Opioid Sparing Effect of an ISP Nerve Block on Post-Op Pain Control in Posterior Cervical Spine Surgery
Trial Parameters
Brief Summary
Participants who have a surgical procedure called Posterior Cervical (neck) Spine Surgery will normally need pain medication to relieve post operative pain. This usually includes opioid medications. In this study, the consented participant may receive a nerve block procedure, in addition to the pain relieving medication. There is a fifty-fifty chance to receive the nerve block. The goal is to see if the nerve block group needs less opioid medication, has lower pain scores and is discharged from the hospital sooner.
Eligibility Criteria
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