Moving toward patients being pain- and spasm-free after pediatric scoliosis surgery by using bilateral surgically-placed erector spinae plane catheters

  • Ban C. H. TsuiEmail author
  • Mohammad Esfahanian
  • Carole Lin
  • James Policy
  • John Vorhies

To the Editor,

Providing adequate postoperative analgesia and preventing back muscle spasms after posterior spinal fusion for adolescent idiopathic scoliosis (AIS) remains a challenge.1 With patient assent and parental written consent, we report our experience of a patient with AIS who had excellent post-spinal fusion pain control and absence of back spasms with the use of surgically placed bilateral erector spinae plane catheters (SP-EC).

A 16 yr-old, 70-kg healthy female with a 56° Lenke 1A (right main thoracic) scoliosis underwent T4–T12 posterior spinal instrumentation. After general anesthesia induction, normal baseline somatosensory-evoked potentials (SSEPs) and transcranial motor-evoked potentials (TCMEPs) were obtained. The anesthetic was maintained with 0.1–0.5% sevoflurane, ketamine 0.3–0.5 mg·kg −1·hr −1, and propofol 50–100 μg·kg −1·min −1. Facetectomies were performed and two ponte osteotomies were performed at T7–8 and T9–10. Predominantly pedicle screw instrumentation was...



The authors thank the Stanford University Pediatric Regional Anesthesia (SUPRA) members (, the Pediatric Pain team, Japsimran Kaur, and Kayla Pfaff for their contribution to the work.

Conflicts of interest

Ban C.H. Tsui is the co-inventor of the Pajunk E-Cath catheter-over-needle assembly used in this case.

Funding statement

This work was funded by departmental resources.

Editorial responsibility

This submission was handled by Dr. Philip M. Jones, Associate Editor, Canadian Journal of Anesthesia.


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Copyright information

© Canadian Anesthesiologists' Society 2019

Authors and Affiliations

  1. 1.Department of Anesthesiology, Perioperative and Pain MedicineStanford University School of MedicineStanfordUSA
  2. 2.Department of Orthopedic SurgeryLucile Packard Children’s Hospital StanfordPalo AltoUSA

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