| Combined Continuous Psoas Compartment Block and Sciatic Nerve Block for Revision Arthroplasty of the Hip in a Patient with Ankylosing Spondylitis : A case report. |
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Sang Mo Lee, Ik Soon An, June Seog Choi, Cheon Hee Park, Cheol Seung Lee, Won Tae Kim |
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Department of Anesthesiology and Pain Medicine, Kwangju Christian Hospital, Gwangju, Korea. optlma@unitel.co.kr |
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| Abstract |
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Ankylosing spondylitis is a chronic and systemic disease invloving the axial skeleton. In patient with involved cervical spine of the ankylosing spondylitis, endotracheal intubation by direct laryngoscope may be difficult or impossible because they have a limitation of cervical movement and anatomical anomalies. Additionally, ossification of the interspinous ligaments and the formation of bony bridges (syndesmophytes) between vertebrae, resulting in a classic "bamboo spine" appearance make difficult or impossible placement of an epidural or spinal needle. We report a case of a patient with long standing ankylosing spondylitis who underwent revision arthroplasty of the hip using combined continuous psoas compartment block and sciatic nerve block. |
| Key Words:
ankylosing spondylitis; psoas compartment block; revision hip arthroplasty; sciatic nerve block |
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