Taylors approach as a savior in difficult spine anatomy

Abstract

We report a case which was managed by spinal anaesthesia using Taylor's approach. The patient had an altered spine anatomy due to previous L4-L5 laminectomy and discectomy with L4, L5, S1 transpedicular fixation and fusion. Patient's history of post-operative confusion and apprehension about general anaesthesia (GA) made spinal anaesthesia our first choice. However, in view of the altered spine anatomy, Taylor's approach was used successfully to manage anaesthesia to avoid GA. Conclusion: Although SAB is a relative contraindication for patient with history of previous spine surgery mostly due to altered spine anatomy, SAB can be safely administered via Taylor's approach when general anaesthesia has to be avoided.