{
  "abstract": "Application for ESRA Abstract Prizes : I apply as an Anesthesiologist (Aged 35 years old or less)Background and Aims Erector spinae blocks are well-established as a regional analgesic technique for traumatic rib fractures. However, they are less commonly used to manage pain from other traumatic injuries, such as muscle spasm associated with vertebral fractures – a cause of significant morbidity and prolonged hospital admissions.Methods We reviewed the case of a 45-year-old male, who presented to hospital after falling into a concrete hole, complaining of right-sided chest and lower back pain. CT imaging showed right-sided fractures of the ninth and tenth ribs anteriorly, and the eleventh rib posteriorly; and a right-sided L1 transverse process fracture. A unilateral serratus anterior plane block (SAP) was performed, with incomplete improvement of pain. He subsequently underwent a unilateral erector spinae plane (ESP) block.Results The SAP block resulted in improvement of the patient’s chest, but not of his back pain. The subsequent ESP block was effective in reducing both the patient’s chest pain as well as his residual, episodic lumbar back pain. Given the underlying injuries and characteristics of the pain, psoas muscle spasm may have been the cause of the latter pain.Conclusions The use of the ESP blocks could be expanded to include psoas muscle spasm in the context of traumatic spinal fractures. It may also be a superior single technique covering both rib fracture pain and spasmodic muscle pain associated with spinal fractures, compared to SAP and potentially other combination blocks. The use of ESP here may have multiple benefits, including minimising systemic analgesic requirements, reducing morbidity and expediting hospital discharge.",
  "authors": [
    {
      "affiliations": [
        "Anaesthesia, Health Education England, National Health Service, UK, London, UK"
      ],
      "name": "Judit Szent-Ivanyi"
    },
    {
      "affiliations": [
        "Anaesthesia, National Health Service, London, UK"
      ],
      "name": "Karim Medkour"
    },
    {
      "affiliations": [
        "Anaesthesia, National Health Service, London, UK"
      ],
      "name": "Miriam Kadry"
    }
  ],
  "title": "P010 Erector spinae block for psoas muscle spasm in context of L1 transverse process fracture: a case report",
  "uid": "e8eed508-e534-55d9-bea0-80298f75c528"
}