ArticleAnaesthesia reports
Unilateral sacral erector spinae plane block for lower limb surgery in children.
Article in Anaesthesia reports. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07115771 (Comparison of Ultrasound-Guided Lumbar Erector Spinae Plane Block and Adductor Canal Block on Postoperative Analgesia Management in Patients Undergoing Knee Arthroplasty), which is not on this map. Cited by 8 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Comparison of Ultrasound-Guided Lumbar Erector Spinae Plane Block and Adductor Canal Block on Postoperative Analgesia Management in Patients Undergoing Knee Arthroplasty
Who cites it
8 citing papers in PubMed, 13 citations in OpenAlex.
- Lumbosacral Erector Spinae Plane Block Versus Psoas Muscle Compartment with Sciatic Nerve Block for Anesthesia for Unilateral Lower Limb Operations in Critically Ill Patients: A Randomized Open-Label Study.Anesthesiology and pain medicine · 2025Article
- Comparison of Sacral Erector Spinae Plane Block vs. Ring Block for Postoperative Analgesia Management Following Circumcision Surgery: A Prospective, Randomized, Controlled Multicenter Trial.Healthcare (Basel, Switzerland) · 2025Article
- Article
- Combined adductor canal (ACB) and sacral erector spinae plane (S-ESP) blocks for total knee arthroplasty pain in hemophilic arthropathy.Saudi journal of anaesthesiaArticle
- Sacral ESP for pain management in transforaminal lumbar interbody fusion cases: A case series.Saudi journal of anaesthesiaArticle
- Sacral erector spinae block: A new era for postoperative analgesia-a narrative review.Journal of anaesthesiology, clinical pharmacologyReview
- Unilateral sacral erector spinae plane block for lower limb surgery in children.Journal of anaesthesiology, clinical pharmacologyArticle
- Unilateral sacral erector spinae plane block for hip fracture surgery.Anaesthesia reportsArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The erector spinae plane block is a versatile regional anaesthesia technique used for a variety of truncal surgeries. A novel variation is the sacral erector spinae plane block which is gaining popularity for perineal and anorectal procedures. Local anaesthetic injected at this level blocks the sacral dermatomes and has the potential for more proximal spread to involve lumbar nerve fibres via spread to the lumbar plexus or the epidural space. The advantage of a sacral erector spinae plane block over a neuraxial block is that it is less invasive and may have a better safety profile: there is a reduced risk of epidural haematoma, epidural abscess, haemodynamic instability and motor weakness of the lower extremities. Until now, this approach has been used for midline surgical procedures when the local anaesthetic was injected bilaterally. Its application for lower limb procedures with a single unilateral injection has not been described. We report the use of a unilateral sacral erector spinae plane block at the level of the S2 median crest in two children undergoing lower limb procedures of the hip and thigh. The block was found to provide effective peri-operative analgesia with minimal need for any opioid analgesics and without any significant adverse effects.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.