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Spinal Anesthesia After Thoracolumbar Fixation for Scoliosis: A Case Report Emphasizing the Role of Chest X-ray Reassessment

Year: 2026

Type: article

Abstract: Spinal anesthesia (SA) is widely favored for lower limb orthopedic surgeries due to its rapid onset, effectiveness, and lower risk compared to general anesthesia (GA), particularly in patients with comorbidities. Nevertheless, prior spinal surgery presents significant challenges to SA because of deformed anatomy, scarring, and altered surface landmarks. In this article, we report successful landmark-based SA using radiographic reassessment, without ultrasound, in an elderly patient with multiple comorbidities and previous thoracolumbar fixation for scoliosis who was scheduled for elective total knee arthroplasty.

Source: Cureus

DOI: 10.7759/cureus.101132

Authors: Hanin Alhodathi, Omar Al Misnid, Leen Alhodathi

Institution: Qassim University

Language: English

Topic: Anesthesia and Pain Management

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W7119525739