Cesarean Section with Ultrasound Guided Spinal Anesthesia in a Pregnant Patient with Advanced Kyphoscoliosis: a Case Report

Kyphoscoliosis may be the reason for various difficulties in terms of both general and regional anesthesia. In this case report, the anesthesia method applied to a pregnant patient with advanced thoracolumbar kyphoscoliosis is presented. Spinal anesthesia was successfully applied to a pregnant patient with severe kyphoscoliosis in the thoracolumbar region by ultrasound guidance, who was scheduled for an elective cesarean section operation. Sensory block was obtained at the T-6 level in the patient who was placed in the supine position. No complications occurred during the intraoperative and postoperative periods. In conclusion, ultrasound guided spinal anesthesia may be a good option in kyphoscoliosis.

Ýleri Derece Kifoskolyozlu Gebe Hastada Ultrasonografi Eþliðinde Yapýlan Spinal Anestezi: Olgu Sunumu

Kifoskolyoz; hem genel hem de rejyonel anestezi için çeþitli zorluklara neden olabilmektedir. Olgu sunumumuzda ileri derecede torakolomber bölgede kifoskolyozu olan gebe hastaya uygulanan anestezi yöntemi sunulmuþtur. Torakolomber bölgede ciddi kifoskolyozu olan, elektif sezaryen operasyonu planlanan gebe hastaya ultrasonografi eþliðinde baþarýlý bir þekilde spinal anestezi uygulandý. Supin pozisyon verilen hastada T-6 dermatomu seviyesinde duyusal blok elde edildi. Hastada intraoperatif ve postoperatif dönemde herhangi bir komplikasyon geliþmedi. Sonuç olarak, kifoskolyozda ultrason eþliðinde yapýlan spinal anestezi iyi bir seçenek olabilir.