Randomized Trialhigh evidence
Single Epidural Analgesia With Opioid-free IV-PCA Reduces Opioid Consumption in Lumbar Spine Surgery: A Randomized, Multicenter Trial.
Clinical orthopaedics and related research·July 1, 2026·PMID 41800926
Why it mattersThis trial provides Level I evidence that a simple, single-shot epidural technique can drastically cut perioperative opioid use without compromising pain control, directly supporting opioid stewardship efforts in spine surgery.

The papers that matter, first.
MedLit ranks the medical literature into a specialty feed with concise summaries, evidence-aware triage, and visual takeaways.
§
MedLit · Evidence, Distilled