Table 2.
The comparison of anatomical investigations.
| Ivanusic et al. | Adhikary et al. | Sabouri et al. | Yang et al. | |||
|---|---|---|---|---|---|---|
| Target of the investigation | ESPB | RLB and ESPB | RLB | RLB and ESPB | ||
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| ||||||
| Method | 20 injection in 10 cadavers | 3 injection per each block | 8 injection in 8 cadavers | 10 injection per each block | ||
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| Cadaver | unembalmed/fresh cadavers | |||||
|
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| Injection level | T5 vertebral level | T5 vertebral level | T4 vertebral level | T5 vertebral level | ||
|
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| Injectate volume | 20 ml of mixture | |||||
|
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| The spread of dye | Anterior | Paravertebral space | none | possible in both blocks | possible (quite variable) | limited spread |
| Epidural space | no details | |||||
| Intercostal space | no details | |||||
| Posterior | The dorsal ramus was frequently stained. | RLB: beneath the transversospinalis muscles ESPB: beneath the erector spinae muscles |
The dye spread beneath the paraspinal muscles. | RLB: the surface of the transversospinalis muscle ESPB: the surface of the external intercostal muscle |
||
| Lateral | The dye often spread to the attachments of iliocostalis muscle. |
ESPB > RLB RLB: to the edge of the bony lamina ESPB: extending 9 to 10 cm lateral |
median lateral spread 2.5cm | RLB < ESPB RLB: limited medially to the intertransverse ligaments ESPB: spread to iliocostalis muscle |
||
| Longitudinal | The majority of the dye spread was cephalad to T6. | ESPB > RLB RLB: 6-9 vertebral levels ESPB: 9-14 vertebral levels |
median cephalad spread 3.5cm caudad spread10.7cm |
spinal nerve involvement: RLB (2 levels) > ESPB (3.5 levels) |
||
RLB: retrolaminar block and ESPB: erector spinae plane block.