Regional Nerve Blocks to Improve Analgesia and Recovery in Older Adults Undergoing Spinal Fusion

Patient receives standard of care anesthesia with TLIP Block of bupivicaine (local anesthetic) intraoperatively after anesthesia administration and before spinal fusion.

Blood Tests measuring inflammatory markers: IL-10, MCP-1, IL-8, IL-6, TNFa

Questionnaire that will rate each symptom of delirium

Questionnaire for screening and severity measurement of generalized anxiety disorder.

Questionnaire assessing pain intensity

Questionnaire measuring the effect of pain on patient physical, emotional, and social functioning.

Questionnaire assessing disability and quality of life impairment in adults with lower back pain.

Questionnaire assessing baseline cognition.

16 item clinician rated scale assessing delirium severity.

Telephone interview questionnaire evaluating patient cognitive status.

The amount of opioids administered will be collected through patient self-report

Questionnaire used to diagnose and determine the severity measure for depressive disorders.

Scale used to determine pain catastrophizing and it's severity.

Questionnaire used to help predict patients that have a high pain avoidance behavior.

Survey determining adverse events related to opioid side effects and complications.

Questionnaire assessing pain location, severity, impact to quality of life, and medications used to alleviate.

Questionnaire assessing Kinesiophobia

Questionnaire assessing postoperative quality of recovery