The Opioid Sparing Effect of an Inter-semispinalis Plane Block on Postoperative Pain Control in Posterior Cervical Spine Surgery
Stony Brook University
Summary
Participants who have a surgical procedure called Posterior Cervical (neck) Spine Surgery will normally need pain medication to relieve post operative pain. This usually includes opioid medications. In this study, the consented participant may receive a nerve block procedure, in addition to the pain relieving medication. There is a fifty-fifty chance to receive the nerve block. The goal is to see if the nerve block group needs less opioid medication, has lower pain scores and is discharged from the hospital sooner.
Description
The purpose of this research study is to evaluate the opioid-sparing effect of the use of an Inter-semispinalis plane (ISP) block after posterior cervical spine surgery. Posterior cervical fusion (PCF) is a painful procedure that often requires the use of high doses of opioids to minimize postoperative pain. Uncontrolled pain can result in a delay in recovery and discharge. Additionally, high doses of opioids carry the risk of opioid dependence, and other side effects, include nausea, vomiting, sedation, and, in rare cases, respiratory depression. For all of the above reasons, reducing the us…
Eligibility
- Age range
- 18–75 years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: * Having Posterior Cervical Spine Surgery from C2 - C7, which may extend to the upper thoracic vertebrae, inclusive to T3. * Capacity to provide informed consent Exclusion Criteria: * Fusion and decompression due to trauma * Emergent procedures * Patient is on a medication-assisted treatment, e.g., buprenorphine, naltrexone or methadone. * There is an infection near or in the area of neck where the block will be placed. * The patient is having a complicated surgery or a revision surgery * Female patient with a positive pregnancy test on the day of surgery (hospital stand…
Interventions
- ProcedureInter-semispinalis Plane Block
A nerve block targeting the dorsal rami of the cervical spinal nerves can help alleviate postoperative incisional pain.
- DrugOpioids
Routine Pain Management
Location
- Stony Brook University HospitalStony Brook, New York