SynthesisSpine deformity2025
Safety and efficacy of erector spinae plane block for perioperative analgesia in posterior spinal fusion surgery for pediatric idiopathic scoliosis: a meta-analysis.
Synthesis in Spine deformity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
5 citing papers in PubMed.
- Lumbar vertebral body tethering: 2-year multicenter radiographic and reoperation outcomes.Spine deformity · 2026Article
- Comment on: "Safety and efficacy of erector spinae plane block for perioperative analgesia in posterior spinal fusion surgery for pediatric idiopathic scoliosis: a meta-analysis".Spine deformity · 2026Article
- Article
- Enhanced Recovery After Surgery Incorporating Erector Spinae Plane Block Versus Standard Care in Adolescent Idiopathic Scoliosis: A Comparative Cohort Analysis of Early Postoperative Recovery.Medicina (Kaunas, Lithuania) · 2026Article
- Comment on: "Analgesic effects of bilateral ultrasound-guided erector spinae plane block versus patient-controlled intravenous analgesia in correction surgery for idiopathic scoliosis: study protocol for a randomized controlled trial".Perioperative medicine (London, England) · 2026Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPosterior spinal fusion (PSF) for adolescent idiopathic scoliosis (AIS) is associated with severe postoperative pain leading to prolonged hospital stay and increased analgesic requirements. This meta-analysis aims to evaluate the efficacy of the erector spinae plane block (ESPB) in reducing postoperative pain and opioid consumption in AIS patients undergoing PSF.
methodsA systematic review and meta-analysis was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. The following databases were searched: MEDLINE, EMBASE, and the Cochrane Central Register of Controlled Trials (CENTRAL).
resultsFive studies involving a total of 352 patients were included, with 167 in the ESPB group and 185 in the control group. ESPB significantly reduced postoperative pain scores during the initial 24 postoperative hours (SMD = -1.58; CI -2.98 to -0.18; P = 0.03). Opioid consumption was significantly lower both intraoperatively (SMD = -3.72; CI -5.91 to -1.53; P = 0.0009) and postoperatively (SMD = -3.22; CI -5.14 to -1.30; P = 0.001). Rescue analgesia was required less frequently in the ESPB group (OR = 0.15; CI 0.08 to 0.29; P < 0.00001), and the time to first rescue analgesia was significantly longer (SMD = 2.95; CI 0.61 to 5.28; P = 0.01). Secondary outcomes, including incidence of opioid-related side effects, time to ambulation, length of hospital stay, and percentage change in motor-evoked potentials, were comparable between the ESPB and control groups.
conclusionOur findings suggest that the erector spinae plane block (ESPB) in PSF for AIS is effective in reducing postoperative pain up to 24 h postoperatively and results in lower overall opioid consumption without a significant increase in complications.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.