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Adolescent idiopathic scoliosis (AIS) affects 1%–3% of patients aged 10–16, with some requiring posterior spinal fusion (PSF). 1 While multimodal analgesics are standard for managing acute postoperative pain in these patients having PSF, the application of advanced regional anesthetic techniques is limited.2–4 Erector spinae plane blocks (ESPB) have been previously described as an effective regional anesthetic technique for adult spine surgery and have been widely employed in pediatric surgeries5; however, research describing the ESPB for pediatric PSF is limited.