Spinal anesthesia in a scoliosis patient: a case report
Spinal anesthesia in scoliosis patient
DOI:
https://doi.org/10.59747/smjidisurabaya.v2i1.35Kata Kunci:
spinal block, spinal anesthesia, cardiopulmonary function in scoliosis, scoliosisAbstrak
Background: Scoliosis is a spinal deformity that exceeds a curve of 10 degrees identified at an early age (10 to 16 years old). Neuromuscular scoliosis is associated with a heterogeneous spectrum of muscular or neurological symptoms. Thus it is challenging to give a patient neuraxial/spinal anesthesia treatment before the surgery as it can alter the respiratory mechanism by changing the muscle orientation in the respiratory system. Objectives: This paper reported a challenging case of thoracolumbar scoliosis presenting with osteomyelitis requiring sequestrectomy after the patient had a motorbike accident. Case: The patient had a previous history of difficult spinal anesthesia. Fortunately, it only took one attempt to do the spinal anesthesia for the recent surgery. Conclusion: This report emphasizes the need for anesthesiologists to evaluate the cardiopulmonary functions and radiology features of the spine and anesthesia techniques to provide safe and efficient treatment in such a patient.
Referensi
Bansal, L., Attri, J., Verma, P., 2016. Lower limb surgeries under combined femoral and sciatic nerve block. Anesth. Essays Res. 10, 432.
Goel, A., Jeelani, T.M., Saleem, B., 2021. Study of Spinal anesthesia in patients with Scoliosis at a tertiary hospital. Asian J. Med. Sci. 12, 44–48.
Halawi, M.J., Lark, R.K., Fitch, R.D., 2015. Neuromuscular scoliosis: Current concepts. Orthopedics 38, e452–e456.
Hudec, J., Prokopová, T., Kosinová, M., Gál, R., 2023. Anesthesia and Perioperative Management for Surgical Correction of Neuromuscular Scoliosis in Children: A Narrative Review. J. Clin. Med. 12.
Kempen, D.H.R., Heemskerk, J.L., Kaçmaz, G., Altena, M.C., Reesink, H.J., Vanhommerig, J.W., Willigenburg, N.W., 2022. Pulmonary function in children and adolescents with untreated idiopathic scoliosis: a systematic review with meta-regression analysis. Spine J. 22, 1178–1190.
Kishimoto, T., Hayashi, S., Nakanishi, Y., Goto, T., Kosugi, K., Sakurai, S., 2020. Use of the Microcuff® During General Anesthesia for Patients With Scoliosis. Anesth. Prog. 67, 23–27.
Ko, J.Y., Leffert, L.R., 2009. Clinical implications of neuraxial anesthesia in the parturient with scoliosis. Anesth. Analg. 109, 1930–1934.
Kuznia, A.L., Hernandez, A.K., Lee, L.U., 2020. Adolescent idiopathic scoliosis: Common questions and answers. Am. Fam. Physician 101, 19–23.
Li, Q., Zeng, F., Chen, T., Liang, M., Lei, X., Liang, Y., Zheng, C., Huang, H., 2022. Management of Severe Scoliosis with Pulmonary Arterial Hypertension: A Single-Center Retrospective Case Series Study. Geriatr. Orthop. Surg. Rehabil. 13, 1–11.
Mayer, O.H., 2015. Scoliosis and the Impact in Neuromuscular Disease. Paediatr. Respir. Rev. 16, 35–42.
Özkan, A.K., Yildirim, B., Yilmaz, H., 2020. Respiratory Function in Adolescent Girls With Mild and Moderate Idiopathic Scoliosis. J. Turkish Spinal Surg. 31, 75–79.
Park, S.K., Bae, J., Yoo, S., Kim, W.H., Lim, Y.J., Bahk, J.H., Kim, J.T., 2020. Ultrasound-Assisted Versus Landmark-Guided Spinal Anesthesia in Patients with Abnormal Spinal Anatomy: A Randomized Controlled Trial. Anesth. Analg. 130, 787–795.
Sharma, S., Wu, C., Andersen, T., Wang, Y., Hansen, E.S., Bünger, C.E., 2013. Prevalence of complications in neuromuscular scoliosis surgery: A literature meta-analysis from the past 15 years. Eur. Spine J. 22, 1230–1249.
Unduhan
Diterbitkan
Lisensi
Hak Cipta (c) 2024 Andre Fernando Gunadi, MD, Aria Bisma Putra, MD, Irsyan Baginda Maulana, Iqbal Dwi Cahyo, Muhammad Farid
Artikel ini berlisensi Creative Commons Attribution 4.0 International License.
