Open Access
CC BY-NC-ND 4.0 · Avicenna J Med 2019; 9(02): 75-77
DOI: 10.4103/ajm.AJM_73_18
CASE REPORT

Epidural analgesia for percutaneous kyphoplasty in a patient with multiple medical comorbidities

Waseem S Alfahel
Department of Anesthesia, Great Lakes Anesthesiology, John R. Oishei Children’s Hospital, Buffalo, New York, USA
,
Alia S Dabbous
Department of Anesthesiology, American University of Beirut Medical Center (AUBMC), Beirut, USA
,
Mark E Thompson
Department of Anesthesia, Great Lakes Anesthesiology, John R. Oishei Children’s Hospital, Buffalo, New York, USA; Department of Anesthesiology, University at Buffalo, Buffalo, New York, USA
› Institutsangaben

Financial support and sponsorship Nil.
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Abstract

Kyphoplasty is a minimally invasive procedure intended to stabilize the fractured bone and restore bone height. It involves percutaneous introduction of an inflatable bone tamp into a fractured vertebral body, followed by injection of bone cement into the ballooned pocket. Anesthetic options typically considered for this procedure include intravenous sedation or general anesthesia. These patients are often elderly, frail, in significant pain, and may poorly tolerate sedation or general anesthesia in the prone position. Spinal anesthesia has been suggested as an alternative method. However, it has major limitations. We would like to report a case of a 79-year-old patient with multiple comorbidities, who presented for kyphoplasty, where epidural anesthesia was conducted and successfully provided adequate analgesia as well as optimal surgical conditions.

Key messages:

Epidural anesthesia can provide successful operating conditions for kyphoplasty.

General anesthesia need not be a default technique in medically complex patients.

There may be many other procedures where regional techniques may provide surgical anesthesia.



Publikationsverlauf

Artikel online veröffentlicht:
09. August 2021

© 2019. Syrian American Medical Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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