Erector Spinae plane Block for Analgesia in Kyphosis Surgeries

Document Type : Review Articles

Authors

1 Department of Anesthesia, Intensive Care and Pain Management, Faculty of Medicine, Zagazig University, Egypt.

2 Professor of Anesthesia and Surgical ICU Faculty of Medicine - Zagazig University

3 Department of Anesthesia, Intensive Care and Pain Management, Faculty of Medicine, Zagazig University, Egypt

Abstract

Background: Kyphotic deformity can be caused by a variety of pathologic diseases. Nevertheless, if you notice acute angular kyphosis, it could be a sign of severe kyphosis that leads to sagittal imbalance and neurological changes over time. The type of surgery needed for kyphosis correction depends on the deformity of the patient’s spine and the cause.A relatively recent regional anesthetic method, the Erector Spinae Plane (ESP) block can alleviate pain during surgery and other treatments, as well as control both short-term and long-term pain. We intended to provide an outline of regional anesthetic technique in Management of Post operative Pain for Patients undergoing Corrective Kyphosis Surgeries.

Conclusion: The procedure requires little to no sedation in the pre-operative holding room and is straightforward to provide to patients. You have two options for administering the ESP block: a single injection or a catheter for continuous infusion. In 2016, a patient with rib fractures and metastatic disease was the first to successfully undergo this operation; the block was utilized to alleviate thoracic neuropathic pain. Numerous other surgeries, such as lumbar fusions, percutaneous nephrolithotomies, thoracotomies, and Nuss procedures, have reported successful usage of the block since then

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Zagazig University Medical Journal

Articles in Press, Accepted Manuscript
Available Online from 21 February 2024

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