Sacral erector spinae plane block for postoperative pain management following coccyx removal: a case report

Abstract

Sacrococcygeal dislocation commonly occurs after trauma and may cause coccydynia. Although most cases of coccydynia after sacrococcygeal dislocation resolve with conservative and medical treatment, surgery is also an option with refractory pain. Sacral erector spinae plane block (SESPB) is a novel approach for sacrococcygeal procedures and may be effective in the postoperative pain of this region. In this article, we present a case of a successful median approach SESPB for postoperative pain management following coccyx removal in a patient with sacrococcygeal dislocation. In conclusion, SESPB seems to be a promising regional anesthesia technique for pain originating from the coccyx.