Erector Spinae Plane Block With Liposomal Bupivacaine for Cervical Spine Surgery

Regional anesthesia for spine surgery is a relatively new and evolving area. Erector spinae plane blocks (ESPB) are a type of regional technique that has successfully managed acute postoperative pain in thoracic and lumbar spine surgeries. Using ESPB in cervical spine surgeries has shown to reduce intraoperative opioid needs and improve postoperative pain control, among other benefits. Liposomal bupivacaine has been shown potential in managing acute postoperative pain when injected at the surgical incision site. There is limited research on using liposomal bupivacaine in cervical spine surgery, especially with ESPB. We present a case of ESPB for cervical spine surgery performed successfully with liposomal bupivacaine.