{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T22:02:47Z","timestamp":1758405767499},"reference-count":12,"publisher":"Scientific Scholar","license":[{"start":{"date-parts":[[2021,1,29]],"date-time":"2021-01-29T00:00:00Z","timestamp":1611878400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["ruralneuropractice.com"],"crossmark-restriction":true},"short-container-title":["JNRP"],"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:p>Pain at the autologous bone graft site from the posterior\u2013superior iliac spine (PSIS) is severe enough to affect the postoperative ambulation. It adds to the morbidity of the surgical procedure. Inadequate pain management at the graft site not only affects the postoperative recovery but also can lead to chronic pain. We report the use of ultrasound (US)-guided lumbar erector spinae plane block (ESPB), to deliver effective analgesia for this pain. Patients who underwent occipitocervical fusion (OCF) and C1\u2013C2 fusion using PSIS for atlantoaxial dislocation (AAD)\/odontoid fracture from January to March 2020 and who received US-guided lumbar ESPB were retrospectively studied. All the necessary data were collected from the inpatient hospital, anesthesia, and the acute pain service records. A total of six patients received lumbar ESPB, of which one received a single shot injection, and the rest five had a catheter placement for postoperative analgesia. The average volume of intraoperative and postoperative bolus was 27(range: 15\u201330) and 21 (range: 15\u201330) mL of 0.2% ropivacaine, respectively. All patients achieved a unilateral sensory blockade ranging from L1 to L3 dermatomes. None of our patients had a numerical rating scale of &gt; 4 on movement at any time point during the first 48 hours except in one, in whom only a single shot bolus was given. No complications related to ESPB were noted. All were ambulated on the second postoperative day except one. The average length of hospital stay was 6 (range: 4\u201310) days. US-guided lumbar ESPB provides excellent analgesia for PSIS bone graft site pain and promotes early ambulation.<\/jats:p>","DOI":"10.1055\/s-0040-1721544","type":"journal-article","created":{"date-parts":[[2021,1,29]],"date-time":"2021-01-29T23:36:23Z","timestamp":1611963383000},"page":"213-216","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Lumbar Erector Spinae Plane Block for Posterior\u2013Superior Iliac Spine Bone Graft Site Pain in Patients Undergoing Occipitocervical and C1\u2013C2 Fusion for Atlantoaxial Dislocation\/Odontoid Fracture\u2014A Case Series"],"prefix":"10.25259","volume":"12","author":[{"given":"Ramamani","family":"Mariappan","sequence":"first","affiliation":[{"name":"Department of Neuroanaesthesia, Christian Medical College, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edmond Jonathan","family":"Gandham","sequence":"additional","affiliation":[{"name":"Department of Neurological Sciences, Christian Medical College, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sam Jenkins","family":"Stephenson","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Christian Medical College, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noble E.","family":"Cherian","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Christian Medical College, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen Ruby","family":"Lionel","sequence":"additional","affiliation":[{"name":"Department of Neuroanaesthesia, Christian Medical College, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2021,1,29]]},"reference":[{"issue":"4","key":"10.1055\/s-0040-1721544\/ref-1","doi-asserted-by":"crossref","first-page":"E191","DOI":"10.1097\/BRS.0000000000001201","article-title":"The evaluation of donor site pain after harvest of tricortical anterior iliac crest bone graft for spinal surgery: a prospective study","volume":"41","author":"Armaghani","year":"2016","journal-title":"Spine"},{"issue":"2","key":"10.1055\/s-0040-1721544\/ref-2","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1097\/00000542-200502000-00023","article-title":"Continuous infusion of ropivacaine for pain relief after iliac crest bone grafting for shoulder surgery","volume":"102","author":"Blumenthal","year":"2005","journal-title":"Anesthesiology"},{"issue":"11","key":"10.1055\/s-0040-1721544\/ref-3","doi-asserted-by":"crossref","first-page":"886","DOI":"10.1016\/j.spinee.2009.05.006","article-title":"Prospective study of iliac crest bone graft harvest site pain and morbidity","volume":"9","author":"Kim","year":"2009","journal-title":"Spine