{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T03:44:24Z","timestamp":1777347864733,"version":"3.51.4"},"reference-count":7,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,10,1]]},"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:p>Ultrasound (US) guided spinal anaesthesia is gaining recognition for its ability to minimise technical difficulties encountered in patients with atypical spinal anatomy. Spinal anaesthesia is administered during a surgical procedure lithotripsy in patients with respiratory complications that can result from severe scoliosis or cerebral palsy. Here, we report a case in which US-guided spinal anaesthesia proved feasible and advantageous in a patient with cerebral paralysis and severe scoliosis. A man in his 60s with cerebral paralysis and severe scoliosis was scheduled for spinal anaesthesia because of his nocturnal SpO2 drops and need for nasal high flow. Using US guidance, we confirmed that the needle entry angle was consistent with the rotating spinous process. The spinal needle was then advanced successfully, and spinal anaesthesia was administered without issue. The US technique for detecting the rotation of the vertebrae and puncturing them is useful in patients with severe scoliosis.<\/jats:p>","DOI":"10.1136\/bcr-2024-261112","type":"journal-article","created":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T00:55:32Z","timestamp":1728953732000},"page":"e261112","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Ultrasound-guided spinal anaesthesia for a patient with severe scoliosis"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7729-5084","authenticated-orcid":false,"given":"Manabu","family":"Yoshimura","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, Ube Industries Central Hospital, Ube, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuhiro","family":"Morimoto","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Ube Industries Central Hospital, Ube, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,10,14]]},"reference":[{"key":"2025082710434435000_17.10.e261112.1","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1213\/ANE.0000000000004600","article-title":"Ultrasound-Assisted Versus Landmark-Guided Spinal Anesthesia in Patients With Abnormal Spinal Anatomy: a Randomized Controlled Trial","volume":"130","author":"Park","year":"2020","journal-title":"Anesth Analg"},{"key":"2025082710434435000_17.10.e261112.2","doi-asserted-by":"crossref","first-page":"1097","DOI":"10.1016\/j.bja.2023.09.006","article-title":"Comparative efficacy of ultrasound guidance or conventional anatomical landmarks for neuraxial puncture in adult patients: a systematic review and network meta-analysis","volume":"132","author":"Kamimura","year":"2024","journal-title":"Br J Anaesth"},{"key":"2025082710434435000_17.10.e261112.3","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/j.jclinane.2016.10.024","article-title":"Use of ultrasound for spinal anesthesia in a super morbidly obese patient","volume":"36","author":"Morimoto","year":"2017","journal-title":"J Clin Anesth"},{"key":"2025082710434435000_17.10.e261112.4","first-page":"459","article-title":"Ultrasound-guided spinal anaesthesia in a patient with achondroplastic dwarfism and scoliosis: a case report","volume":"29","author":"Kilicaslan","year":"2023","journal-title":"Hong Kong Med J"},{"key":"2025082710434435000_17.10.e261112.5","doi-asserted-by":"crossref","DOI":"10.1186\/s12871-023-02368-7","article-title":"Ultrasound-assisted lumbar puncture with a horizontal and perpendicular paramedian approach based on positioning in patients with abnormal spinal anatomy: a case report and technical description","volume":"23","author":"Huang","year":"2023","journal-title":"BMC Anesth"},{"key":"2025082710434435000_17.10.e261112.6","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-198009001-00339"},{"key":"2025082710434435000_17.10.e261112.7","first-page":"116","article-title":"Efficacy of X-ray fluoroscopic-guided lumbar puncture for spinal muscular atrophy with advanced scoliosis: two case reports","volume":"26","author":"Yanaizumi","year":"2019","journal-title":"J Jpn Soc Pain Clin"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-261112","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:43:55Z","timestamp":1756316635000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-261112"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":7,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2024,10,14]]},"published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10.1136\/bcr-2024-261112"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-261112","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10]]}}}