Comparing two posterior quadratus lumborum block approaches with low thoracic erector spinae plane block: an anatomic study.
Hesham ElsharkawyGausan Ratna BajracharyaKariem El-BoghdadlyRichard L DrakeEdward R MarianoPublished in: Regional anesthesia and pain medicine (2019)
The posteromedial QL block at L2 produces more cranial spread beyond the lumbocostal ligament than the posterolateral QL block, and this spread is comparable with a low thoracic ESP block. Both posterior QL and ESP blocks show unreliable spread of injectate to the paravertebral space and ventral rami, but the dorsal rami were frequently covered.