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Cardiothoracic and Vascular Anesthesia
Anesthesia and Pain Medicine 2012;7(3):236-239.
Published online July 31, 2012.
Anaesthetic experience in a patient with severe thoracolumbar kyphosis: A case report
Hyungseok Seo, Sung Hoon Kim, Tae I Ham, Seung Il Ha
1Department of Anesthesiology and Pain Medicine, Asan Medical Center, Seoul, Korea. seungilha@amc.seoul.kr
2National Police Hospital, Seoul, Korea.
Abstract
Kyphosis is a deformity characterized by anterior flexion of the vertebral column. When severe, kyphosis may decrease lung volume and compliance, leading to increased work of breathing and deterioration of pulmonary function. Moreover, postoperative respiratory failure is a common problem for patients with severe spinal deformities. We describe the successful case of general anaesthesia in a 71-year-old male patient with severe thoracolumbar kyphosis undergoing open surgery converted from robotic surgery.
Key Words: Kyphosis, Pulmonary atlectasis, Respiratory insufficiency, Robotics, Surgery computer assisted


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