Spinal anesthesia in a patient with severe thoracolumbar kyphoscoliosis

Abstract

Abstract :
Kyphoscoliosis is a deformity of the costovertebral skeletal
structures characterized by an anterior flexion and lateral
curvature of the patients vertebral column. In kyphoscoliosis,
lung volume and compliance are reduced due to change in
vertebral column. The work of breathing is increased by
abnormal mechanism of the thorax and increased airway
resistance resulting from small lung volume. Respiratory
problems are common and spinal deformities can cause
difficulties in regional anesthesia. We had successfully given
spinal anesthesia for a patient with extremely severe
thoracolumbar kyphoscoliosis, for open reduction and internal
fixation of fracture shaft of femur.
Keyword :Severe thoracolumbar kyphoscoliosis, Respiratory
problems, spinal anaesthesia