J"},{"issue":"3","key":"10.1055\/s-0040-1721544\/ref-4","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1007\/s12630-018-01276-6","article-title":"Iliac crest bone graft donor site analgesia: a new indication for erector spinae plane block","volume":"66","author":"G\u00fcrkan","year":"2019","journal-title":"Can J Anaesth"},{"issue":"4","key":"10.1055\/s-0040-1721544\/ref-5","doi-asserted-by":"crossref","first-page":"595","DOI":"10.3171\/2014.6.SPINE13902","article-title":"A retrospective study of iliac crest bone grafting techniques with allograft reconstruction: do patients even know which iliac crest was harvested? Clinical article","volume":"21","author":"Pirris","year":"2014","journal-title":"J Neurosurg Spine"},{"issue":"1","key":"10.1055\/s-0040-1721544\/ref-6","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1007\/s12630-011-9610-7","article-title":"Ultrasound-guided transversalis fascia plane block provides analgesia for anterior iliac crest bone graft harvesting","volume":"59","author":"Chin","year":"2012","journal-title":"Can J Anaesth"},{"issue":"10","key":"10.1055\/s-0040-1721544\/ref-7","doi-asserted-by":"crossref","first-page":"809","DOI":"10.4103\/ija.IJA_263_18","article-title":"Erector spinae plane block: relatively new block on horizon with a wide spectrum of application - a case series","volume":"62","author":"Jain","year":"2018","journal-title":"Indian J Anaesth"},{"issue":"9","key":"10.1055\/s-0040-1721544\/ref-8","doi-asserted-by":"crossref","first-page":"1057","DOI":"10.1007\/s12630-018-1145-8","article-title":"Low thoracic erector spinae plane block for perioperative analgesia in lumbosacral spine surgery: a case series","volume":"65","author":"Melvin","year":"2018","journal-title":"Can J Anaesth"},{"issue":"2","key":"10.1055\/s-0040-1721544\/ref-9","doi-asserted-by":"crossref","first-page":"148","DOI":"10.4103\/ija.IJA_726_17","article-title":"Erector spinae plane block an effective block for post-operative analgesia in modified radical mastectomy","volume":"62","author":"Singh","year":"2018","journal-title":"Indian J Anaesth"},{"issue":"1","key":"10.1055\/s-0040-1721544\/ref-10","doi-asserted-by":"crossref","first-page":"75","DOI":"10.4103\/ija.IJA_693_17","article-title":"Erector spinae plane block as an alternative to epidural analgesia for post-operative analgesia following video-assisted thoracoscopic surgery: a case study and a literature review on the spread of local anaesthetic in the erector spinae plane","volume":"62","author":"Adhikary","year":"2018","journal-title":"Indian J Anaesth"},{"issue":"4","key":"10.1055\/s-0040-1721544\/ref-11","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1111\/anae.13814","article-title":"The analgesic efficacy of pre-operative bilateral erector spinae plane (ESP) blocks in patients having ventral hernia repair","volume":"72","author":"Chin","year":"2017","journal-title":"Anaesthesia"},{"issue":"5","key":"10.1055\/s-0040-1721544\/ref-12","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1097\/AAP.0000000000000451","article-title":"The erector spinae plane block: a novel analgesic technique in thoracic neuropathic pain","volume":"41","author":"Forero","year":"2016","journal-title":"Reg Anesth Pain Med"}],"container-title":["Journal of Neurosciences in Rural Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ruralneuropractice.com\/lumbar-erector-spinae-plane-block-for-posterior-superior-iliac-spine-bone-graft-site-pain-in-patients-undergoing-occipitocervical-and-c1-c2-fusion-for-atlantoaxial-dislocation-odontoid\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/ruralneuropractice.com\/lumbar-erector-spinae-plane-block-for-posterior-superior-iliac-spine-bone-graft-site-pain-in-patients-undergoing-occipitocervical-and-c1-c2-fusion-for-atlantoaxial-dislocation-odontoid\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,5]],"date-time":"2023-08-05T04:40:33Z","timestamp":1691210433000},"score":1,"resource":{"primary":{"URL":"https:\/\/ruralneuropractice.com\/lumbar-erector-spinae-plane-block-for-posterior-superior-iliac-spine-bone-graft-site-pain-in-patients-undergoing-occipitocervical-and-c1-c2-fusion-for-atlantoaxial-dislocation-odontoid\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,29]]},"references-count":12,"alternative-id":["10.1055\/s-0040-1721544"],"URL":"https:\/\/doi.org\/10.1055\/s-0040-1721544","relation":{},"ISSN":["0976-3147"],"issn-type":[{"value":"0976-3147","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1,29]]},"article-number":"213"}}