Anesthesia for caesarean section in pregnant women with kyphoscoliosis: neuraxial or general?
Аnesthetic management of cesarean section in pregnant women with severe kyphoscoliosis is quite debatable. It is believed that kyphoscoliosis is a contraindication to neuraxial anesthesia methods. The article presents a successful experience of spinal anesthesia in pregnant women with severe kyphoscoliosis. Authors believe that spinal anesthesia can be successfully performed in pregnant women with severe kyphoscoliosis – paramedian access at the L5–S1 level, due to the anatomical features of these vertebrae.
Kadurina TI, Gorbunova VN. Connective tissue dysplasia. SPb. : ELBI; 2009. 714 p.
Chopra S, Adhikari K, Agarwal N, Suri V, Sikka P. Kyphoscoliosis complicating pregnancy: maternal and neonatal outcome. Archives of Gynecology and Obstetrics [Internet]. Springer Science and Business Media LLC; 2010 Aug 14;284(2):295–7. Available from: https://doi.org/10.1007/s00404–010–1638–3
Yeo ST, French R. Combined spinal-epidural in the obstetric patient with Harrington rods assisted by ultrasonography. British Journal of Anaesthesia [Internet]. Elsevier BV; 1999 Oct;83(4):670–2. Available from: https://doi.org/10.1093/bja/83.4.670
Bansal N, Gupta S. Anaesthetic management of a parturient with severe kyphoscoliosis. Kathmandu University Medical Journal [Internet]. Nepal Journals Online (JOL); 1970 Jan 1;6(3):379–82. Available from: https://doi.org/10.3126/kumj.v6i3.1716
Crosby ET, Halpern SH. Obstetric epidural anaesthesia in patients with Harrington instrumentation. Canadian Journal of Anaesthesia [Internet]. Springer Science and Business Media LLC; 1989 Nov;36(6):693–6. Available from: https://doi.org/10.1007/bf03005423
Goodman S. Anesthesia for nonobstetric surgery in the pregnant patient. Semin Perinatol. 2002 Apr;26(2):136–45.
Kulkarni AH, Ambareesha M. Scoliosis and anesthetic considerations. Indian J Anaesth. 2007;51(6):486–95.
Pandey R, Batra M, Darlong V, Garg R, Punj J, Kumar S. Anesthetic management of parturient with thoracic kyphoscoliosis, malaria and acute respiratory distress syndrome for urgent cesarean section. Journal of Anaesthesiology Clinical Pharmacology [Internet]. Medknow; 2015;31(4):558. Available from: https://doi.org/10.4103/0970–9185.169090
Afolabi BB, Lesi FE. Regional versus general anaesthesia for caesarean section. Cochrane Database of Systematic Reviews [Internet]. Wiley; 2012 Oct 17; Available from: https://doi.org/10.1002/14651858.cd004350.pub3
Veliath D, Sharma R, Ranjan R, Rajesh Kumar C, Ramachandran T. Parturient with kyphoscoliosis (operated) for cesarean section. Journal of Anaesthesiology Clinical Pharmacology [Internet]. Medknow; 2012;28(1):124. Available from: https://doi.org/10.4103/0970–9185.92463
Kardash K, King BW, Datta S. Spinal anaesthesia for Caesarean section after Harrington instrumentation. Canadian Journal of Anaesthesia [Internet]. Springer Science and Business Media LLC; 1993 Jul;40(7):667–9. Available from: https://doi.org/10.1007/bf03009704
Feldstein G, Ramanathan S. Obstetrical Lumbar Epidural Anesthesia in Patients with Previous Posterior Spinal Fusion for Kyphoscoliosis. Anesthesia & Analgesia [Internet]. Ovid Technologies (Wolters Kluwer Health); 1985 Jan;64(1):83–85. Available from: https://doi.org/10.1213/00000539–198501000–00018
Ozerdemoglu RA, Aydinli U, Ozturk S, Ersozlu S, Serifoglu R. X-ray diffraction analysis of adult nova scoliosis // Spinal surgery; 2005(3).
GRUBB SA, LIPSCOMB HJ, COONRAD RW. Degenerative Adult Onset Scoliosis. Spine [Internet]. Ovid Technologies (Wolters Kluwer Health); 1988 Mar;13(3):241–5. Available from: https://doi.org/10.1097/00007632–198803000–00004
Pritchett JW, Bortel DT. Degenerative Symptomatic Lumbar Scoliosis. Spine [Internet]. Ovid Technologies (Wolters Kluwer Health); 1993 May;18(6):700–3. Available from: https://doi.org/10.1097/00007632–199305000–00004
Sapkas G, Efstathiou P, Badekas AT, Antoniadis A, Kyratzoulis J, Meleteas E. Radiological parameters associated with the evolution of degenerative scoliosis. Bull Hosp Jt Dis. 1996;55(1):40–5.
White AA, Panjabi MM. Clinical Biomechanics of the Spine. 2nd ed. JB Lippincott, Philadelphia, 1990: 109–21.
This work is licensed under a Creative Commons Attribution 4.0 International License