Deng Ke, Huang Kui, Wu Guo-Feng
Department of Orthopedics, The First Affiliated Hospital of Yangtze University, Jingzhou, Hubei 434300, P.R. China.
Department of Orthopedics, Southern University of Science and Technology Hospital, Shenzhen, Guangdong 518052, P.R. China.
Biomed Rep. 2024 Apr 22;20(6):95. doi: 10.3892/br.2024.1783. eCollection 2024 Jun.
The erector spinae plane block (ESPB) is a novel fascial planar block technique, which is used to reduce postoperative pain in several surgical procedures, including breast, thoracic, spine and hip surgery. Due to its recognizable anatomy and low complication rate, the application of ESPB has been significantly increased. However, it is rarely used in clinical practice for postoperative analgesia after posterior lumbar spine surgery, while the choice of adjuvant drugs, block levels and drug doses remain controversial. Based on the current literature review, ropivacaine and dexmedetomidine could be considered as the best available drug combination. The present review aimed to analyze the currently available clinical evidence and summarize the benefits and challenges of ESPB in spinal surgery, thus providing novel insights into the application of ESPB in the postoperative management of posterior lumbar surgery.
竖脊肌平面阻滞（ESPB）是一种新型的筋膜平面阻滞技术，用于减轻包括乳腺、胸部、脊柱和髋关节手术在内的多种外科手术的术后疼痛。由于其解剖结构易于识别且并发症发生率低，ESPB的应用显著增加。然而，它在腰椎后路手术后的临床实践中很少用于术后镇痛，而辅助药物的选择、阻滞平面和药物剂量仍存在争议。基于当前的文献综述，罗哌卡因和右美托咪定可被视为最佳可用药物组合。本综述旨在分析当前可用的临床证据，总结ESPB在脊柱手术中的益处和挑战，从而为ESPB在腰椎后路手术术后管理中的应用提供新的见解。
