Abstract
Spinal anesthesia can be challenging in young obese patients and in elderly age group (>65yrs). The surface landmarks observed by clinical palpation can be less helpful in these patients (1-7).The purpose of this study is to do pre procedural ultrasound and clinical examination of the lumbar spine in the same group of patients and comparing them to space finally in which the procedure was performed. The aim is to find out the usefulness of sonography in assessing the difficulty of spinal anesthesia in young patients ( 40 years expertise is still needed in using this technique. This calls in for routine use of pre procedural sound screening for all anticipated difficult spinals.
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