The effect of preemptive retrolaminar block on lumbar spinal decompression surgery

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dc.authoridpeker, kevser/0000-0003-4306-5536
dc.authoridSahin, Ahmet Tugrul/0000-0002-4855-696X
dc.contributor.authorPeker, Kevser
dc.contributor.authorAydin, Guelcin
dc.contributor.authorGencay, Isin
dc.contributor.authorSaracoglu, Ayse Gizem
dc.contributor.authorSahin, Ahmet Tugrul
dc.contributor.authorOgden, Mustafa
dc.contributor.authorPeker, Seydi Ali
dc.date.accessioned2025-01-21T16:45:19Z
dc.date.available2025-01-21T16:45:19Z
dc.date.issued2024
dc.departmentKırıkkale Üniversitesi
dc.description.abstractPurpose Spinal decompression surgery causes severe pain. Retrolaminar block (RLB) is block, which is done by infiltration of local anesthetic to block spinal nerves between the lamina and superior costotransversospinalis muscle. The primary aim of this study is to evaluate the effectiveness of RLB on postoperative analgesia in patients undergoing spinal surgery. Secondary aims are effects on additional anesthetic and analgesic consumption. Methods The sixty (60) patients who underwent lumbar spinal surgery between May 2020 and May 2021 under general anesthesia with or without applied preemptive RLB for postoperative analgesia were included in this prospective observational study. Group I received ultrasound-guided preemptive RLB. In Group II, no intervention was performed. Postoperative VAS scores were compared in groups as primary outcome, perioperative additional anesthetic and analgesic needs were compared as secondary outcome. Results There was a significant difference between the groups in favor of the RLB group in terms of postoperative VAS scores at rest [1.33 (0.33-3.509)] and movement [2.40 (1.20-4.00)] (p < 0.001). Perioperative sevoflurane consumption was significantly low in block group (p < 0.001). Postoperative tramadol consumption was lower in Group I compared with Group II [Group 1: 200 (100-300); Group 2: 37.5 (0-200); p < 0.001]. Conclusion Preemptive RLB may be used to reduce patients' pain in lumbar decompression surgery as well as to be part of a multimodal analgesia and anesthesia regimen to reduce anesthetic and analgesic drug consumption. Trial registration numberClinicalTrials.gov (No. NCT04209907). Conclusion Preemptive RLB may be used to reduce patients' pain in lumbar decompression surgery as well as to be part of a multimodal analgesia and anesthesia regimen to reduce anesthetic and analgesic drug consumption. Trial registration numberClinicalTrials.gov (No. NCT04209907).
dc.description.sponsorshipKirikkale University
dc.description.sponsorshipThere is not any conflict of interest between authors.
dc.identifier.doi10.1007/s00586-024-08219-4
dc.identifier.endpage4261
dc.identifier.issn0940-6719
dc.identifier.issn1432-0932
dc.identifier.issue11
dc.identifier.pmid38886235
dc.identifier.scopus2-s2.0-85196118604
dc.identifier.scopusqualityQ1
dc.identifier.startpage4253
dc.identifier.urihttps://doi.org/10.1007/s00586-024-08219-4
dc.identifier.urihttps://hdl.handle.net/20.500.12587/25610
dc.identifier.volume33
dc.identifier.wosWOS:001249564300001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofEuropean Spine Journal
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241229
dc.subjectRetrolaminar block; Lumbar spinal surgery; Analgesia; Anesthesia
dc.titleThe effect of preemptive retrolaminar block on lumbar spinal decompression surgery
dc.typeArticle

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