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Research ArticleLumbar Spine

Erector Spinae Plane Blocks for Circumferential Lumbar Spinal Fusion: Retrospective Cohort Study

Luis F. Colón, Daniel Miles, Mila Scheinberg, Andrew Wilson, Brian Shepherd and Joseph Miller
International Journal of Spine Surgery October 2023, 17 (5) 715-720; DOI: https://doi.org/10.14444/8528
Luis F. Colón
1 Department of Orthopedic Surgery, University of Tennessee College of Medicine in Chattanooga, Chattanooga, TN, USA
MD
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  • For correspondence: luis.colon@erlanger.org
Daniel Miles
1 Department of Orthopedic Surgery, University of Tennessee College of Medicine in Chattanooga, Chattanooga, TN, USA
MD
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Mila Scheinberg
2 School of Medicine, University of Tennessee Health and Sciences Center, Memphis, TN, USA
MD
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Andrew Wilson
1 Department of Orthopedic Surgery, University of Tennessee College of Medicine in Chattanooga, Chattanooga, TN, USA
MS
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Brian Shepherd
3 ACE Anesthesia, Erlanger Hospital, Chattanooga, TN, USA
MD
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Joseph Miller
4 Erlanger Neurosurgery and Spine, Erlanger Hospital, Chattanooga, TN, USA
MD
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Article Figures & Data

Tables

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    Table 1

    Summary of patient characteristics.a

    Patient CharacteristicErector Spinae Plane (n = 36)Control (n = 108) P Value
    Age, y62.5 (9.4)62.9 (1.3)0.840
    Body mass index29.5 (5.1)31.5 (6.2)0.092
    Sex
     Male19 (52.8%)51 (47.2%)0.564
     Female17 (47.2%)57 (52.8%)
    Smoking5 (13.9%)25 (23.1%)0.236
    Diabetes10 (27.8%)26 (24.1%)0.657
    Rheumatoid arthritis6 (16.7%)1 (0.9%)<0.001a
    Drug abuse history2 (5.6%)6 (5.6%)>0.99
    Previous pain management13 (36.1%)54 (50.0%)0.148
    Number of levels1.0 (1.0–2.0)1.5 (1.0–2.0)0.702
    • Note: Data presented as number (%), mean (SD), or median (interquartile range).

    • ↵a Statistically significant (P ≤ 0.05).

    • View popup
    Table 2

    Summary of total postoperative day opioid consumption.a

    Outcome MeasureErector Spinae Plane (n = 36)Control (n = 108) P Value
    Total MME POD 0 to 2123.7 (69.2–143.9)141.2 (75.8–185.5)0.050a
    Total MME POD 0 to 5149.8 (80.0–241.1)188.3 (121.3–330.2)0.020a
    Length of stay, d3.0 (2.0–4.0)4.0 (3.0–6.0)0.005a
    • Abbreviations: MME, morphine milligram equivalents; POD, postoperative day.

    • Note: Data presented as median (interquartile range).

    • ↵a Statistically significant (P ≤ 0.05)

    • View popup
    Table 3

    Summary of VAS scores.a

    Pain VASFollow-upESP
    (n = 36)
    Control
    (n = 108)
    P Value
    ESPControl
    POD 036 (100%)106 (98.1%)7.0 (6.0–8.0)8.0 (6.0–9.0)0.349
    POD 135 (97.2%)105 (97.2%)8.0 (6.0–9.0)8.0 (6.0–9.0)0.862
    POD 230 (83.3%)97 (89.8%)7.0 (4.7–8.2)7.0 (5.0–8.0)0.911
    POD 323 (63.8%)78 (72.2%)7.0 (3.0–8.0)7.0 (6.0–8.2)0.227
    POD 413 (36.1%)59 (54.6%)5.0 (3.5–7.5)8.0 (7.0–9.0)0.009a
    POD 54 (11.1%)42 (38.8%)7.0 (1.5–9.5)7.0 (5.0–8.0)0.955
    Weeks 2 to 434 (94.4%)89 (82.4%)4.0 (2.0–6.0)5.0 (2.0–7.0)0.703
    Months 2 to 333 (91.6%)80 (74.0%)2.0 (0.0–5.0)4.0 (1.0–6.0)0.075
    Month 622 (61.1%)63 (58.3%)3.0 (0.0–5.5)4.0 (0.0–6.0)0.218
    1 Year13 (36.1%)44 (40.7%)3.0 (0.0–5.5)5.0 (2.0–7.0)0.050a
    • Abbreviations: ESP, erector spinae plane; POD, postoperative day; VAS, visual analog scale.

    • Note: Data presented as number (%) and median (interquartile range).

    • ↵a Statistically significant (P ≤ 0.05).

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Erector Spinae Plane Blocks for Circumferential Lumbar Spinal Fusion: Retrospective Cohort Study
Luis F. Colón, Daniel Miles, Mila Scheinberg, Andrew Wilson, Brian Shepherd, Joseph Miller
International Journal of Spine Surgery Oct 2023, 17 (5) 715-720; DOI: 10.14444/8528

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Erector Spinae Plane Blocks for Circumferential Lumbar Spinal Fusion: Retrospective Cohort Study
Luis F. Colón, Daniel Miles, Mila Scheinberg, Andrew Wilson, Brian Shepherd, Joseph Miller
International Journal of Spine Surgery Oct 2023, 17 (5) 715-720; DOI: 10.14444/8528
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Keywords

  • erector spinae plane block
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