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

Pelin Dilsiz Eker; Sinem Sarı; Mehmet Turgut

doi:10.17827/aktd.1590564

TR EN

Spinal Cerrahide Postoperatif Ağrı Yönetiminde Plan Bloklarının Rolü: Derleme

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.

Kaynakça

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Pelin Dilsiz Eker
0000-0001-9996-1757
Türkiye

Sinem Sarı ^*
0000-0002-1467-8619
Türkiye

Mehmet Turgut
0000-0001-7130-2530
Türkiye

Yayımlanma Tarihi

24 Aralık 2025

Gönderilme Tarihi

24 Kasım 2024

Kabul Tarihi

17 Kasım 2025

Yayımlandığı Sayı

Yıl 1970 Cilt: 34 Sayı: 4

DOI

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

IZ

https://izlik.org/JA43GS94YS

AMA

1.Dilsiz Eker P, Sarı S, Turgut M. The Role of Plane Blocks in Postoperative Pain Management in Spinal Surgery: A Narrative Review. aktd. 2025;34(4):315-331. doi:10.17827/aktd.1590564

Spinal Cerrahide Postoperatif Ağrı Yönetiminde Plan Bloklarının Rolü: Derleme

Spinal Cerrahide Postoperatif Ağrı Yönetiminde Plan Bloklarının Rolü: Derleme

Öz