Bloqueo modificado de las ramas cutáneas laterales (BRILMA) para analgesia de fractura vertebral

  1. Adolfo Matilla Álvarez 1
  2. Pablo Díaz Campanero 1
  3. Susana Pretus Rubio 1
  4. Esperanza Ortigosa Solórzano 1
  1. 1 Hospital Universitario de Getafe, Madrid
Journal:
MPJ Multidisciplinary Pain Journal

ISSN: 2697-2263

Year of publication: 2022

Issue: 1

Type: Article

More publications in: MPJ Multidisciplinary Pain Journal

Abstract

Pain deriving from vertebral fractures may become chronic, and occasionally refractory to oral treatment or invasive processes, such as vertebral augmentation. We describe the case of a patient with chronic pain due to vertebral compression, who was successfully treated with cutaneous branches of the intercostal nerves in the mild axillary line “modified” block. We conclude that this technique could be helpful, especially in those cases of dorsal vertebral injuries, with radiating pain to the chest wall.

Bibliographic References

  • Fajardo Pérez M, García Miguel FJ, Alfaro de la Torre P, López Álvarez S, Diéguez García P. Bloqueo de las ramas cutáneas laterales y anteriores de los nervios intercostales para analgesia de mama. Rev Cir May Amb. 2012;17(3):95-104.
  • Zocca JA, Chen GH, Puttanniah VG, Hung JC, Gulati A. Ultrasound-guided serratus plane block for treatment of postmastectomy pain syndromes in breast cancer patients: a case series. Pain Pract. 2017;17(1):141-6. DOI: 10.1111/papr.12482.
  • Martín MF, Álvarez SL, Herrera GM, Burgos JP. Bloqueo fascial ecoguiado de las ramas cutáneas de los nervios intercostales: una buena alternativa analgésica para la cirugía abierta de vesícula biliar. Rev Esp Anestesiol Reanim. 2015;62(10):580-4. DOI: 10.1016/j.redar.2015.02.011.
  • Xin J, Liu X, Jing X, Su C, Mao Y, Chen F, et al. Multifactor Analysis of Costal Pain in Osteoporotic Fracture of Thoracic Vertebra. Pain Physician. 2021;24(6): E795-E80. DOI: 10.36076/ppj.2021.24.E795.
  • Lin CC, Shen WC, Lo YC, Liu YJ, Yu TC, Chen IH, et al. Recurrent pain after percutaneous vertebroplasty. Am J Roentgenol. 2010;194(5):1323-9. DOI: 10.2214/AJR.09.3287.
  • Blanco R, Parras T, McDonnell JG. Serratus plane block: a novel ultrasound-guided thoracic Wall nerve block. Anaesthesia. 2013;68(11):1107-13. DOI: 10.1111/anae.12344.
  • Mayes J, Davison E, Panahi P, Patten D, Eljelani F, Womack J, et al. An anatomical evaluation of the serratus anterior plane block. Anaesthesia. 2016;71(9):1064-9. DOI: 10.1111/anae.13549.
  • Restrepo-Garces CE, Bambague JPR. Combined short axis erector spinae block and retrolaminar block for pain relief in acute vertebral fracture. Korean J Pain. 2019;32(3):228-30. DOI: 10.3344/kjp.2019.32.3.228.
  • Støving K, Rothe C, Rosenstock CV, Aasvang EK, Lundstrøm LH, Lange KH. Cutaneous Sensory Block Area, Muscle-Relaxing Effect, and Block Duration of the Transversus Abdominis Plane Block: A Randomized, Blinded, and Placebo-Controlled Study in Healthy Volunteers. Reg Anesth Pain Med. 2015;40(4):355-62. DOI: 10.1097/AAP.0000000000000252.
  • Esses SI, McGuire R, Jenkins J, Finkelstein J, Woodard E, Watters III WC, et al. The treatment of symptomatic osteoporotic spinal compression fractures. J Am Acad Orthop Surg. 2011;19(3):176-82. DOI: 10.5435/00124635-201103000-00007.