Korean J Anesthesiol.  2007 Jan;52(1):99-103. 10.4097/kjae.2007.52.1.99.

Combined Continuous Psoas Compartment Block and Sciatic Nerve Block for Revision Arthroplasty of the Hip in a Patient with Ankylosing Spondylitis : A case report

• Lee SM
• An IS
• Choi JS
• Park CH
• Lee CS
• Kim WT

• KMID: 2236651
• DOI: http://doi.org/10.4097/kjae.2007.52.1.99

Abstract

Ankylosing spondylitis is a chronic and systemic disease invloving the axial skeleton. In patient with involved cervical spine of the ankylosing spondylitis, endotracheal intubation by direct laryngoscope may be difficult or impossible because they have a limitation of cervical movement and anatomical anomalies. Additionally, ossification of the interspinous ligaments and the formation of bony bridges (syndesmophytes) between vertebrae, resulting in a classic "bamboo spine" appearance make difficult or impossible placement of an epidural or spinal needle. We report a case of a patient with long standing ankylosing spondylitis who underwent revision arthroplasty of the hip using combined continuous psoas compartment block and sciatic nerve block.

Keyword

ankylosing spondylitis; psoas compartment block; revision hip arthroplasty; sciatic nerve block

MeSH Terms

Arthroplasty*
Hip*
Humans
Intubation, Intratracheal
Laryngoscopes
Ligaments
Needles
Sciatic Nerve*
Skeleton
Spine
Spondylitis, Ankylosing*