Comparison of quadro‑iliac plane block and erector spinae plane block for postoperative analgesia management after single level lumbar discectomy surgery: A randomized, double‑blind, controlled, prospective, multicenter study

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dc.authorid0000-0001-7447-5074
dc.authorid0009-0009-3232-5014
dc.authorid0000-0002-2714-9046
dc.authorid0000-0003-4739-6623
dc.authorid0000-0001-9489-0590
dc.authorid0000-0002-3245-6614
dc.authorid0000-0002-7765-5297
dc.contributor.authorTuran, Engin İhsan
dc.contributor.authorOtlu Bıyıkoğlu, Büşra
dc.contributor.authorÖzen, Volkan
dc.contributor.authorAlver, Selçuk
dc.contributor.authorUmutoğlu, Tarık
dc.contributor.authorCücü, Oğuzhan
dc.contributor.authorÇevik, Serdar
dc.contributor.authorÇiftçi, Bahadır
dc.contributor.authorŞahin, Ayça Sultan
dc.date.accessioned2026-02-11T14:20:26Z
dc.date.available2026-02-11T14:20:26Z
dc.date.issued2025
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Anesteziyoloji ve Reanimasyon Ana Bilim Dalı
dc.description.abstractPurpose Effective postoperative analgesia management is critical for optimizing recovery and patient satisfaction following lumbar discectomy. Erector Spinae Plane Block (ESPB) is an established regional anesthesia technique with proven efficacy, while the novel Quadro-Iliac Plane Block (QIPB) has shown promise as an alternative approach. This study compares the analgesic efficacy, opioid-sparing potential, and safety of ESPB and QIPB in single-level lumbar discectomies. Method This multicenter, prospective, randomized, double-blind study included 60 patients aged 18–65 years undergoing single-level lumbar discectomy. Patients were randomized into ESPB (n=30) and QIPB (n=30) groups. Both blocks were performed at the end of surgery, before the extubation under ultrasound guidance using 40 ml (0.25%) bupivacaine bilater ally. The primary outcome was postoperative pain assessed by the Numeric Rating Scale (NRS) at 12 h. Secondary outcomes included tramadol consumption, rescue analgesia requirements, hemodynamic parameters, and adverse events. Results The primary outcome, 12-h NRS scores, did not differ significantly between groups (p>0.05), indicating similar anal gesic efficacy. Secondary outcomes—including total tramadol consumption (54.00±49.03 mg for ESPB vs. 44.67±44.16 mg for QIPB, p=0.476), need for rescue analgesia, and incidence of nausea and vomiting—were also comparable. No motor block was observed in either group. Conclusion Although QIPB did not demonstrate superiority over ESPB, it was found to be not inferior in analgesic effect and safety outcomes. These findings suggest that QIPB may be a reliable alternative to ESPB in lumbar discectomy procedures.
dc.identifier.citationTuran, E. İ., Otlu Bıyıkoğlu, B., Özen, V., Alver, S., Umutoğlu, T., Cücü, O., Çevik, S., Çiftçi, B., & Şahin, A. S. (2025). Comparison of quadro‑iliac plane block and erector spinae plane block for postoperative analgesia management after single level lumbar discectomy surgery: A randomized, double‑blind, controlled, prospective, multicenter study. Journal of Anesthesia, 40, pp. 84-93. https://doi.org/10.1007/s00540-025-03556-0
dc.identifier.doi10.1007/s00540-025-03556-0
dc.identifier.endpage93
dc.identifier.issn1438-8359
dc.identifier.issn0913-8668
dc.identifier.pmidPMID: 40689946
dc.identifier.scopus2-s2.0-105011185069
dc.identifier.scopusqualityQ1
dc.identifier.startpage84
dc.identifier.urihttps://doi.org/10.1007/s00540-025-03556-0
dc.identifier.urihttps://hdl.handle.net/20.500.13055/1324
dc.identifier.volume40
dc.identifier.wosWOS:001533042200001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynak.otherSCI-E - Science Citation Index Expanded
dc.institutionauthorUmutoğlu, Tarık
dc.language.isoen
dc.publisherSpringer Nature Link
dc.relation.ispartofJournal of Anesthesia
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectRegional Anesthesia
dc.subjectPostoperative Pain
dc.subjectPain Management
dc.subjectBack Pain
dc.titleComparison of quadro‑iliac plane block and erector spinae plane block for postoperative analgesia management after single level lumbar discectomy surgery: A randomized, double‑blind, controlled, prospective, multicenter study
dc.typeArticle
dspace.entity.typePublication

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