Postoperative Outcomes of Regional Blocks in Cervical Disc Surgery

NCT07694180 | Not Yet Recruiting

• 1 other identifier: GOKAEK 2026/11/21
• Study Type: observational
• Target: 66
• Locations: 0 countries
• Sites: N/A

Brief Summary

The aim of this study is to evaluate the postoperative analgesic efficacy of the Serratus Posterior Superior Intercostal Plane Block (SPSIP block) in patients undergoing Anterior Cervical Discectomy and Fusion (ACDF) surgery and to compare the outcomes with those of patients who do not receive regional anesthesia.

Conditions

Acute Pain; Servical Disc Herniation

Outcome Measures

Primary Outcomes (2)

• Opioid consumption

  24 hours

• 1. Opioid consumption

  In the postoperative period, patients will be given opioids according to their pain density with a patient-controlled device, and the daily Morphine consumption in Patient Controlled Analgesia device will be collected and compared between groups.

  24 hours

Secondary Outcomes (3)

• 2. Perioperative pain intensity

  24 hours

• Quality of recovery 15 scale

  24 hours after surgery

• Postoperative nausea and vomiting

  24 hours

Study Arms (2)

Group-SPSİPB

The Serratus Posterior Superior Intercostal Plane Block (SPSIPB) will be administered under ultrasound guidance 30 minutes before the induction of anesthesia for anterior cervical discectomy and fusion (ACDF) surgery.

Group-Control

Patients in the control group will not receive any regional anesthesia technique before surgery and will undergo anterior cervical discectomy and fusion (ACDF) surgery under standard general anesthesia. Postoperative pain management will be provided according to the institution's routine multimodal analgesia protocol.

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The study population will consist of adult patients aged 18-70 years with ASA physical status I-III who are scheduled to undergo elective anterior cervical discectomy and fusion (ACDF) surgery under general anesthesia at Samsun City Hospital. Eligible patients who provide written informed consent and meet the study inclusion criteria will be enrolled consecutively during the study period

You may qualify if:

• Patients aged between 18 and 70 years.
• American Society of Anesthesiologists (ASA) physical status I, II, or III.
• Patients scheduled for elective anterior cervical discectomy and fusion (ACDF) surgery under general anesthesia.
• Patients who provide written informed consent and agree to participate in the study.

You may not qualify if:

• Patients with a history of bleeding diathesis or those receiving anticoagulant therapy.
• Patients with a known allergy or hypersensitivity to local anesthetics or opioid medications.
• Patients with infection at the planned block site.
• Patients with a history of previous cervical spine surgery.
• Patients with a history of gabapentinoid or corticosteroid use within the last 3 weeks.

Sponsors & Collaborators

• Samsun University: lead

MeSH Terms

Conditions

Acute Pain

Condition Hierarchy (Ancestors)

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

Central Study Contacts

HALE KEFELİ ÇELİK

CONTACT

5057242409; ck_hale@hotmail.com

Betül Çiftçi Kurt

CONTACT

betulciftcikurt@gmail.com

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 2, 2026
• First Posted: July 9, 2026
• Study Start: June 22, 2026
• Primary Completion (Estimated): January 1, 2027
• Study Completion (Estimated): January 2, 2027
• Last Updated: July 9, 2026

Record last verified: 2026-07