Abstract

Kyphoscoliosis in a patient posted for incidental surgery is a challenge not only due to the presence and consequences of the disease but also for the anaesthetic implications. Central neuraxial blocks may risk erratic spread of the local anaesthetic agents. Airway and restrictive lung disease may add to the challenges in long standing cases. We report anaesthetic management of 39-year-old male with fracture of mid shaft of left femur with alleged history of self-fall from tricycle bike which he had been using due to post-polio weakness of the lower limbs. He successfully underwent closed reduction with Titanium Elastic Nailing System TENS under spinal anaesthesia.

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