Abstract

26-year young female, a known case of long-standing ankylosing spondylitis and suspected case of osteopetrosis having fracture shaft femur had presented to us for lower limb surgery. Difficult spine and limited neck movement due to fusion of vertebras make regional and general anesthesia a challenge for anesthesiologist. After failure of traditional approach to central neuraxial block, fluoroscopic guided block spinal anesthesia was achieved successfully. But with experienced hands, Fluro imaging helps to deal with difficult situation like ankylosing spondylitis safely..

Keywords: Ankylosing spondylitis; Difficult spine; Fluro imaging

Abbreviation: AS: Ankylosing Spondylitis; LS: Lumbosacral; AP: Anteroposterior; SAB: Subarachnoid Block; USG: Ultrasonography; OT: Operation Theater