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. 2013 Jan;57(1):69-71.
doi: 10.4103/0019-5049.108572.

Management of a case of ankylosing spondylitis for total hip replacement surgery with the use of ultrasound-assisted central neuraxial blockade

Rakhee Goyal  1 , Shivinder Singh, Ravindra Nath Shukla, Anuj Singhal
Affiliations

Management of a case of ankylosing spondylitis for total hip replacement surgery with the use of ultrasound-assisted central neuraxial blockade

Rakhee Goyal et al. Indian J Anaesth. 2013 Jan.

Abstract

Management of a case of ankylosing spondylitis can be very challenging when the airway and the central neuraxial blockade, both are difficult. Ultrasound-assisted central neuraxial blockade may lead to predictable success in the field of regional anaesthesia. We present a young patient with severe ankylosing spondylitis where conventional techniques failed and ultrasound helped in successful combined spinal-epidural technique for total hip replacement surgery.

Keywords: Ankylosing spondylitis; central neuraxial blockade; ultrasonography.

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Conflict of interest statement

Conflict of Interest: None declared

Figures

Figure 1
Figure 1
Antero-posterior radiograph of lumbo-sacral spine. Fusion of sacroiliac joints, vertebrae with bridging syndesmophytes (shown by arrows), dagger sign (ossification of anterior longitudinal ligament and interspinous ligament) and tram track sign (syndesmophytes and ossified ligaments looking like tram tracks) are seen
Figure 2
Figure 2
(a) Position of ultrasound probe in left parasagittal plane with a line marked perpendicular to midline. (b) Parasagittal view of ultrasound scan at L2-3 space showing the two sawtooth-shaped laminae (arrows) and the space between them
See this image and copyright information in PMC

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