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Korean Journal of Anesthesiology 2008;54(4):446-448.
DOI: https://doi.org/10.4097/kjae.2008.54.4.446   
Combined Spinal-epidural Anesthesia in a Patient with Severe Thoracic Kyphoscoliosis: A case report.
Oksun Kim, Sang seock Lee, Tae Joong Yoo, Yun Hee Lim, Jun Heum Yon
Department of Anesthesia and Pain Medicine, SanggyePaik Hospital, College of Medical, Inje University, Seoul, Korea. sslee@sanggyepaik.ac.kr
Kyphoscoliosis is a deformity of the costovertebral skeletal structures characterized by an anterior flexion (kyphosis) and lateral curvature (scoliosis) of the patient's vertebral column.(1)) In kyphoscoliosis, lung volume and compliance is reduced due to the change of vertebral column. The work of breathing is increased by abnormal mechanism of the thorax and by increased airway resistance resulting from small lung volume. Airway management and respiratory problems are common and spinal deformities can cause difficulties with regional anesthesia. We had experienced a successful spinal anesthesia for closed reduction and internal fixation (CRIF) and proximal femoral nail (PFN) of fractured intertrochanteric femur in a patient with extremely severe thoracolumbar kyphoscoliosis.
Key Words: combined spinal-epidural anesthesia; intertrochanteric fracture of femur; kyphosis; scoliosis


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