Abstract
Subarachnoid block in patients with kyphoscoliosis always present a unique challenge to the anesthesiologist owing to the deformity of spine. The asymmetry in bilateral spread of local anesthetic has been reported earlier. We present a case report of poliomyelitis patient with fracture femur (left) with thoracolumbar kyphoscoliosis posted for open reduction internal fixation. Anesthesia planned in this patient was subarachnoid block with modified paramedian approach which resulted in unilateral sensory block.
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