Comparison of the Postoperative Analgesic Efficacy of Serratus Posterior Superior Intercostal Plane Block and Erector Spinae Plane Block in Anterior Cervical Discectomy

What this Trial Is About

Researchers are evaluating the pain relief effectiveness of two types of nerve blocks—the serratus posterior superior intercostal plane block and the erector spinae plane block—compared to no nerve block in patients undergoing anterior cervical discectomy. This surgery is done to relieve pressure on nerves caused by cervical disc disease using a microscopic approach from the front of the neck. The study aims to find which nerve block offers better pain control after surgery, potentially reducing opioid use and related risks. Participants are randomly assigned to one of three groups: one receiving the serratus posterior superior intercostal plane block with 30 ml of 0.25% bupivacaine under ultrasound guidance, another receiving the erector spinae plane block with the same dosing and method, and a control group undergoing surgery without a peripheral nerve block. All groups receive intravenous analgesics during surgery and multimodal pain management with paracetamol and dexketoprofen after surgery. During the study, patients will be monitored for pain scores on the day of surgery, and researchers will track opioid use during and after the operation. The study includes assessments of intraoperative remifentanil and tramadol consumption. The trial uses quadruple masking to reduce bias and will continue until November 2025, involving adults aged 18 to 80 years with specific health criteria.

Comparison of the Postoperative Analgesic Efficacy of SPSIPB and ESPB in Anterior Cervical Discectomy