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The Sacral Multifidus Plane Block for Analgesia After Coccygectomy: Case Report
Francesco Marrone1, Pierfrancesco Fusco2, Saverio Paventi1
1From the Department of Anesthesia, Santo Spirito Hospital, Rome, Italy.
None:
Coccygodynia results from traumatic, nontraumatic, or idiopathic causes. Chronic cases resistant to conservative treatments may necessitate surgery. This case report highlights the innovative use of sacral multifidus plane block (S-MPB) for multimodal pain management after a coccygectomy performed under spinal anesthesia. The patient, suffering from chronic coccygodynia due to exostosis, underwent surgical removal of the coccyx and associated fistula. S-MPB was chosen for its simplicity, efficacy, and safety, providing postoperative analgesia without complications. This approach suggests that S-MPB is a promising addition to the pain management arsenal for coccygectomy, warranting further investigation to optimize its application and outcomes.
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