Sacral erector spinae plane block for postoperative pain management following coccyx removal: A case report
Mete Manici1
, İrem Özdemir2, Yasemin Sincer1, Yavuz Gürkan1
1Department of Anesthesiology and Reanimation, Koç University Hospital, İstanbul, Türkiye
2Department of Algology, Koç University Hospital, İstanbul, Türkiye
Keywords: Orthopedic anesthesia, pain management, regional anesthesia, sacral erector spinae plane block, sacrococcygeal region.
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.
Cite this article as: Manici M, Özdemir İ, Sincer Y, Gürkan Y. Sacral erector spinae plane block for postoperative pain management following coccyx removal: A case report. Agri 2026;38(2):134-136. doi: 10.5606/agri.2026.47.
M.M., I.O., Y.S., Y.G.: Idea/concept, design, data collection and/or processing, analysis and/or interpretation, writing the article, critical review, references and fundings, materials; M.M., Y.G.: Control/supervision; M.M., Y.S., Y.G.: Literature review.
The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.
The authors declare that artificial intelligence (AI) tools were not used, or were used solely for language editing, and had no role in data analysis, interpretation, or the formulation of conclusions. All scientific content, data interpretation, and conclusions are the sole responsibility of the authors. The authors further confirm that AI tools were not used to generate, fabricate, or ‘hallucinate’ references, and that all references have been carefully verified for accuracy.
The authors received no financial support for the research and/or authorship of this article.
Data Sharing Statement
The data that support the findings of this study are available from the corresponding author upon reasonable request.