Clinical Trial: PVI vs ESP Block for Reducing Bleeding and Postoperative Pain in Lumbar Fusion Surgery.

U.S., April 25 -- ClinicalTrials.gov registry received information related to the study (NCT07550114) titled 'PVI vs ESP Block for Reducing Bleeding and Postoperative Pain in Lumbar Fusion Surgery.' on April 10.

Brief Summary: This randomized controlled trial compares periarticular vasoconstrictor infiltration (PVI) versus erector spinae plane block (ESP) to reduce bleeding and postoperative pain in adults undergoing lumbar fusion surgery (up to 3 levels). Patients are randomly assigned 1:1 to receive ultrasound-guided ropivacaine 0.2% + epinephrine 1:200,000: PVI (150-200mL bilateral in retrolaminar, thoracolumbar fascia, supraspinous ligament, subcutaneous planes) or ESP (20mL/side at transverse processes). Both groups receive standardiz...