Fluoroscopically guided transforaminal epidural catheterization of the ankylosing spondylitis

Ankylosing spondylitis (AS) is a chronic, progressive, autoimmune collagen tissue disease characterized by inflmmation and lower back pain. General anesthesia may pose a high risk in the AS due to intubation diffilty, as well as affcted respiratory and cardiovascular organs. In cases of involvement of the vertebrae, neuraxial anesthesia may be diffilt or even impossible. In this article, we discuss a case of AS that received a successful an epidural catheter was placed using a transforaminal route under C-arm floroscopy guidance for total hip replacement surgery, which was diffilt due to intubation and an interlaminar neuraxial anesthesia.

Ankilozan spondilitli olguda floroskopi eşliğinde transforaminal epidural kateter

Ankilozan spondilit (AS), enflmatuvar bel ağrısı ve sakroileit ile karakterize kronik, progresif ve otoimmün bir kollajen doku hastalığıdır. Bu hasta grubunda, zor hava yolunun yanında solunum, kardiyovasküler organ tutulumları nedeniyle genel anestezi uygulaması yüksek riskli olabilir. Vertabra tutulumu olduğunda ise nöroaksiyel blok zor ya da imkansız hale gelebilir. Total kalça protezi yapılan, AS nedeniyle entübasyon güçlüğü olan ve interlaminar nöroaksiyel blok imkansız gibi görünen bir olguda flroskopi eşliğinde transforaminal yoldan epidural kateter yerleştirilerek yapılan başarılı bir epidural anestezi uygulamasını tartıştık.

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