Erector Spinae Plane Block for Sprengel Deformity Surgery

This case report details the application of the Erector Spinae Plane (ESP) block for a pediatric patient undergoing corrective surgery for Sprengel deformity. Sprengel deformity is characterized by a congenital high scapula, which can lead to restricted movement and requires surgical intervention. The Modified Green procedure, which involves extensive soft tissue manipulation, was performed on a 6-year-old female patient. The ESP block was administered under ultrasound guidance to provide analgesia during the surgery. Postoperative pain management included multimodal analgesia with ibuprofen and paracetamol. The patient experienced effective pain relief during the first 24 hours post-surgery, although severe pain was reported after the block wore off. The report concludes that the ESP block may be a valuable technique for managing analgesia in similar surgical cases, highlighting its effectiveness in providing coverage for the thoracic region. This is the first report documenting the use of regional anesthesia in this context.