KUMJ | VOL. 16 | NO. 4 | ISSUE 64 | OCT.-DEC. 2018

Implications of Subarchnoid Block in Senile Kyphosis
Pokharel K, Rijal R, Bhattarai B, Subedi A, Khatiwada S

Abstract:
Since the literature related to safety or efficacy of placing spinal blocks in patients with kyphosis is lacking, we aim to discuss about the anaesthesia implications of spinal anaesthesia in senile kyphosis. We successfully administered spinal anesthesia in three elderly patients with predominant kyphotic deformity with absent or mild scoliosis. The needle insertion attempts did not exceed two and a smaller dose of anesthetic was sufficient. While choosing spinal anaesthesia in patients with kyphosis, a risk benefit analysis needs to be performed based on the co-presence of scoliosis and its severity, desired level of anesthesia, and associated or coexisting systemic illness.
Keyword : Kyphosis, Spinal anaesthesia, Regional anaesthesia