• Jeff L Xu and Muhammad Shabsigh.
• Division of Regional Anesthesia and Acute Pain Management, Department of Anesthesiology, Westchester Medical Center/New York Medical College, Valhalla, New York, USA. Electronic address: Jeff.Xu@wmchealth.org.
• World Neurosurg. 2023 Mar 1; 171: 575-7.

BackgroundNew peripheral nerve blocks targeting the dorsal rami are possible for postoperative analgesia in patients undergoing posterior cervical spine surgeries. A cervical cervicis plane (CCeP) block can be performed under ultrasound guidance. We provide a description of this nerve block and ultrasound imaging with relevant sonographic structures.MethodsSonographic imaging from 2 spine surgeries showed CCeP blocks at the upper and lower cervical levels.ResultsA CCeP block targets the fascial plane between the semispinalis cervicis muscle and the semispinalis capitis muscle because the CCeP is a continuous plane from occiput to C7, which contains the dorsal rami of the cervical spinal nerves. The deep cervical artery can always be identified under ultrasound in this plane.ConclusionsThe CCeP block is an easy nerve block to perform under ultrasound guidance to block the dorsal rami of the cervical nerves. It can provide effective analgesic effects for patients undergoing upper and lower posterior cervical spine surgery without compromising neurophysiology monitoring.Copyright © 2022 Elsevier Inc. All rights reserved.

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