Quadro-Iliac Plane Block Versus Wound Infiltration for Postoperative Pain After Single-Level Lumbar Discectomy
Investigation of the Effects of Quadro-Iliac Plane Block and Wound Infiltration on Postoperative Acute Pain After Single-Level Lumbar Discectomy Surgery
Elif Sarikaya Ozel
60 participants
Dec 1, 2025
OBSERVATIONAL
Conditions
Summary
This prospective observational study aims to compare the effects of the Quadro-Iliac Plane Block (QIPB) and wound infiltration (WI) on postoperative acute pain in adult patients undergoing elective single-level lumbar discectomy. QIPB is a newly introduced ultrasound-guided fascial plane block, and it is currently being used in routine clinical practice in our anesthesiology department as part of postoperative analgesia for lumbar spine surgery. Wound infiltration is a conventional method in which local anesthetic is injected into the surgical field at the end of the procedure. In this study, eligible patients will be monitored prospectively without randomization or alteration of standard care. Postoperative pain scores, opioid consumption, nausea and vomiting, patient satisfaction, and recovery parameters will be evaluated during the first 24 hours after surgery. The study aims to provide real-world clinical evidence comparing these two analgesic techniques in lumbar discectomy patients.
Eligibility
Inclusion Criteria5
- Adults aged 18 to 80 years
- Scheduled for elective single-level lumbar discectomy
- ASA physical status I-III
- Able to use patient-controlled analgesia (PCA)
- Able and willing to provide written informed consent
Exclusion Criteria10
- History of opioid use for longer than 4 weeks
- Presence of chronic pain before surgery (e.g., migraine, fibromyalgia)
- Alcohol or substance dependence
- Known allergy or hypersensitivity to local anesthetics or opioids
- Significant organ dysfunction (e.g., severe hepatic or renal disease)
- Revision or multilevel spine surgery
- Contraindications to regional anesthesia
- Severe psychiatric disorders limiting cooperation (e.g., psychosis, dementia)
- Pregnancy or breastfeeding
- Hematologic disorders
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Locations(1)
View Full Details on ClinicalTrials.gov
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NCT07237945