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CASE REPORTS
Year : 2019  |  Volume : 9  |  Issue : 2  |  Page : 75-77

Epidural analgesia for percutaneous kyphoplasty in a patient with multiple medical comorbidities


1 Department of Anesthesia, Great Lakes Anesthesiology, John R. Oishei Children’s Hospital, Buffalo, New York, USA
2 Department of Anesthesiology, American University of Beirut Medical Center (AUBMC), Beirut, Lebanon
3 Department of Anesthesia, Great Lakes Anesthesiology, John R. Oishei Children’s Hospital, Buffalo, New York, USA; Department of Anesthesiology, University at Buffalo, Buffalo, New York, USA

Correspondence Address:
Dr. Waseem S Alfahel
Department of Anesthesiology, Great Lakes Anesthesiology, John R. Oishei Children’s Hospital, 1001 Main Street, Suite K-3502, Buffalo, New York 14203
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajm.AJM_73_18

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Kyphoplasty is a minimally invasive procedure intended to stabilize the fractured bone and restore bone height. It involves percutaneous introduction of an inflatable bone tamp into a fractured vertebral body, followed by injection of bone cement into the ballooned pocket. Anesthetic options typically considered for this procedure include intravenous sedation or general anesthesia. These patients are often elderly, frail, in significant pain, and may poorly tolerate sedation or general anesthesia in the prone position. Spinal anesthesia has been suggested as an alternative method. However, it has major limitations. We would like to report a case of a 79-year-old patient with multiple comorbidities, who presented for kyphoplasty, where epidural anesthesia was conducted and successfully provided adequate analgesia as well as optimal surgical conditions.


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