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

Cilt: 34 Sayı: 4 24 Aralık 2025
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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

  1. 1. Gerbershagen HJ, Aduckathil S, van Wijck AJM, Peelen LM, Kalkman CJ, Meissner W. Pain intensity on the first day after surgery: a prospective cohort study comparing 179 surgical procedures. Anesthesiology. 2013;118(4):934–944. doi:10.1097/ALN.0b013e31828866b3
  2. 2. Singh S, Choudhary NK, Lalin D, Verma VK. Bilateral ultrasound-guided erector spinae plane block for postoperative analgesia in lumbar spine surgery: a randomized controlled trial. J Neurosurg Anesthesiol. 2020;32(4):330–334. doi:10.1097/ANA.0000000000000603
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  7. 7. Chin KJ, Lirk P, Hollmann MW, Schwarz SKW. Mechanisms of action of fascial plane blocks: a narrative review. Reg Anesth Pain Med. 2021;46(7):618–628. doi:10.1136/rapm-2020-102305
  8. 8. 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;41(5):621–627. doi:10.1097/AAP.0000000000000451
  9. 9. Asar S, Sarı S, Altınpulluk EY, Turgut M. Efficacy of erector spinae plane block on postoperative pain in patients undergoing lumbar spine surgery. Eur Spine J. 2022;31(1):197–204. doi:10.1007/s00586-021-07056-z
  10. 10. Yörükoğlu HU, İçli D, Aksu C, Cesur S, Kuş A, Gürkan Y. Erector spinae block for postoperative pain management in lumbar disc hernia repair. J Anesth. 2021;35(3):420–425. doi:10.1007/s00540-021-02920-0

Kaynak Göster

APA
Dilsiz Eker, P., Sarı, S., & Turgut, M. (2025). The Role of Plane Blocks in Postoperative Pain Management in Spinal Surgery: A Narrative Review. Arşiv Kaynak Tarama Dergisi, 34(4), 315-331. https://doi.org/10.17827/aktd.1590564
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
Chicago
Dilsiz Eker, Pelin, Sinem Sarı, ve Mehmet Turgut. 2025. “The Role of Plane Blocks in Postoperative Pain Management in Spinal Surgery: A Narrative Review”. Arşiv Kaynak Tarama Dergisi 34 (4): 315-31. https://doi.org/10.17827/aktd.1590564.
EndNote
Dilsiz Eker P, Sarı S, Turgut M (01 Aralık 2025) The Role of Plane Blocks in Postoperative Pain Management in Spinal Surgery: A Narrative Review. Arşiv Kaynak Tarama Dergisi 34 4 315–331.
IEEE
[1]P. Dilsiz Eker, S. Sarı, ve M. Turgut, “The Role of Plane Blocks in Postoperative Pain Management in Spinal Surgery: A Narrative Review”, aktd, c. 34, sy 4, ss. 315–331, Ara. 2025, doi: 10.17827/aktd.1590564.
ISNAD
Dilsiz Eker, Pelin - Sarı, Sinem - Turgut, Mehmet. “The Role of Plane Blocks in Postoperative Pain Management in Spinal Surgery: A Narrative Review”. Arşiv Kaynak Tarama Dergisi 34/4 (01 Aralık 2025): 315-331. https://doi.org/10.17827/aktd.1590564.
JAMA
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;34:315–331.
MLA
Dilsiz Eker, Pelin, vd. “The Role of Plane Blocks in Postoperative Pain Management in Spinal Surgery: A Narrative Review”. Arşiv Kaynak Tarama Dergisi, c. 34, sy 4, Aralık 2025, ss. 315-31, doi:10.17827/aktd.1590564.
Vancouver
1.Pelin Dilsiz Eker, Sinem Sarı, Mehmet Turgut. The Role of Plane Blocks in Postoperative Pain Management in Spinal Surgery: A Narrative Review. aktd. 01 Aralık 2025;34(4):315-31. doi:10.17827/aktd.1590564