Randomized Trialhigh evidence

Liposomal bupivacaine versus ropivacaine for surgical site infiltration in lumbar fusion: a prospective randomized controlled trial.

Annals of medicine·December 1, 2026·PMID 42504098

Why it matters

Effective multimodal analgesia after lumbar fusion remains a challenge, and excessive opioid use is linked to adverse outcomes. This trial provides direct comparative evidence that a liposomal bupivacaine–based infiltration regimen can meaningfully reduce opioid requirements and pain burden in the early postoperative period without compromising safety or recovery.

Infographic summary of Liposomal bupivacaine versus ropivacaine for surgical site infiltration in lumbar fusion: a prospective randomized controlled trial.
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