Abstract
Ankylosing spondylitis is the complex, multisystemic disorder primarily involving the axial skeleton. Uniform progressive brous ossication of articular and para-articular tissue results in bony ankylosis, loses exibility of spine, ultimately leading to structural and functional impairment. Temporomandibular joint ankylosis with limited neck mobility due to fused cervical spine makes airway management challenging for anesthesiologist. Axial skeletal changes pose neuraxial anesthesia technically demanding and difculty in positioning. These patients may require surgery for hip or spine deformity. We report a series of three ankylosing spondylitis cases with difculties faced in securing airway and how we managed it successfully. Thorough knowledge of the disease process, familiarity with established airway techniques and choosing the most appropriate airway equipment at the right time is crucial.
Published Version
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