Multifidus Cervicis and Inter-Semispinal Plane Blocks in Analgesia After Cervical Spine Surgery

Recruiting now · Not applicable

Conditions studied: Cervical Spine Surgery

In brief

Major spine surgery with multilevel instrumentation is followed by a large amount of opioid consumption, significant pain, and difficult mobilization Pain is one of the main factors limiting ambulation, increasing the risk of thromboembolism by immobility, and causing metabolic changes that affect other systems. Therefore, individualized pain management with the use of appropriate analgesic techniques is of paramount importance. Moreover, early intervention in rehabilitation aiming at a better postoperative recovery may reduce the length of hospital stay and return to daily activity. Effective pain management is one of the crucial components in enhanced recovery after surgery (ERAS). Numerous regional anesthetic techniques have been used to provide analgesia following cervical spine surgery, including patient-controlled epidural analgesia, cervical paravertebral block, cervical plexus block, cervical erector spinae plane blocks, and local inﬁltration analgesia, however, each of these techniques has specific limitations that prevent them from being the analgesic technique of choice for such surgeries. Up to the author's knowledge, there is no study done to compare multifidus cervicis plane block versus inter-semispinal plane block in a randomized controlled clinical trial as preemptive analgesia in patients undergoing cervical spine surgery.

Key facts

Study ID: NCT06083298
Run by: Zagazig University
People needed: 105
Starts: 2023-10-20
Expected to finish: 2026-04-01
Last updated by the study team: 2025-07-17

Who can join

Age: 21 and older, up to 60. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

Patient acceptance.
Age 21-60 years old.
BMI ≤ 30 kg/m2
ASA I - II.
Elective posterior cervical spine surgery under general anesthesia.

You may not qualify if…

History of allergy to the LA agents used in this study
Skin lesion at the needle insertion site,
Those with bleeding disorders, sepsis, liver disease, and psychiatric disorders
History of chronic pain and taking analgesics
History of cognitive dysfunction or mental illness

Where it is running

Faculty of medicine, zagazig university — Zagazig, Alsharqia, Egypt (enrolling)

Full record on ClinicalTrials.gov

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