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Lumbar spinae stenosis surgery is a frequent intervention resulting in important postoperative pain. Management of this postoperative pain is thus important. Different pain management therapies exist. The erector spinae plane (ESP) block was described in 2016. It involves the injection of local anesthetics into the interfascial plane, deep to erector spinae muscle, allowing the blockade of the dorsal and ventral rami of the thoracic spinal nerves. It was initially proposed for analgesia of costal fractures, pulmonary lobectomy and thoracic vertebrae. The ESP block (ESPB) could probably be extended to a large number of surgical procedures. ESPB has so far not been investigated in lumbar spinae stenosis surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Erector Spinae plane Block (ESPB) group | Experimental | The ultrasound-guided ESPB was realized at T12 level (levo bupivacaine 0.25% + epinephrine 1:200.000 4mg.kg-1 body weight)after the induction of anesthesia but before the start of the surgery. |
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| Local anesthesia infiltration by the surgeon | Active Comparator | The surgeon infiltrates the surgical site after skin incision with local anesthetics (Levo Bupivacaïne 0.25% + epinephrine 1:200.000 4mg.kg-1 body weight) |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ESPB | Procedure | Ultrasound guided performance of ESPB at T12 level after the induction of anesthesia but before the start of the surgery |
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| Measure | Description | Time Frame |
|---|---|---|
| Total 24 h Piritramide consumption | Total consumption of Piritramide consumption after surgery | 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Quebec back pain disability scale (QBPDS) | A questionnaire developed to measure the level of functional disability for patients with low back pain | At 2 months] |
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Inclusion Criteria:
- Any lumbar spinae surgery on 2 or more lumbar levels
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Georges SAMOURI, MD | Contact | 003210437260 | georges.samouri@cspo.be | |
| Nicolas PARISI, MD | Contact | 003210437608 | nicolas.parisi@cspo.be |
| Name | Affiliation | Role |
|---|---|---|
| Georges SAMOURI, MD | Clinique Saint Pierre Ottignies | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinique Saint Pierre | Recruiting | Ottignies | Brabant Wallon | 1340 | Belgium |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27501016 | Result | Forero M, Adhikary SD, Lopez H, Tsui C, Chin KJ. The Erector Spinae Plane Block: A Novel Analgesic Technique in Thoracic Neuropathic Pain. Reg Anesth Pain Med. 2016 Sep-Oct;41(5):621-7. doi: 10.1097/AAP.0000000000000451. |
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All data will be presented in future manuscripts.
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| ID | Term |
|---|---|
| D013130 | Spinal Stenosis |
| ID | Term |
|---|---|
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
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| Local infiltration by the surgeon | Procedure | Local infiltration of anesthetics at surgical site after skin incision |
|