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MINI REVIEW article

Front. Med.

Sec. Intensive Care Medicine and Anesthesiology

Research Progress on the Application of Fascial Plane Blocks in Postoperative Pain Management in Spinal Surgery

Provisionally accepted
Huixia  WangHuixia WangYan  LiuYan LiuLi  LuoLi LuoCheng  TangCheng TangZhengqi  ChangZhengqi Chang*Huan  LiuHuan Liu*
  • 960th Hospital of People's Liberation Army Joint Logistic Support Force, Jinan, China

The final, formatted version of the article will be published soon.

Postoperative pain after spine surgery (POPSS) is a critical issue that affects patient recovery and quality of life, increasing the risk of complications such as thrombosis. The side effects of traditional pain management methods, such as intravenous opioid administration, limit their clinical application. Therefore, it has become essential to explore and investigate new pain management strategies. We conducted a review of the relevant literature on fascial plane blocks (FPBs) in postoperative pain management after spine surgery, sourced from CNKI and PubMed, with a search period from June 25, 2020, to April 20, 2025. Additionally, we manually examined the references of the included studies to identify any potentially overlooked literature. The review findings indicate that FPBs are a novel regional anesthesia technique and a key component of multimodal analgesia. With precise analgesic effects, ease of operation, high safety, and few complications, FPBs have become a research focus in postoperative pain management for spine surgery. This article provides a comprehensive review of the characteristics of postoperative spine pain, the anatomical basis of FPBs, clinical research progress, controversial studies and limitations, as well as future research directions, aiming to offer valuable references for both clinical practice and research.

Keywords: Thoracolumbar fascia plane block, spinal surgery, Postoperative pain relief, Ultrasound guidance, Block

Received: 27 Sep 2025; Accepted: 13 Nov 2025.

Copyright: © 2025 Wang, Liu, Luo, Tang, Chang and Liu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Zhengqi Chang, 26766771@qq.com
Huan Liu, liuhuan22ky@163.com

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