Korean J Anesthesiol.  2008 Apr;54(4):446-448. 10.4097/kjae.2008.54.4.446.

Combined Spinal-epidural Anesthesia in a Patient with Severe Thoracic Kyphoscoliosis: A case report

• Kim O
• Lee SS
• Yoo TJ
• Lim YH
• Yon JH

• KMID: 1763288
• DOI: http://doi.org/10.4097/kjae.2008.54.4.446

Abstract

Kyphoscoliosis is a deformity of the costovertebral skeletal structures characterized by an anterior flexion (kyphosis) and lateral curvature (scoliosis) of the patient's vertebral column.(1)) In kyphoscoliosis, lung volume and compliance is reduced due to the change of vertebral column. The work of breathing is increased by abnormal mechanism of the thorax and by increased airway resistance resulting from small lung volume. Airway management and respiratory problems are common and spinal deformities can cause difficulties with regional anesthesia. We had experienced a successful spinal anesthesia for closed reduction and internal fixation (CRIF) and proximal femoral nail (PFN) of fractured intertrochanteric femur in a patient with extremely severe thoracolumbar kyphoscoliosis.

Keyword

combined spinal-epidural anesthesia; intertrochanteric fracture of femur; kyphosis; scoliosis

MeSH Terms

Airway Management
Airway Resistance
Anesthesia
Anesthesia, Conduction
Anesthesia, Spinal
Compliance
Congenital Abnormalities
Femur
Humans
Kyphosis
Lung
Nails
Scoliosis
Spine
Thorax
Work of Breathing