Evidence map›Paper›PMID 40911071›Full record

Trial reportEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2026

Comparison of the effects of retrolaminar block (RLB) and erector spinae plane (ESP) block on postoperative recovery quality and pain in lumbar spinal surgery.

Didar Kyenshilik, Sinem Sarı, Ferdi Gülaştı, Yaşam Umutlu

Abstract readRandomized Controlled TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Didar KyenshilikDepartment of Anesthesiology, Adnan Menderes University, Aydın, Turkey.
Sinem SarıDepartment of Anesthesiology, Adnan Menderes University, Aydın, Turkey. sarisinem@yahoo.com.
Ferdi GülaştıDepartment of Anesthesiology, Adnan Menderes University, Aydın, Turkey.
Yaşam UmutluMinistry of Health Efeler District Health Directorate, Aydın, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backroundRegional anesthesia techniques are increasingly being utilized as part of multimodal analgesia strategies to reduce postoperative pain and enhance recovery following lumbar spinal surgery. In this study, the effects of erector spinae plane (ESP) block and retrolaminar block (RLB) on postoperative recovery quality and pain were compared.

methodsEighty patients scheduled for elective lumbar surgery were randomly assigned to either the ESP or RLB group. The primary outcome was the quality of recovery at 24 h, assessed using the QoR-40 score. The secondary outcome was total tramadol consumption. Patients' NRS (Numerical Rating Scale) scores, the number of PCA boluses, time to mobilization, time to discharge, and adverse effects were recorded.

resultsThere was no significant difference between the two groups in quality of recovery at 24 h postoperatively. Total tramadol consumption and the number of PCA button presses were significantly lower in the ESP group. NRS scores at rest at 12 and 24 h were also significantly lower in the ESP group (p < 0.05). There were no significant differences between the groups regarding the need for additional postoperative analgesia, time to first mobilization, time to discharge, or incidence of adverse effects.

conclusionsAlthough the ESP block demonstrated superiority over the RLB in terms of postoperative pain control and opioid consumption, this advantage was not reflected in the 24-hour recovery quality. Therefore, while the ESP block appears to be more effective in providing analgesia, further studies are needed to compare its impact on functional recovery.

Indexed as

Lumbar VertebraeNerve BlockPostoperative PainAdultAgedAnalgesics, OpioidFemaleHumansMaleMiddle AgedPain MeasurementParaspinal MusclesTramadolAnalgesics, OpioidTramadolErector spinae plane blockLumbar spinal surgeryPainQoR-40Quality of recovery.Retrolaminar block

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 Socratic graph.