Is regional anesthesia a safe technique for patients with severe ankylosing spondylitis undergoing total hip replacement surgery?


  • Elif Copuroglu Department of Anesthesiology, Trakya University, Faculty of Medicine, Edirne, Turkey
  • Gonul Sagiroglu Department of Anesthesiology, Trakya University, Faculty of Medicine, Edirne, Turkey



Ankylosing spondylitis, Epidural anaesthesia, Spinal anaesthesia


Background: Authors report two cases of regional anesthesia management whom were scheduled for total hip replacement surgery due to ankylosing spondylitis.

Methods: Mouth opening, and cervical spine movements were limited. Cervical ostheophytes have been recognized to cause distortion of the airway and can lead to unexpected difficulties during intubation.

Results: In present first case report we described continuous spinal anesthesia for a patient with severe ankylosing spondylitis. We achieved successful anesthesia using epidural catheter by insertion of spinal area. Awake epidural anesthesia management was described in second case of the study.

Conclusions: Authors suggest that regional anesthesia can be safely and effectively used as an alternative to general anesthesia in patients with ankylosing spondylitis.


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