Epidural and Spinal Procedures under Fluoroscopy for Patients with Severe Scoliosis

• OKADA Yoshifumi

  Division of Anesthesia, Japanese Red Cross Sendai Hospital

• SHIMA Takeshi

  Division of Anesthesia, Japanese Red Cross Sendai Hospital

• SASAKI Shigeyoshi

  Division of Anesthesia, Japanese Red Cross Sendai Hospital

• SATO Chihoko

  Division of Anesthesia, Japanese Red Cross Sendai Hospital

• KATO Masato

  Department of Anesthesiology, Tohoku University Graduate School of Medicine

Bibliographic Information

Other Title

• 高度側弯症への透視下硬膜外腔・くも膜下腔穿刺

Abstract

  We tried to perform an epidural in two patients and spinal anesthesia in another two patients who had very severe scoliosis (over 100 degrees) under fluoroscopic guidance. Although the epidural catheter was successfully inserted in both cases, we succeeded in spinal anesthesia in only one patient. The skin-to-subarachnoid-space distance was so great that we could not penetrate the dura matter in the other case.<br>  When inserting needles under fluoroscopy, we recommend first identifying the positions of the spinous process and the bilateral pedicles of the vertebral arch, and then adjusting the fluoroscope to the point where you can see these anatomic landmarks as clearly as possible. Epidural and/or spinal anesthesia under fluoroscopy can be safely performed ; however, proficient skills may be required.

Journal

• THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA

  THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA 27 (1), 66-70, 2007

  THE JAPAN SOCIETY FOR CLINICAL ANESTHESIA

Keywords

• Severe scoliosis
• Epidural and spinal anesthesia
• Penetration under fluoroscopy

Details

• CRID: 1390001204760141312
• NII Article ID: 130004449626
• NII Article ID: 10018670482
• NII Book ID: AN00330159
• DOI: 10.2199/jjsca.27.66
• ISSN: 13499149
• ISSN: 02854945
• Web Site: https://search.jamas.or.jp/link/ui/2007144449
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed