The use of ultrasound-guided thoracolumbar interfascial plane block for multi-level lumbar spinal surgery

We read with interest the article by Ueshima et al., who indicated that thoracolumbar interfascial plane (TLIP) block was effective for single-level lumbar spinal surgery [1]. TLIP block was reported recently to block dorsal rami of the lumbar spinal nerve by injecting a local anesthetic into the fascial plane between the multifidus and longissimus muscles [2]. However, it is still unclear whether or not TLIP block is available for multi-level lumbar spinal surgery. In this report, we present 2 cases of multi-level lumbar laminectomy performing the TLIP block.

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