{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T12:05:46Z","timestamp":1789646746512,"version":"4.0.0"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Easily measurable anthropometric parameters may aid in predicting the level of spinal anaesthesia. Some studies have demonstrated a significant correlation between hip\u2013shoulder width ratio (HSR) and level of spinal anaesthesia in lateral position. We hypothesised that even sitting position for subarachnoid injection will result in positive correlation between HSR and sensory level of spinal anaesthesia. So, we aimed to study correlation between HSR and sensory level of subarachnoid block in sitting position after administering 3 ml of 0.5% hyperbaric levobupivacaine.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>After institutional ethics committee approval and trial registration, 58 patients aged 18 to 60 years and of American Society of Anesthesiologists physical status I and II were included. The primary objective was to assess the relationship between HSR and the sensory block level. The secondary objectives included correlation between patient\u2019s age, height, weight, body mass index (BMI), vertebral column length, and sensory level. Descriptive analysis was performed using mean and standard deviation for quantitative variables. Pearson correlation coefficient was used to evaluate the association between quantitative variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Higher HSR correlated moderately with higher sensory block levels (r = 0.550,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Multiple linear regression analysis demonstrated that HSR, height, and BMI have statistically significant effects on the spread of spinal anaesthesia with HSR being the strongest factor.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>HSR is a simple, reliable predictor of sensory block height with hyperbaric levobupivacaine in adult patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ija.ija_1552_25","type":"journal-article","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T12:00:49Z","timestamp":1789646449000},"page":"1005-1011","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of correlation between hip shoulder width ratio and sensory level of subarachnoid block in adult patients \u2013 A prospective observational study"],"prefix":"10.4103","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3942-3268","authenticated-orcid":false,"given":"Mamta","family":"Bhardwaj","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Pt. B. D. Sharma PGIMS at University of Health Sciences, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-2917-1992","authenticated-orcid":false,"given":"Anuj","family":"Tripathi","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Pt. B. D. Sharma PGIMS at University of Health Sciences, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8471-340X","authenticated-orcid":false,"family":"Asha","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Pt. B. D. Sharma PGIMS at University of Health Sciences, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9437-9941","authenticated-orcid":false,"given":"Manisha","family":"Kumari","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Pt. B. D. Sharma PGIMS at University of Health Sciences, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3592-0061","authenticated-orcid":false,"given":"Kiranpreet","family":"Kaur","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Pt. B. D. Sharma PGIMS at University of Health Sciences, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1860-3163","authenticated-orcid":false,"given":"Kirti","family":"Kshetrapal","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Pt. B. D. 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prospective observational study","volume":"16","author":"Shivashankar","year":"2022","journal-title":"Anesth Essays Res"},{"key":"R7-20260917","first-page":"21562","article-title":"The spread of spinal anaesthesia in term parturient: Effect of hip\/shoulder width ratio and vertebral column length","volume":"9","author":"Canturk","year":"2016","journal-title":"Int J Clin Exp Med"},{"key":"R8-20260917","first-page":"UC14","article-title":"Effect of hip\/shoulder width ratio on the spread of spinal anaesthesia in term parturients: A cross-sectional study","volume":"17","author":"Vasanthrajan","year":"2023","journal-title":"J Clin Diagn Res"},{"key":"R9-20260917","doi-asserted-by":"crossref","first-page":"3","DOI":"10.18231\/j.ijca.2024.002","article-title":"The effect of hip\/shoulder width ratio and vertebral column length on sensory level in term parturients posted for lower segment caesarean section under spinal anaesthesia in the Indian population: A prospective observational study","volume":"11","author":"Pisekar","year":"2024","journal-title":"Indian J Clin Anaesth"},{"key":"R10-20260917","doi-asserted-by":"crossref","first-page":"133","DOI":"10.4103\/JOACC.JOACC_68_21","article-title":"Effect of abdominal girth, vertebral column length, and hip\/shoulder width ratio on the spread of spinal anaesthesia in term parturients undergoing elective caesarean section: A prospective observational non-randomized study","volume":"12","author":"Bhiwal","year":"2022","journal-title":"J Obstet Anaesth Crit Care"},{"key":"R11-20260917","first-page":"40","article-title":"Relationship of patient characteristics to cephalad spread of spinal anaesthesia after giving 0.5% hyperbaric bupivacaine","volume":"2","author":"Shirisha","year":"2019","journal-title":"Indian J Med Anaesthesiol"},{"key":"R12-20260917","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1186\/s12871-016-0184-3","article-title":"Abdominal girth and vertebral column length can adjust spinal anaesthesia: A prospective observational study","volume":"16","author":"Zhou","year":"2016","journal-title":"BMC Anesthesiol"},{"key":"R13-20260917","first-page":"143","article-title":"Study of correlation of anthropometric measurements with the level of subarachnoid block and haemodynamics in parturients undergoing caesarean section","volume":"18","author":"Ganesh","year":"2024","journal-title":"Res J Med Sci"}],"container-title":["Indian Journal of 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