ESP Block for Scoliosis

Recruiting in Palo Alto (17 mi)

Age: < 65

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Recruiting

Sponsor: Stanford University

No Placebo Group

Trial Summary

What is the purpose of this trial?This trial is testing a new pain relief method called ESPB for children having spinal surgery for scoliosis. The ESPB numbs the area around the spine to reduce pain without causing muscle weakness. It aims to provide better pain control than current methods, which often have many side effects. The ESPB is a recently developed technique that has been successfully used for various types of surgeries, including thoracic, abdominal, and spine surgeries.

Eligibility Criteria

This trial is for children with idiopathic scoliosis who are undergoing a single-stage spinal fusion surgery. They should be generally healthy (ASA I-III) and within the normal weight range for their age. It's not suitable for those with developmental issues, severe organ dysfunction, pre-existing pain conditions, psychiatric diagnoses like anxiety or depression, allergies to lidocaine, seizure history, or if they need intensive care after surgery.

Inclusion Criteria

I have been diagnosed with idiopathic scoliosis.

ASA I-III

I am having a one-time back surgery to fuse and stabilize my spine.

Exclusion Criteria

I have scoliosis due to a birth defect or muscle condition.

My surgery is not planned in stages.

I regularly take pain medication for ongoing pain issues.

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Participant Groups

The study tests the effectiveness of Erector Spinae Plane Blockade (ESPB), which involves injecting local anesthetic near the spine muscles to manage pain post-scoliosis surgery. The goal is to see if ESPB can reduce reliance on opioids and better control inflammation-related acute pain without causing muscle weakness.

2Treatment groups

Experimental Treatment

Active Control

Group I: Erector Spinae Plane Blockade TreatmentExperimental Treatment1 Intervention

Patients will receive an erector spinae plane blockade prior to their surgery as per standard regional anesthesia technique.

Group II: Erector Spinae Plane Blockade Control - Standard of CareActive Control1 Intervention

Patients will receive the standard of care for pediatric scoliosis surgery including multi-modal opioid pain management. If the patient declines to consent to enrollment into the randomized study, patients may still participate by allowing prospective data and samples collection/analysis with respect to perioperative choice.