Open reduction and internal fixation of fracture femur in a patient with severe ankylosing spondylitis utilizing continuous caudal epidural anaesthesia

Aman Thakur, Priyanka Sood, Shelly Rana, Sudarshan Kumar


We describe a patient with severe ankylosing spondylitis scheduled to undergo open reduction and internal fixation. We emphasise on alternative anaesthetic management in view of non-availability of fiberoptic bronchoscope and unwillingness of patient to go to higher centre. Regional (continuous caudal epidural) anesthesia has been used as technique of choice.


Ankylosing spondylitis, Caudal, Epidural

Full Text:



Kamarkar US, Chaudhari LS, Hosalkar H, Budhi M, Venkataraghavan D. Difficult intubation in a case of ankylosing spondylitis: a case report. J Postgrad Med. 1998;43:4.

Jindal P, Chopra G, Chaudhary A, Rizvi AA, Sharma JP. Taylor’s approach in Spondylitis patient posted for percutaneous nephrolithotomy: A challenge for Anesthesiologists. Saudi J Anaesth. 2009;3(2):43-6.

Kumar K, Bhatt S, Dhimar A, Parekh R: Anaesthetic management for total hip Replacement in a case of ankylosing spondylitis. The Internet Journal of Anesthesiology. 2007;12(2):1-7.

Chin KJ, Chan V. Ultrasonography as a preoperative assessment Tool: Predicting the feasibility of Central Neuraxial Blockade. Anesth Analg. 2010;110:252-3.

Deoboard JW, Ghia JN, Guilford WB. Caudal anesthesia in a patient with Ankylosing spondylitis for hip surgery. Anesthesiology. 1981;54:164-6.