Modified Thoracolumbar Interfascial Plane Block Versus Erector Spinae Plane Block For Enhancement Of Quality of Recovery After Lumbar Spine Surgery: A Prospective Randomized Controlled Study.

NCT07166900 | Active Not Recruiting DMC

• 1 other identifier: M800
• Study Type: interventional
• Target: 64
• Locations: 1 country
• Sites: 1

Brief Summary

Aim of study The objective of the current study is to compare the efficacy of ultrasound-guided bilateral modified thoracolumbar interfascial plane (TLIP) block versus erector spinae (ES) block in optimizing early quality of recovery (QOR) following lumbar spine surgery under general anesthesia.

Conditions

Low Back Pain

Outcome Measures

Primary Outcomes (1)

• Quality of Recovery (QOR)

  Assessed using the QOR-15 questionnaire at 24 hours postoperatively

  24 hours postoperatively

Study Arms (2)

Espb

ACTIVE COMPARATOR

Procedure: Modified Thoracolumbar Interfascial Plane Block

Tlib

ACTIVE COMPARATOR

Procedure: Modified Thoracolumbar Interfascial Plane Block

Interventions

Modified Thoracolumbar Interfascial Plane Block PROCEDURE

The TLIP block, introduced as a modification of the lumbar interfascial plane block, targets the dorsal rami of the thoracolumbar nerves by injecting local anesthetic into the fascial plane between the multifidus and longissimus muscles. This technique is designed to provide analgesia to the posterior elements of the spine, which are often the primary sources of pain after laminectomy

Espb; Tlib

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patient scheduled for elective lumbar spine fixation 2-3 levels.
• American Society of Anesthesiologists(ASA) class I-III.

You may not qualify if:

• \. Obese patients (Body Mass Index\> 35). 2. Patients with neurological deficits, cardiopulmonary disease, hepatic or renal impairment.
• \. Patients with history of severe allergies to local anesthetics or other medications used during the procedure.
• \. Patients with history of coagulation disorder or anticoagulants. 5. Patients with emergency surgeries or re-do surgeries. 6. Patients with systemic infections or infections at the site of injection. 7. Patients with Psychiatric illnesses. 8. Patients with history of drug addiction

Sponsors & Collaborators

• Fayoum University: lead

Study Sites (1)

Fayoum university hospital

Al Fayyum, Egypt

Location

MeSH Terms

Conditions

Low Back Pain

Condition Hierarchy (Ancestors)

Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Md

Study Record Dates

• First Submitted: September 9, 2025
• First Posted: September 11, 2025
• Study Start: June 1, 2025
• Primary Completion: February 1, 2026
• Study Completion: March 1, 2026
• Last Updated: September 11, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)