Spinal anaesthesia in a case of kyphoscoliosis

Authors

  • Deepak Mahadeo Kokane Department of Anaesthesiology, Govt. Medical College, Latur, Maharashtra, India
  • Pradnya Hingole Department of Anaesthesiology, Govt. Medical College, Latur, Maharashtra, India

Keywords:

Spinal anaesthesia, Kyphoscoliosis, Cystolithotomy

Abstract

Kyphoscoliosis is forward and lateral bending of the spine commonly affecting the dorsal and lumbar spine. Spinal deformities are likely to be associated with physiologic derangements in cardiac and pulmonary function and may cause difficulties with both tracheal intubation and regional anaesthesia. Due to problems associated with respiratory system, spinal anaesthesia is used widely, though technically difficult. We present a case of thoracolumbar kyphoscoliosis posted for cystolithotomy successfully managed with spinal anaesthesia.

References

Schwartz JJ. Skin and musculoskeletal diseases. In: Schwartz JJ, eds. Anaesthesia and Co-Existing. 5th ed. Philadelphia: Saunders Elsevier; 2010: 505.

Ramez Salem M, Klowden AJ. General anaesthesia. In: Ramez Salem M, Klowden AJ, eds. Anaesthesia for Orthopaedic Surgery. 3rd ed. New York: Churchill-Living Stone; 1994.

Micheal K. Urban, Salim Lohlou. Muscle diseases. In: Micheal K. Urban, Salim Lohlou, eds. Anaesthesia and Uncommon Disease. 5th ed. Pennsylvania: Lee A Fleisher; 2009: 144-145.

Rothman Simon E. The spine. In: Rothman Simon E, eds. Paediatric Kyphosis: Scheuermann’s disease and Congenital Deformity. 5th ed. Philadelphia: Saunders Elsevier; 2006.

Veliath DG, Sharma R, Ranjan RV, Rajesh Kumar CP, Ramachandran TR. Parturient with kyphoscoliosis (operated) for caesarean section. J Anaesth Clin Pharmacol. 2012;28:124-6.

Klienman W, Mikhail M. Spinal, epidural, and caudal blocks. In: Morgan GE, Mikhail SM, Murray MJ, eds. Clinical Anaesthesiology. 4th ed. New York: McGraw Hill Inc; 2006: 289-323.

Moran DH, Johnson MD. Continuous spinal anaesthesia with combined hyperbaric and isobaric bupivacaine in a patient with scoliosis. Anaesth Analg. 1990;70:445.

Holmstrom E, Laugaland K, Rawal N, Haliberg S. Combined spinal epidural block versus spinal and epidural block for orthopaedic surgery. Can J Anaesth; 1993;10(7):601-6.

Bickler PE, Dueck R, Prutow RJ. Effects of barbiturate anaesthesia on functional residual capacity and ribcage/diaphragm contribution to ventilation. Anaesthesiology. 1987;66:147-8.

Baydur A, Milic Emili J. Respiratory mechanics in kyphoscoliosis. Monaldi Chest Dis. 1993;48(1):69-79.

Bansal N, Gupta S. Anaesthetic management of a parturient with severe kyphoscoliosis. Kathmandu Univ Med J. 2008;6(3):379-82.

Oksun Kim, Sang-Seock Lee, Tae-Joong Yoo, Yun-Hee Lim, Jun Heum Yon. Combined spinal-epidural anaesthesia in a patient with severe thoracic kyphoscoliosis. Korean J Anaesthesiol. 2008;54:4.

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Published

2017-02-10