Spinal Cerrahide Postoperatif Ağrı Yönetiminde Plan Bloklarının Rolü: Derleme

Yıl 2025, Cilt: 34 Sayı: 4, 315 - 331, 24.12.2025

Pelin Dilsiz Eker , Sinem Sarı , Mehmet Turgut

https://doi.org/10.17827/aktd.1590564

Öz

Spinal cerrahiler, postoperatif dönemde şiddetli ağrıya neden olan majör girişimlerdir. Bu nedenle, etkili ağrı kontrolü için multimodal analjezi yaklaşımları sıklıkla tercih edilmektedir. Son yıllarda, bu amaçla farklı plan blokları üzerine yapılan araştırmalar artış göstermiştir. Bu çalışmada, spinal cerrahilerde tanımlanmış plan bloklarının incelenmesi, analjezik etkinliklerinin, avantaj ve dezavantajlarının değerlendirilmesi amaçlanmıştır.
Literatürde yer alan erector spinae plan bloğu, torakolomber interfasiyal plan bloğu, retrolaminar blok, multifidus blok, mid-transverse process to pleura blok ve intersemispinal plan blok teknikleri incelenmiş; analjezik etkileri, potansiyel komplikasyonları ve klinik uygulamalardaki farklılıkları karşılaştırılmıştır.
Erector spinae plan bloğu, en sık incelenen ve en yaygın uygulanan teknik olarak öne çıkmaktadır. Bununla birlikte, diğer plan bloklarının da belirli cerrahi düzeylerde etkili ve güvenli alternatifler sunabileceği görülmektedir. Ayrıca, çok seviyeli veya bilateral uygulamaların olası yarar ve riskleri göz önünde bulundurularak bireyselleştirilmiş bir analjezi yaklaşımı önerilmektedir.

The Role of Plane Blocks in Postoperative Pain Management in Spinal Surgery: A Narrative Review

Öz

Spinal surgeries are major procedures that cause severe postoperative pain. Therefore, multimodal analgesia techniques are commonly adopted to achieve effective pain control. In recent years, various plane blocks have been increasingly investigated for this purpose. This study aimed to review the plane blocks described for spinal surgeries and to evaluate their analgesic efficacy, advantages, and disadvantages.
Erector spinae plane block, thoracolumbar interfascial plane block, retrolaminar block, multifidus block, mid-transverse process to pleura block, and intersemispinal plane block were reviewed. Their analgesic effects, potential complications, and clinical differences were compared based on current literature.
Among these techniques, the erector spinae plane block appears to be the most frequently studied and widely applied. However, other plane blocks may also provide effective and safe alternatives at specific surgical levels. Considering the possible benefits and risks of multilevel or bilateral applications, an individualized analgesic approach is recommended.

Anahtar Kelimeler

Plane blocks , spinal surgery , multimodal analgesia

Kaynakça

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