Efficacy of ultrasound-guided modified thoracolumbar interfascial plane block for postoperative analgesia after spinal surgery: a randomized-controlled trial

  • Ali Ahiskalioglu
  • Ahmet Murat Yayik
  • Omer Doymus
  • Kubra Selvitopi
  • Elif Oral Ahiskalioglu
  • Cagatay Calikoglu
  • Haci Ahmet Alici
  • Omer Karaca

To the Editor,

Surgery of the lumbar spine is characterized by diffuse and severe postoperative pain. 1 Pre/postoperative oral opioids, gabapentinoids, nonsteroidal antiinflammatory drugs, and intraoperative ketamine are frequently included in multimodal analgesia for spinal surgery, while regional anesthetic techniques such as neuraxial anesthesia, paravertebral blocks, and local anesthetic infiltration of the wound are less frequently used. 2 Interfascial plane blocks have the potential to provide long-lasting postoperative analgesia and reduce opioid consumption while minimizing the motor block associated with neuraxial and plexus blocks. 3


Conflicts of interest

None declared.


Preliminary results of this study were presented at the 42nd ASRA meeting in San Francisco.

Trial registration (NCT03079076). Registered 6 March 2017.

Editorial responsibility

This submission was handled by Dr. Gregory L. Bryson, Deputy Editor-in-Chief, Canadian Journal of Anesthesia.




  1. 1.
    Memtsoudis SG, Vougioukas VI, Ma Y, Gaber-Baylis LK, Girardi FP. Perioperative morbidity and mortality after anterior, posterior, and anterior/posterior spine fusion surgery. Spine (Phila Pa 1976) 2011; 36: 1867-77.Google Scholar
  2. 2.
    Zorrilla-Vaca A, Healy RJ, Mirski MA. A comparison of regional versus general anesthesia for lumbar spine surgery: a meta-analysis of randomized studies. J Neurosurg Anesthesiol 2017; 29: 415-25.CrossRefPubMedGoogle Scholar
  3. 3.
    Chin KJ, McDonnell JG, Carvalho B, Sharkey A, Pawa A, Gadsden J. Essentials of our current understanding: abdominal wall blocks. Reg Anesth Pain Med 2017; 42: 133-83.CrossRefPubMedGoogle Scholar
  4. 4.
    Hand WR, Taylor JM, Harvey NR, et al. Thoracolumbar interfascial plane (TLIP) block: a pilot study in volunteers. Can J Anesth 2015; 62: 1196-200.CrossRefPubMedGoogle Scholar
  5. 5.
    Ahiskalioglu A, Alici HA, Selvitopi K, Yayik AM. Ultrasonography-guided modified thoracolumbar interfascial plane block: a new approach. Can J Anesth 2017; 64: 775-6.CrossRefPubMedGoogle Scholar

Copyright information

© Canadian Anesthesiologists' Society 2018

Authors and Affiliations

  1. 1.Department of Anaesthesiology and ReanimationAtaturk University School of MedicineErzurumTurkey
  2. 2.Department of AnaesthesiologyRegional Training and Research HospitalErzurumTurkey
  3. 3.Department of NeurosurgeryAtaturk University School of MedicineErzurumTurkey
  4. 4.Department of Anaesthesiology and ReanimationBaskent University School of MedicineKonyaTurkey

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