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An approach to neuraxial anaesthesia for the severely scoliotic spine

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Presentation on theme: "An approach to neuraxial anaesthesia for the severely scoliotic spine"— Presentation transcript:

1 An approach to neuraxial anaesthesia for the severely scoliotic spine
C. Bowens, K.H. Dobie, C.J. Devin, J.M. Corey  British Journal of Anaesthesia  Volume 111, Issue 5, Pages (November 2013) DOI: /bja/aet161 Copyright © 2013 The Author(s) Terms and Conditions

2 Fig 1 Chest radiograph demonstrating dextrorotatory thoracic scoliosis with a Cobb angle of 60°. British Journal of Anaesthesia  , DOI: ( /bja/aet161) Copyright © 2013 The Author(s) Terms and Conditions

3 Fig 2 Coronal computed tomogram demonstrating a compensatory lumbar curve with a Cobb angle of 40°. British Journal of Anaesthesia  , DOI: ( /bja/aet161) Copyright © 2013 The Author(s) Terms and Conditions

4 Fig 3 Transverse computed tomogram demonstrating L2 vertebral body rotation and pathway for paramedian approach to the epidural space. British Journal of Anaesthesia  , DOI: ( /bja/aet161) Copyright © 2013 The Author(s) Terms and Conditions

5 Fig 4 Transverse ultrasound image depicting anatomy consistent with the transverse computed tomogram. LF-D, ligamentum flavum-dura mater complex; PVB, posterior vertebral body. British Journal of Anaesthesia  , DOI: ( /bja/aet161) Copyright © 2013 The Author(s) Terms and Conditions

6 Fig 5 Algorithm to guide neuraxial techniques in scoliotic patients.
British Journal of Anaesthesia  , DOI: ( /bja/aet161) Copyright © 2013 The Author(s) Terms and Conditions


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