A Case Report of USG Guided Spinal Anaesthesia in a Patient with Kyphoscoliosis
Sheetal Madavi
Department of Anaesthesia, JNMC, Wardha, India.
Kota Sneha *
Department of Anaesthesia, JNMC, Wardha, India.
Neeta Verma
Department of Anaesthesia, JNMC, Wardha, India.
Nikhil Akhijom
Department of Anaesthesia, JNMC, Wardha, India.
Jui Jadhav
Department of Anaesthesia, JNMC, Wardha, India.
*Author to whom correspondence should be addressed.
Abstract
Patients with spine abnormalities like kyphoscoliosis are very much challenging for the spinal anaesthesia. We report an interesting and challenging case of thoracolumbar kyphoscoliosis patient posted for supra pubic catheterization. We planned to do USG guided spinal anaesthesia. Lumbar vertebra and intervertebral spaces of the patient were scanned with help of ultrasound. For spinal access L2-L3 interveretebral space through which dura can be observed is selected. Patient had good spinal effect and procedure is uneventful. This case demonstrates that spinal anesthesia performed under the guidance of ultrasonography will be successful in case of severe kyphoscoliosis.
Keywords: Spinal anaesthesia, ultra sonography, kyphoscoliosis