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Intraoperative erector spinae plane block guided by O-arm navigation in transforaminal lumbar interbody fusion (TLIF): a novel technique.


ABSTRACT: This technical note introduces an innovative approach to performing the intraoperative erector spinae plane (ESP) block, guided by O-arm navigation, during transforaminal lumbar interbody fusion (TLIF) procedures. Effective pain management following spinal surgery remains a significant clinical challenge, often necessitating high doses of opioids that carry risks of dependency and adverse patient outcomes. The novel combination of advanced O-arm imaging with the analgesic advantages of ESP blocks aims to address these challenges by improving postoperative pain control while minimizing opioid consumption. This technique leverages the precision of O-arm navigation to optimize needle placement for the ESP block, integrating imaging-guided technology with existing regional anesthesia methods.

SUBMITTER: Kasempipatchai P 

PROVIDER: S-EPMC12516417 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature