Periacetabular Osteotomy Multimodal Pain Control Using Erector Spinae Plane versus Epidural Catheter: A Retrospective Cohort Analysis
Authors' conclusion
Erector spinae plane block provides an effective method of pain control for periacetabular osteotomy patients. Compared to lumbar epidurals, patients required less systemic opioids and reported fewer side effects, particularly numbness, symptomatic hypotension, and weakness.
Study context
- Population
- Patients undergoing periacetabular osteotomy for symptomatic developmental hip dysplasia, single site
- Participants
- 73 vs 73
- Exposure
- Erector spinae plane block vs Epidural
- Erector spinae plane blockn = 73
- Epiduraln = 73reference
- Outcome
- Efficacy and side effect profile of ESP block vs epidural analgesia for periacetabular osteotomy pain control
Methodological detailssingle-site
- Single-site
Main finding
As reported in the abstract
Pain score · POD 0
Erector spinae plane block
4.5
mean · CI 4.0–4.9
Epidural
3.5
CI 2.9–4.0
P = 0.008
Observational data: associations, not effects.
Further findings
| Outcome | P value |
|---|---|
| Morphine equivalents · POD 0, 1 and 2Fewer morphine equivalents with ESP block | P < 0.001 |
Patient populations, catheter use duration, LOS
- No significant differences between groups
- P > 0.05
Safety
Weakness
P = 0.03
Numbness
P < 0.001
Symptomatic hypotension
P = 0.03
| Outcome | P value |
|---|---|
| Adverse events | P < 0.001 |
Adverse events
- Epidural patients more likely to report adverse events (as printed: 17.81% vs. 43.16%)
Original publication
Periacetabular Osteotomy Multimodal Pain Control Using Erector Spinae Plane versus Epidural Catheter: A Retrospective Cohort Analysis. Anesthesiology. Published 7 February 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →