Swedish Neuroscience Institute, Swedish Medical Center, Seattle, Washington, USA.
Faculty of Medical Sciences, Neuroscience Research Center, Lebanese University, Hadath, Lebanon.
World Neurosurg. 2022 Feb;158:106-112. doi: 10.1016/j.wneu.2021.11.005. Epub 2021 Nov 10.
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.
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.
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.
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.
接受脊柱手术的患者可能会经历大量的术后疼痛。本系统评价的目的是检查一种新引入的区域麻醉阻滞——竖脊肌平面阻滞（ESPB），在接受后路脊柱手术的成人中的临床疗效。
在 PubMed、Ovid Medline、Embase、Cochrane 图书馆和 Google Scholar 中进行了正式的系统数据库检索，比较了 ESPB 与对照组或安慰剂的随机对照试验。
我们的系统评价表明，与对照组相比，接受腰椎手术的患者接受 ESPB 后，术后疼痛和阿片类药物的消耗减少。然而，所获得的效果仅显示出短期的益处。
目前的证据不足以支持 ESPB 在脊柱手术中的广泛应用。需要更多的研究来证实或反驳其在临床实践中的作用。
