{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T06:18:49Z","timestamp":1774678729407,"version":"3.50.1"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T00:00:00Z","timestamp":1752537600000},"content-version":"vor","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Institutional project","award":["XJZT24LY15"],"award-info":[{"award-number":["XJZT24LY15"]}]},{"name":"Institutional project","award":["2023LC2352"],"award-info":[{"award-number":["2023LC2352"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Spinal anesthesia (SA) is preferred for cesarean delivery but poses technical challenges in patients with spinal deformities or cerebrovascular disorders. This report describes the successful use of ultrasound-assisted SA in a parturient with surgically corrected scoliosis and moyamoya disease. A 28-year-old female at 37\u00a0weeks of gestation with history of surgery for scoliosis (post-thoracolumbar instrumentation) and moyamoya disease underwent elective cesarean section. Severe spinal curvature, metallic implants, and scarring obscured anatomical landmarks. Preprocedural ultrasound identified the L3\u2013L4 interspace, enabling single-attempt SA with optimal sensory blockade (T8\u2013T10). No complications occurred. Ultrasound guidance enhances SA success in complex cases by overcoming anatomical challenges, ensuring hemodynamic stability, and minimizing procedural risks. This technique warrants broader adoption in patients with spinal deformities and comorbid conditions.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf479","type":"journal-article","created":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T17:30:20Z","timestamp":1752600620000},"source":"Crossref","is-referenced-by-count":3,"title":["Ultrasound-assisted spinal anesthesia in a parturient with scoliosis and moyamoya disease undergoing cesarean section: a case report"],"prefix":"10.1093","volume":"2025","author":[{"given":"Yongzhou","family":"Jiang","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Perioperative Medicine, Provincial Key Laboratory of Traditional Chinese Medicine, Xijing Hospital, Fourth Military Medical University , Changle West Rd. 127, Xincheng District, Xi\u2019an, Shaanxi 710032 ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yonghui","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Perioperative Medicine, Provincial Key Laboratory of Traditional Chinese Medicine, Xijing Hospital, Fourth Military Medical University , Changle West Rd. 127, Xincheng District, Xi\u2019an, Shaanxi 710032 ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fahan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Perioperative Medicine, Provincial Key Laboratory of Traditional Chinese Medicine, Xijing Hospital, Fourth Military Medical University , Changle West Rd. 127, Xincheng District, Xi\u2019an, Shaanxi 710032 ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tao","family":"He","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Perioperative Medicine, Provincial Key Laboratory of Traditional Chinese Medicine, Xijing Hospital, Fourth Military Medical University , Changle West Rd. 127, Xincheng District, Xi\u2019an, Shaanxi 710032 ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Quan","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Perioperative Medicine, Provincial Key Laboratory of Traditional Chinese Medicine, Xijing Hospital, Fourth Military Medical University , Changle West Rd. 127, Xincheng District, Xi\u2019an, Shaanxi 710032 ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiao","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Perioperative Medicine, Provincial Key Laboratory of Traditional Chinese Medicine, Xijing Hospital, Fourth Military Medical University , Changle West Rd. 127, Xincheng District, Xi\u2019an, Shaanxi 710032 ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhihong","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Perioperative Medicine, Provincial Key Laboratory of Traditional Chinese Medicine, Xijing Hospital, Fourth Military Medical University , Changle West Rd. 127, Xincheng District, Xi\u2019an, Shaanxi 710032 ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,7,15]]},"reference":[{"key":"2025071513301509200_ref1","doi-asserted-by":"publisher","first-page":"818","DOI":"10.3109\/01443615.2010.518650","article-title":"Anaesthesia preference, neuraxial vs general, and outcome after caesarean section","volume":"30","author":"Fassoulaki","year":"2010","journal-title":"J Obstet Gynaecol"},{"key":"2025071513301509200_ref2","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1016\/j.bpa.2022.04.007","article-title":"Neuraxial and general anaesthesia for caesarean section","volume":"36","author":"Watson","year":"2022","journal-title":"Best Pract Res Clin 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