NBA Western Conference Game 5 Preview: Portland Trail Blazers (1-3) vs. San Antonio Spurs (3-1)

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Tipoff is scheduled for 9:30 PM ET
Venue:
Frost Bank Center, San Antonio, TX
TV: ESPN

The San Antonio Spurs have a golden opportunity to eliminate the Portland Trail Blazers and advance to the Western Conference semifinals in Game 5. After rallying from a 19-point halftime deficit to win Game 4 on the road (114-93) with Victor Wembanyama’s dominant return from concussion protocol, San Antonio holds a commanding 3-1 series lead and returns home to a hostile Frost Bank Center crowd. The Blazers stole a game earlier but have been outclassed in the last two contests and now face elimination on the road against a deeper, more talented Spurs squad.

Team Records

San Antonio Spurs: 62-20 regular season (2nd in Western Conference); 3-1 in the series.

Portland Trail Blazers: 42-40 regular season (8th in Western Conference); 1-3 in the series.

San Antonio dominated the regular season as the Southwest Division winners and earned the No. 2 seed with elite offense and home-court advantage. Portland advanced as the No. 8 seed via the play-in but has been overmatched physically and in talent against the Spurs.

Recent Team Forms

Spurs (last 10 games, including playoffs): 8-2 overall, with back-to-back wins in the series. They are averaging approximately 118+ PPG on strong efficiency, elite rebounding, and blocks (led by Wembanyama). In Game 4, they outscored Portland 75-35 in the second half after trailing big. San Antonio leads the series in most advanced metrics, including second-chance points and defensive rating.

Trail Blazers (last 10 games, including playoffs): 4-6, struggling to sustain leads. Series averages show them at roughly 104-108 PPG on lower shooting efficiency and poor rebounding. Portland led by double digits at times in Games 3 and 4 but collapsed late, getting outscored heavily in the final quarters.

Injury Report

San Antonio Spurs:

Victor Wembanyama (PF) – Available (returned in Game 4 from concussion; 27 PTS, 11 REB, 7 BLK).

David Jones Garcia (SF) – Out for season (ankle).

Jordan McLaughlin (PG) – No new flags (previously questionable with ankle but not highlighted post-Game 4).
Roster otherwise healthy and at full strength for the closeout.

Portland Trail Blazers:

Damian Lillard (PG) – Out for season (Achilles).

Other rotation players (e.g., potential lingering issues with Jerami Grant or Shaedon Sharpe from regular season) – No major new reports, but depth is already thin without Lillard.

San Antonio’s health edge, especially Wembanyama’s availability, has been decisive.

Key Player Matchups

Victor Wembanyama (SAS) vs. Portland frontcourt (Robert Williams III / other bigs): Wemby’s Game 4 return was sensational (27-11-7-4-3 STL). His length, rim protection, and scoring create nightmare mismatches.

De’Aaron Fox (SAS) vs. Blazers perimeter defense: Fox dropped 28 points in Game 4 and provides elite speed and scoring off the dribble. Portland’s guard play has been neutralized.

Stephon Castle (SAS) vs. Blazers wings: Castle exploded for 33 points in Game 3 (without Wemby) and adds scoring punch and defense.

Deni Avdija / Anfernee Simons (POR) vs. Spurs length: Avdija has shown fight, but the Spurs’ collective wing depth (Keldon Johnson, Devin Vassell) and transition defense have limited Portland’s efficiency.

Additional notes: Spurs dominate the glass and paint; Blazers have struggled with second-chance opportunities and late-game execution.

Series History

2025-26 Regular Season: Spurs won 2 of 3 head-to-head matchups.

2026 Playoffs (Current Series): Spurs lead 3-1.

Game 1: SAS 111, POR 98

Game 2: POR won (series tied 1-1)

Game 3: SAS 120, POR 108 (without Wembanyama)

Game 4: SAS 114, POR 93 (Wembanyama’s return)

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San Antonio has won 7 of the last 10 meetings overall (including playoffs) and controls the series stylistically.

Betting Trends

Three of four series games have gone Under the total (regular-season matchups also trended Under). Spurs are strong as home favorites (elite 30+ wins at home) and have covered in recent blowouts. Portland is 0-2 ATS as double-digit underdogs this postseason.

Game Odds

Portland Trail Blazers     216.5

San Antonio Spurs           – 11.5

Odds Courtesy of Sports Odds Direct as of Monday, April 27, 2026