Neuraxial anaesthesia in a parturient with retrolisthesis and lumbar deformity: A case report

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1. Verfasser: Dr Devika G
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Veröffentlicht: Zenodo 2025
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author Dr Devika G
author_facet Dr Devika G
contents <p>Background: Managing anaesthesia in patients with spinal deformities presents unique<br>challenges. We report a case of successful subarachnoid block (SAB) in a patient with<br>congenital retrolisthesis, who also presented with a lower respiratory tract infection<br>(LRTI) contra indicating general anaesthesia (GA).<br>Case description: A 26-year-old female with congenital retrolisthesis and lumbar<br>spine deformity underwent an elective lower segment caesarean section (LSCS) under<br>SAB. Detailed pre anaesthetic evaluation, risk counselling and a tailored approach were<br>employed to address anatomical and physiological challenges. The procedure was<br>uneventful; however a delayed regression of sensory and motor block was observed<br>post operatively.<br>Conclusion: neuraxial anaesthesia, despite challenges, can be safely administered in<br>parturient with spinal deformities through meticulous planning and monitoring. This<br>case highlights of individual anesthetic approaches in complex clinical scenarios.</p>
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publishDate 2025
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spellingShingle Neuraxial anaesthesia in a parturient with retrolisthesis and lumbar deformity: A case report
Dr Devika G
<p>Background: Managing anaesthesia in patients with spinal deformities presents unique<br>challenges. We report a case of successful subarachnoid block (SAB) in a patient with<br>congenital retrolisthesis, who also presented with a lower respiratory tract infection<br>(LRTI) contra indicating general anaesthesia (GA).<br>Case description: A 26-year-old female with congenital retrolisthesis and lumbar<br>spine deformity underwent an elective lower segment caesarean section (LSCS) under<br>SAB. Detailed pre anaesthetic evaluation, risk counselling and a tailored approach were<br>employed to address anatomical and physiological challenges. The procedure was<br>uneventful; however a delayed regression of sensory and motor block was observed<br>post operatively.<br>Conclusion: neuraxial anaesthesia, despite challenges, can be safely administered in<br>parturient with spinal deformities through meticulous planning and monitoring. This<br>case highlights of individual anesthetic approaches in complex clinical scenarios.</p>
title Neuraxial anaesthesia in a parturient with retrolisthesis and lumbar deformity: A case report
url https://doi.org/10.5281/zenodo.15686683