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- Francesco Marrone, Pierfrancesco Fusco, Saverio Paventi, Marco Tomei, and Carmine Pullano.
- From the Department of Anesthesia, Santo Spirito Hospital, Rome, Italy.
- A A Pract. 2025 Feb 1; 19 (2): e01919e01919.
AbstractCoccygodynia results from traumatic, nontraumatic, or idiopathic causes. Chronic cases resistant to conservative treatments may necessitate surgery. This case report highlights the innovative use of sacral multifidus plane block (S-MPB) for multimodal pain management after a coccygectomy performed under spinal anesthesia. The patient, suffering from chronic coccygodynia due to exostosis, underwent surgical removal of the coccyx and associated fistula. S-MPB was chosen for its simplicity, efficacy, and safety, providing postoperative analgesia without complications. This approach suggests that S-MPB is a promising addition to the pain management arsenal for coccygectomy, warranting further investigation to optimize its application and outcomes.Copyright © 2025 International Anesthesia Research Society.
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