Ultrasound-assisted spinal anaesthesia in a patient with Wildervanck syndrome and congenital abnormalities of the lumbar spine

Schisler, Travis; Huttunen, Henrik; Tang, Raymond; Vaghadia, Himat

doi:10.1093/bja/aes241

Cited by 5 publications

(2 citation statements)

References 5 publications

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“…In 1919, Feil subdivided that syndrome into Type 1 with massive fusion of many cervical and upper thoracic vertebrae into blocks, Type 2 with fusion of only one or two interspaces (usually C2-C3 or C5-C6), and Type 3 with both cervical fusion and lower thoracic or lumbar fusion often associated with multiple organ abnormalities and neurological compromise [19]. Furthermore, CFCV may be noticed in Wildervanck syndrome, which is characterized by a Klippel-Feil deformity of the cervical vertebrae in combination with abducens palsy with retracted bulbi and hearing loss [20].…”

Section: Discussionmentioning

confidence: 99%

Congenital Synostosis of Cervical Vertebrae: An Osteological Study and Review of the Literature

Paraskevas

Noussios

Koutsouflianiotis

et al. 2019

Cureus

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IntroductionThe possible appearance of congenital fusion of the second cervical vertebra with adjacent cervical vertebrae, along with its epidemiology, embryological development, and clinical manifestations, was the aim of the current study.MethodsThe osteological material of 93 dried second cervical vertebrae of both sexes were examined in order to identify the likely presence of congenital fusion with the neighboring vertebrae.ResultsAmong 93 axes, we identified one case of a congenitally fused second cervical vertebrae with the third and fourth cervical vertebrae, which accounted for a frequency of 1.08%. There was an incomplete fusion of the vertebral bodies and almost complete fusion of the laminae and facet joints.ConclusionThe knowledge of such rare vertebral synostosis is crucial for the neurosurgeon, orthopedist, and physician dealing with the cervical spine, as well as the anesthetist when performing procedures, such as endotracheal intubation.

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Section: Discussionmentioning

confidence: 99%

Congenital Synostosis of Cervical Vertebrae: An Osteological Study and Review of the Literature

Paraskevas

Noussios

Koutsouflianiotis

et al. 2019

Cureus

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“…Although this case was performed at a teaching centre, earlier involvement of consultant staff may have reduced the number of attempts, considering that AS is a known risk factor for epidural hematoma. 3 In patients with abnormalities of the lumbar spine, 4 ultrasound surveillance of the lumbar spine facilitates placement of neuraxial anesthesia and decreases the number of attempts and subsequent trauma. In difficult cases, such as this one, we strongly recommend ultrasoundassisted placement of epidurals by an anesthesiologist experienced with this technique.…”

Section: To the Editormentioning

confidence: 99%

Epidural analgesia in parturients with ankylosing spondylitis: A role for ultrasound surveillance and ultrasound-guided placement

Vaghadia

Germain

Tang

2012

Can J Anesth/J Can Anesth

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Ultrasound-guided spinal anesthesia for cesarean section in a parturient with spinal metastases

Tawfik

Elrefaey

Abdelkhalek

et al. 2015

J Clin Monit Comput

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Preprocedural spinal ultrasound appears to decrease the failure rate and complications of neuraxial anesthesia compared to the conventional landmark technique. It is especially beneficial in difficult cases where conventional palpation technique may fail. We recently encountered a parturient with multiple lumbar and cervical spinal metastatic lesions presenting for cesarean section in the third trimester. We used spinal ultrasound to define the appropriate intervertebral space and measure the distance to the ligamentum flavum-dura mater complex. This greatly helped in administering a safe spinal anesthetic and avoiding general anesthesia which might have been hazardous in this patient.

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Ultrasound-assisted spinal anaesthesia in a patient with Wildervanck syndrome and congenital abnormalities of the lumbar spine

Cited by 5 publications

References 5 publications

Congenital Synostosis of Cervical Vertebrae: An Osteological Study and Review of the Literature

Congenital Synostosis of Cervical Vertebrae: An Osteological Study and Review of the Literature

Epidural analgesia in parturients with ankylosing spondylitis: A role for ultrasound surveillance and ultrasound-guided placement

Ultrasound-guided spinal anesthesia for cesarean section in a parturient with spinal metastases

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