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Background and Aims One of the commonest causes of disability. Acute low back pain (ALBP) is a real public health problem. It requires a multimodal management to maintain physical activity.We present our experience with the use of erector spinae plane block (ESPB) in ALBP.
Methods After informed consent, 30 patients with atraumatic ALBP had an uni or bilateral ESPB . After a sterile preparation of the skin, a linear covered probe was placed parasagitally to the spine. An in plane injection of 20 ml of a mixture of ROPI 0,2% & 10 mg of DEXA was performed the closest to the trigger point described by the patient. We ‘ve noted Pain scores using visual analogue scale (VAS) and degree of functional disability using the OSWESTRY Disability Index (ODI) at admission ,30 minutes & the seventh day post procedure. All patients were discharged with a prescription of analgesics (paracetamol , Non-steroidal anti-inflammatory drugs and oral morphine as rescue (in case of VAS over 03).
Results In this prospective observational study mean age was 50 years. Sex ratio was about 1.5 male for every one female only one patient had a bilateral ESPB .Pain & Oswestry index scores are expessed in table 1.
Conclusions ESPB seems to have a beneficial effect in reducing pain & functional disability in patients with ALBP.