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The TTP group had a significantly lower Modified Objective Pain Score until 24 hours after extubation than the no nerve block group. The TTP group reported significantly less fentanyl consumption. Time to extubation and lengths of stay in the intensive care unit and hospital were significantly decreased in the TTP group. CONCLUSION Bilateral TTP blocks provide effective analgesia and accelerate recovery in pediatric patients. A clear bone margin is essential for complete resection of the bone-involved tumour, but the evaluation of hard t