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KMID : 0356920080540040446
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Korean Journal of Anesthesiology
2008 Volume.54 No. 4 p.446 ~ p.448
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Combined Spinal-epidural Anesthesia in a Patient with Severe Thoracic Kyphoscoliosis - A case report -
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Kim Ok-Sun
Lee Sang-Seok
Woo Tae-Jong
Lim Yun-Hee
Yon Jun-Heum
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Abstract
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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.
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KEYWORD
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combined spinal-epidural anesthesia, intertrochanteric fracture of femur, kyphosis, scoliosis
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