Postoperative Outcomes of Regional Blocks in Cervical Disc Surgery
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- This is an observational study: the protocol does not assign a study treatment.
- Who it may be relevant to
- Registry conditions: Acute Pain, Servical Disc Herniation. Basic parameters: 18 years — 70 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Center list to be confirmed — check the primary protocol.
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Postoperative Outcomes of Regional Blocks Performed in Cervical Disc Surgery: A Prospective Observational Study
Overview
The aim of this study is to evaluate the postoperative analgesic efficacy of the Serratus Posterior Superior Intercostal Plane Block (SPSIP block) in patients undergoing Anterior Cervical Discectomy and Fusion (ACDF) surgery and to compare the outcomes with those of patients who do not receive regional anesthesia.
Detailed description
Cervical disc disorders may lead to various signs and symptoms, including neck pain, radicular pain in the upper extremities, sensory disturbances, motor weakness, and functional impairment. Anterior cervical discectomy and fusion (ACDF) is a widely accepted surgical procedure for the treatment of cervical disc herniation and other degenerative cervical spine disorders. However, postoperative pain remains a significant concern and may adversely affect recovery and patient comfort.
A multimodal analgesic approach is commonly preferred for postoperative pain management following cervical spine surgery. The incorporation of regional anesthesia techniques may reduce opioid consumption and opioid-related adverse effects while facilitating earlier mobilization, shorter hospital stay, and improved patient satisfaction.
In patients undergoing ACDF surgery, the Serratus Posterior Superior Intercostal Plane Block (SPSIPB) has emerged as a promising regional anesthesia technique for postoperative pain control. This study aims to evaluate the postoperative analgesic efficacy of SPSIPB and compare postoperative outcomes between patients receiving SPSIPB and those managed without regional anesthesia.
Primary outcome measures
- Opioid consumption [Time frame: 24 hours]
- 1. Opioid consumption [Time frame: 24 hours]
Secondary outcome measures (3)
- 2. Perioperative pain intensity [Time frame: 24 hours]
- Quality of recovery 15 scale [Time frame: 24 hours after surgery]
- Postoperative nausea and vomiting [Time frame: 24 hours]
Eligibility criteria
Inclusion criteria
- Patients aged between 18 and 70 years.
- American Society of Anesthesiologists (ASA) physical status I, II, or III.
- Patients scheduled for elective anterior cervical discectomy and fusion (ACDF) surgery under general anesthesia.
- Patients who provide written informed consent and agree to participate in the study.
Exclusion criteria
- Patients with a history of bleeding diathesis or those receiving anticoagulant therapy.
- Patients with a known allergy or hypersensitivity to local anesthetics or opioid medications.
- Patients with infection at the planned block site.
- Patients with a history of previous cervical spine surgery.
- Patients with a history of gabapentinoid or corticosteroid use within the last 3 weeks.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Other
Study locations
Center list to be confirmed — check the primary protocol.
Identifiers
NCT: NCT07694180 · GOKAEK 2026/11/21