Bilateral ultrasound-guided upper cervical erector spinae-plane block in posterior atlantoaxial fusion surgery: a case report

Posterior atlantoaxial fusion surgeries are used to treat various pathologies involving the joint between the first and second cervical vertebrae. Anesthetic goals during spine surgeries include hemodynamic stability with no interference in neuromonitoring and optimal pain control. Ultrasound-guided erector spinae-plane blocks can be used to provide perioperative analgesia in spinal surgeries of cervical, thoracic, and lumbar-spine region. In this case report, bilateral upper cervical erector spinae-plane block was given to provide perioperative analgesia as part of a multimodal opioid-sparing regimen in a 36-year-old male patient scheduled for posterior atlantoaxial fusion surgery.