TAYLOR’S LUMBOSACRAL PARAMEDIAN APPROACH FOR SPINAL ANAESTHESIA IN A PATIENT WITH ANKYLOSING SPONDYLITIS WITH BAMBOO SPINE POSTED FOR TURP

Dr. Mili Dogra, Dr. Neha Atwal and *Dr. Sakshi Jaryal

ABSTRACT

Ankylosing spondylitis is a progressive inflammatory arthropathy that primarily affects the spine and sacroiliac joints. The affected joints undergo fusion with restricted mobility. The classic “bamboo spine” appearance seen radiographically in advanced disease is caused by ossification of the vertebral ligaments. Ankylosing spondylitis is associated with both a difficult airway as well as a difficulty in performing a regional neuraxial technique. Here we present a rare case of advanced ankylosing spondylitis with bamboo spine scheduled to undergo transurethral resection of prostate (TURP) for benign prostatic hypertrophy (BPH) under spinal anaesthesia using the Taylor’s approach.

Keywords: ankylosing spondylitis, bamboo spine, TURP, Taylor approach, spinal.