anesth Pain Med 2016;11:236–248.
14. Kurd MF, Kreitz T, Schroeder G, Vaccaro AR. The role of multimodal analgesia in spine surgery. J Am Acad Orthop Surg. 2017;25:260–8. doi: 10.5435/JAAOS-D-16-00049.
15. Waelkens P, Alsabbagh E, Sauter A, et al211 Pain management after complex spine surgery: a systematic review and procedure-specific postoperative pain management (PROSPECT) recommendationsRegional Anesthesia & Pain Medicine 2021;70:A110.
16. Kjaergaard M, Moiniche S, Olsen KS. Wound infiltration with local anesthetics for post-operative pain relief in lumbar spine surgery: a systematic review. Acta Anaesthesiol Scand 2012;56:282–290. [PubMed] [Google Scholar]
17. Brandao J, Graca R, Sa M, et al.. Lumbar erector spinae plane block: successful control of acute pain after lumbar spine surgery – a clinical report. Rev Esp Anestesiol Reanim 2019;66:167–171. [PubMed] [Google Scholar]
18. Melvin JP, Schrot RJ, Chu GM, et al.. Low thoracic erector spinae plane block for perioperative analgesia in lumbosacral spine surgery: a case series. Can J Anaesth 2018;65:1057–1065.
19. Farag E, Seif J. Thoracolumbar interfascial block (TLIP): a new technique of interfascial plane blocks. J Clin Anesth 2020;61:109640.
20. Tulgar S, Ahiskalioglu A, De Cassai A, Gurkan Y. Efficacy of bilateral erector spinae plane block in the management of pain: current insights. J Pain Res. 2019;12:2597–613. doi: 10.2147/JPR.S182128.
21. Tulgar S, Senturk O, Thomas DT, et al. A new technique for sensory blockage of posterior branches of sacral nerves: ultrasound guided sacral erector spinae plane block. J Clin Anesth. 2019;57:129–30.
22. Mermer A, Simsek G, Mermer HA, Tire Y, Kozanhan B. Effect of sacral erector spinae plane block on post-hemorrhoidectomy pain: A randomized controlled trial. Medicine 2023;102:37(e35168).
23. Kukreja P, Deichmann P, Selph JP, et al. Sacral erector spinae plane block for gender reassignment surgery.Cureus. 2020;12:7665.
24. Oksuz G, Arslan M, Bilal B, Gişi G, Yavuz C. Ultrasound guided sacral erector spinae block for postoperative analgesia in pediatric anoplasty surgeries. J Clin Anesth 2020;60:88.
25. Kilicaslan A, Aydin A, Kekec AF, Ahiskalioglu A. Sacral erector spinae plane block provides effective postoperative analgesia for pelvic and sacral fracture surgery. J Clin Anesth. 2020 May;61:109674. doi: 10.1016/j.jclinane.2019.109674. Epub 2019 Dec 4. PMID: 31812367.
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Published
Jul 11, 2026
Article Details
How to Cite
Dr. Sravani Yenamadala, Dr. Haritha, Dr. Krishna chaitanya, Dr. Venkateshwara rao, & Dr. Rajitha. (2026). EFFICACY OF SACRAL ERECTOR SPINAE PLANE BLOCK FOR POSTOPERATIVE ANALGESIA IN LUMBAR SPINE SURGERY – AN OBSERVATIONAL STUDY. Journal of Population Therapeutics and Clinical Pharmacology, 33(2), 1069-1077. https://doi.org/10.69980/jhqtba15
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Author Biographies
Dr. Sravani Yenamadala
Department of Anaesthesiology, Narayana Medical College, Nellore, Andhra pradesh
Dr. Haritha
Department of Anaesthesiology, Narayana Medical College, Nellore, Andhra pradesh
Dr. Krishna chaitanya
Department of Anaesthesiology, Narayana Medical College, Nellore, Andhra pradesh
Dr. Venkateshwara rao
Department of Anaesthesiology, Narayana Medical College, Nellore, Andhra pradesh
Dr. Rajitha
Department of Anaesthesiology, Narayana Medical College, Nellore, Andhra pradesh
How to Cite
Dr. Sravani Yenamadala, Dr. Haritha, Dr. Krishna chaitanya, Dr. Venkateshwara rao, & Dr. Rajitha. (2026). EFFICACY OF SACRAL ERECTOR SPINAE PLANE BLOCK FOR POSTOPERATIVE ANALGESIA IN LUMBAR SPINE SURGERY – AN OBSERVATIONAL STUDY. Journal of Population Therapeutics and Clinical Pharmacology, 33(2), 1069-1077. https://doi.org/10.69980/jhqtba15
