Effectiveness of erector spinae plane block combined with physical therapy in adult degenerative scoliosis: A randomized controlled trial

Abstract

Background

Adult degenerative scoliosis is a common condition in the aging population, and conservative treatment approaches are often used as the first-line management for symptom control.

Objective

To evaluate the efficacy of the erector spinae plane block, when administered in conjunction with physical therapy, on pain severity, disability, and quality of life in patients diagnosed with degenerative lumbar scoliosis.

Methods

A total of 26 patients aged 60 and older were randomized into two groups: Group 1 received physical therapy, while Group 2 received physical therapy plus an erector spinae plane block. The severity of pain was evaluated using the Numeric Rating Scale, while disability and quality of life were assessed using the Oswestry Disability Index and the SRS-22 questionnaire.

Results

The severity of pain was statistically diminished in the 1st week, 1st month, and 3rd month after treatment in both groups (p < 0.01). Oswestry Disability Index and SRS-22 total scores showed notable improvements at each time point in both groups (p < 0.01). However, except for pain scores at 3 months, no statistically significant differences were observed between the two groups in terms of pain, disability, or quality of life scores.

Conclusion

Physical therapy is an effective method for controlling pain, improving functionality, and improving quality of life in patients with adult degenerative scoliosis. The rapid, short-term pain relief achieved through erector spinae plane block may encourage patient adherence to treatment and enhance the effectiveness of rehabilitation. Future studies with larger samples are needed to evaluate long-term effects of these interventions and personalized treatment strategies.