Reducing opioid use after neck surgery with a nerve block

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This research evaluates the effectiveness of an Inter-semispinalis plane (ISP) nerve block in reducing the need for opioids in patients undergoing posterior cervical spine surgery. Participants will receive either the nerve block or standard pain management, allowing researchers to compare pain levels, opioid consumption, and hospital discharge times between the two groups. The ISP block is a minimally invasive procedure that targets specific nerves in the neck to provide pain relief, potentially leading to improved recovery outcomes and reduced opioid-related side effects.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Having Posterior Cervical Spine Surgery from C2 - C7, which may extend to the upper thoracic vertebrae, inclusive to T3.
* Capacity to provide informed consent

Exclusion Criteria:

* Fusion and decompression due to trauma
* Emergent procedures
* Patient is on a medication-assisted treatment, e.g., buprenorphine, naltrexone or methadone.
* There is an infection near or in the area of neck where the block will be placed.
* The patient is having a complicated surgery or a revision surgery
* Female patient with a positive pregnancy test on the day of surgery (hospital standard-of-care).
* Patient has Diabetes
* Patients who have had a prior adverse reaction to bupivacaine or dexamethasone
* Patients with Glucose-6-phosphate dehydrogenase deficiency or congenital or idiopathic methemoglobinemia

Where it's running

• Stony Brook University Hospital
  Stony Brook, New York, United States Recruiting

Study contacts

• Principal investigator: Eman Nada, MBBCH — Stony Brook University Hospital
• Study coordinator: Eman Nada, MBBCH
• Email: Eman.Nada@stonybrookmedicine.edu
• Phone: 516-287-9118

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.