# Lumbar Erector Spinae Plane Block for Dega Pelvic Osteotomy in a Pediatric Patient With Complex Neurological Issues: A Case Report

## TL;DR

This case report shows how a specific type of nerve block helped manage pain in a complex pediatric surgery involving the hip.

## Contribution

Demonstrates the successful use of lumbar erector spinae plane block in a pediatric patient with neurological issues undergoing Dega osteotomy.

## Key findings

- ESP block provided effective postoperative analgesia for a pediatric Dega osteotomy.
- ESP block was safely used in a patient with complex neurological comorbidities.
- Highlights the versatility of ESP block for lumbar nerve root coverage in pediatric cases.

## Abstract

The erector spinae plane (ESP) block, initially designed for thoracic analgesia, has evolved into a versatile regional anesthesia technique with literature support for success in numerous contexts. In this case report, we highlight the successful application of ESP to provide postoperative analgesia for pediatric Dega osteotomy involving both the femoral head and acetabulum, in a patient with numerous neurological comorbidities that would have weighed against some more traditional regional anesthesia techniques. This case further highlights the versatility of ESP, demonstrating its use in blocking lumbar nerve roots in a pediatric patient with complex neurological challenges.