The laws of physics remain the same
And since LTE-A offers the same number of bits per MHz as 5G, you can assume the power draw of LTE-A versus 5G is roughly the same per MHz per spatial stream.
Where 5G results in higher power is because 1) most people are using ordinary LTE rather than LTE-A which is a less complex modulation (fewer bits per MHz) 2) 5G as you say allows more spatial streams 3) 5G's higher spectrum (5 GHz and above) offers larger swathes of spectrum so can use more MHz.
Since the only real purpose of 5G is to get higher speeds, and that can only happen with more MHz or more spatial streams, it is pretty obvious when used as intended 5G will draw more power than LTE. If you are downloading a fixed amount of data you may use the same power when averaged over time, but obviously the goal of everyone involved with 5G is that you will eventually use a LOT more data than you did on LTE, just like with LTE everyone's data usage increased by an order of magnitude versus 3G.