Challenges and Difficulties of Spinal Anesthesia in a Patient with Traumatic Thoracolumber Scoliosis

Tasnuva Tanzil, S. Khatoon, Satyajit Dhar, Akm Samsul Alam
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Abstract

We report an interesting and challenging case of traumatic thoracolumber scoliosis presenting with closefracture of right patella planned for open reduction and internal fixation (ORIF) under regional anesthesia.However, spinal anesthesia was not successful even with the use of intra operative fluoroscopy or ultrasoundguidance. We have in view to show the importance of proper review of preoperative x-ray of dorsolumberspine scoliosis and careful physical examination of back of the patients by the anesthesiologist to administeran effective and safe spinal anesthesia in such patients in low resource setting for successful & safe spinalanesthesia. JBSA 2021; 34(1): 54-56
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创伤性胸腰椎侧凸患者脊柱麻醉的挑战和困难
我们报告一个有趣且具有挑战性的创伤性胸腰椎侧凸病例,表现为右髌骨闭合性骨折,计划在区域麻醉下切开复位内固定(ORIF)。然而,即使使用术中透视或超声引导,脊髓麻醉也不成功。我们认为,在资源匮乏的情况下,麻醉师对腰腰椎侧凸术前x线检查和对患者背部进行仔细的身体检查对于有效和安全的脊髓麻醉的重要性,对于成功和安全的脊髓麻醉来说是非常重要的。JBSA 2021;34 (1): 54-56
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