Management of ankylosing spondylitis case for ankle surgery under spinal anaesthesia by Taylor’s approach

Abstract

Managing a case of ankylosing spondylitis can be difficult and challenging as both airway and vertebral column are deformed yet difficult and associated with extra articular manifestation. Taylor's approach can be considered ideally in these patients coming for lower limb surgeries. We present a young patient with severe ankylosing spondylitis with cardiac and pulmonary involvement coming for ankle surgery where we used Taylor's approach for successful central neuraxial blockade. By this approach the case was managed perioperatively optimally and safely.