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Background and Aims Lumbar disc herniation is the most common degenerative disease of the lumbar spine. It is also the most common reason for lumbar spine surgery. Although disc herniation is more common in the fourth and fifth decades, it can be seen in all age groups. Lumbalgia is the most common initial symptom of this degenerative disease with a wide clinical presentation. It is known that failure to manage pain effectively in the postoperative period can cause chronic pain.

Methods Visual analog scale (VAS) scores were noted in the first postoperative period, at the 15th minute, at the 4th hour and at the 12th hour in patients who were operated for lumbar disc herniation and underwent one of the modified thoracolumbar interfascial plane(m-TLIP) and erector spinae plane(ESP) blocks.

Results There was no statistically significant difference in the VAS score of m-TLIP and lumbar ESP blocks in postoperative analgesia of lumbar disc herniation repair surgery.

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Abstract #34302 Figure 1

US image of iliocostalis and longissimus muscles

Conclusions The m-TLIP block was defined in 2017 as an alternative to TLIP block, and is a block that has been used in recent years to effectively provide postoperative analgesia in LDH surgery (1). Technically, it is performed by administering a local anesthetic solution to the fascia between the longissimus and iliocostalis muscles in the lumbar region. A block is performed by administering local anesthetic between the transverse process of the vertebra and the fascia of the erector spinae muscle. In order to provide postoperative analgesia of LDH surgery, ESP and m-TLIP blocks are alternative methods within the scope of multimodal analgesia.

Attachment Yeni belge 2023-03-23 13.49.07.pdf