{
  "abstract": "Application for ESRA Abstract Prizes:Background and Aims Vertebral fractures, whether due to trauma or osteoporosis-related fragility, are prevalent, particularly in elderly patients and individuals with metabolic bone diseases. These fractures can cause severe pain, complicating recovery and increasing the risk of further complications. Percutaneous arthrodesis (PA) has emerged as an effective minimally invasive technique for stabilizing these fractures, but pain management remains a key challenge. The erector spinae plane (ESPb) block is a safe and effective component of multimodal analgesia in spine surgery. However, some patients still require opioids for breakthrough pain. Our study aims to evaluate the effectiveness of analgesic management in vertebral fractures.Methods We performed a retrospective analysis of four patients with vertebral fractures undergoing PA between June 2024 and March 2025. All underwent general anesthesia and pain management strategies, including erector spinae blocks (ESPb) and multimodal analgesia, incorporating paracetamol, NSAIDs, opioids, ketamine and patient-controlled analgesia (PCA), using morphine or morphine plus ketamine. Individualized approaches were applied, considering pre-existing opioid use and comorbidities. Intraoperative nociceptive monitoring was implemented using the Nociception Level (NOL) index, postoperative pain was assessed using the Visual Analog Scale (VAS) and morphine consumption. Recovery outcomes were monitored.Results Postoperative pain control was effective in two patients. One patient had moderate control, and another experienced poorly controlled pain, linked to chronic opioid use and complications. Only one patient was discharged early (<48 hours).Abstract P338 Table 1Patients with vertebral fractures treated with percutaneous arthrodesisConclusions Percutaneous arthrodesis is a safe and effective technique for stabilizing vertebral fractures, promoting recovery with generally good pain control. However, patients with chronic opioid use require personalized pain management approaches.",
  "authors": [
    {
      "affiliations": [
        "Anesthesiology, Hospital del Mar, Barcelona, Spain"
      ],
      "name": "Catherine Angie Carpintero Cruz"
    },
    {
      "affiliations": [
        "Anesthesiology, Hospital del Mar, Barcelona, Spain"
      ],
      "name": "Ester Marin Esteve"
    },
    {
      "affiliations": [
        "Anesthesiology, Hospital del Mar, Barcelona, Spain"
      ],
      "name": "Eliana Lopez Arguello"
    },
    {
      "affiliations": [
        "Anesthesiology, Hospital del Mar, Barcelona, Spain"
      ],
      "name": "Uxia Rodrigez Rivas"
    },
    {
      "affiliations": [
        "Anesthesiology, Hospital del Mar, Barcelona, Spain"
      ],
      "name": "Miguel Garcia Olivera"
    },
    {
      "affiliations": [
        "Anesthesiology, Hospital del Mar, Barcelona, Spain"
      ],
      "name": "Esther Vila Barriuso"
    }
  ],
  "title": "P338 Vertebral fractures treated with percutaneous arthrodesis: pain management and anesthetic techniques. A case series",
  "uid": "c16420c6-6763-5e73-94d4-6500dba986b8"
}