Lumbar Paravertebral Block vs Erector Spinae Plane Block in Elderly Patients Undergoing Lumbar Spine Surgery

Starting soon · Not applicable

Conditions studied: Spine Disease

In brief

This prospective, randomized controlled trial aims to compare the analgesic efficacy of lumbar paravertebral block (L-PVB) and lumbar erector spinae plane block (L-ESPB) in elderly patients undergoing lumbar spine surgery. Effective postoperative pain management in this population is essential due to increased susceptibility to opioid-related adverse effects. Participants aged 65 years and older will be randomly assigned to receive either bilateral L-PVB or bilateral L-ESPB in addition to standardized general anesthesia. The primary objective is to evaluate differences in postoperative opioid consumption within the first 48 hours after surgery. Secondary outcomes include pain intensity, intraoperative opioid use, time to mobilization, length of hospital stay, and incidence of opioid-related adverse events.

Key facts

Study ID

NCT07607509

Run by

Poznan University of Medical Sciences

People needed

120

Starts

2026-06-01

Expected to finish

2027-08-31

Last updated by the study team

2026-05-26

Who can join

Age: 65 and older, up to 100. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• ge ≥65 years
• Scheduled for elective lumbar spine surgery
• American Society of Anesthesiologists (ASA) physical status I-III
• Ability to assess pain using the Numeric Rating Scale (NRS)
• Provision of written informed consent

You may not qualify if…

• Refusal to participate
• Chronic opioid therapy
• Coagulation disorders
• Use of anticoagulant therapy contraindicating regional anesthesia
• Infection at the planned needle insertion site
• Allergy to ropivacaine or other study-related medications
• Severe hepatic failure
• Severe renal failure
• Cognitive impairment preventing reliable pain assessment
• Inability to cooperate with study procedures
• Extensive reoperation or surgery of unusually large extent that may interfere with outcome assessment
• Contraindications to general anesthesia or regional anesthesia

Where it is running

• Poznan University of Medical Sciences — Poznan, Poland

Full record on ClinicalTrials.gov

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