ABSTRACT

Kyphoscoliosis, with pulmonary complications, possible ventilation problems and intubation difficulties, has high risks of morbidity for anesthesia. We performed unilateral spinal anesthesia with 12.5 mg of hyperbaric bupivacaine (0.5%) in a severely kyphoscoliotic patient who was suffering from obstructive-restrictive pulmonary disease and underwent partial hip arthroplasty operation due to femur fracture. There was no complication in either the peroperative or postoperative period. In this case report, the anesthesia techniques for kyphoscoliotic patients, morbidities due to hip arthroplasty and the reasons for our preference for unilateral spinal anesthesia are discussed. In conclusion, unilateral spinal anesthesia may be an alternative anesthesia technique in kyphoscoliotic patients undergoing lower extremity surgery.