Clinical efficacy of modified thoracolumbar interfascial plane block

An ultrasound-guided thoracolumbar interfascial plane (TLIP) block reported in 2015 [1,2] inject a local anesthetic into the fascial plane between the multifidus and longissimus muscles at approximately the level of the third lumbar vertebra (L3) and can block the ventral rami of the thoracolumbar nerves (L2, 3). Therefore, TLIP block will provide for good perioperative pain of lumbar vertebra surgery around L2, 3. But it is said that the efficacy of TLIP block except the region of the L2, 3 is not effective [1].

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