Liposomal bupivacaine incisional injection in single-level lumbar spine surgery

Post-surgical pain control is important in spine surgery as it can lead to earlier mobilization, decreased length of stay, decreased side effects from narcotic medications and improved patient satisfaction. Liposomal bupivacaine (LB) is an injectable formulation of bupivacaine providing prolonged local anesthesia, up to 72 hours post-injection. While LB has been used with increasing frequency following other musculoskeletal procedures, specifically total joint replacements, its pre-emptive analgesic effect following lumbar microdiskectomy has hitherto not been reported.

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