Taylors approach as a savior in difficult spine anatomy

We report a case which was managed by spinal anaesthesia using Taylor's approach. The patient had an altered spine anatomy due to previous L4-L5 laminectomy and discectomy with L4, L5, S1 transpedicular fixation and fusion. Patient's history of post-operative confusion and apprehension abo...

Full description

Saved in:
Bibliographic Details
Published inIndian journal of clinical anaesthesia Vol. 7; no. 4; pp. 700 - 702
Main Authors Halder, Bivash, Narayan, Anil Kumar, Shandilya, Ajay S
Format Journal Article
LanguageEnglish
Published 28.11.2020
Online AccessGet full text
ISSN2394-4781
2394-4994
DOI10.18231/j.ijca.2020.126

Cover

Abstract We report a case which was managed by spinal anaesthesia using Taylor's approach. The patient had an altered spine anatomy due to previous L4-L5 laminectomy and discectomy with L4, L5, S1 transpedicular fixation and fusion. Patient's history of post-operative confusion and apprehension about general anaesthesia (GA) made spinal anaesthesia our first choice. However, in view of the altered spine anatomy, Taylor's approach was used successfully to manage anaesthesia to avoid GA. Although SAB is a relative contraindication for patient with history of previous spine surgery mostly due to altered spine anatomy, SAB can be safely administered via Taylor’s approach when general anaesthesia has to be avoided.
AbstractList We report a case which was managed by spinal anaesthesia using Taylor's approach. The patient had an altered spine anatomy due to previous L4-L5 laminectomy and discectomy with L4, L5, S1 transpedicular fixation and fusion. Patient's history of post-operative confusion and apprehension about general anaesthesia (GA) made spinal anaesthesia our first choice. However, in view of the altered spine anatomy, Taylor's approach was used successfully to manage anaesthesia to avoid GA. Although SAB is a relative contraindication for patient with history of previous spine surgery mostly due to altered spine anatomy, SAB can be safely administered via Taylor’s approach when general anaesthesia has to be avoided.
Author Narayan, Anil Kumar
Halder, Bivash
Shandilya, Ajay S
Author_xml – sequence: 1
  givenname: Bivash
  surname: Halder
  fullname: Halder, Bivash
– sequence: 2
  givenname: Anil Kumar
  surname: Narayan
  fullname: Narayan, Anil Kumar
– sequence: 3
  givenname: Ajay S
  surname: Shandilya
  fullname: Shandilya, Ajay S
BookMark eNp1kMtqwzAQRUVJoWmafZf6AbuSRljysoS-INBNuhZjWaIyjmUkt-C_r9PHppDVXAbO5XKuyWqIgyPklrOSawH8ritDZ7EUTCwfUV2QtYBaFrKu5eovK82vyDbn0DApFdQC9JqoA859TJniOKaI9p3ikmnGzxATDQNtg_fBfvQTzWMYHMUBp3icb8ilxz677e_dkLfHh8Puudi_Pr3s7veF5cCqQoOSqq3AtdhowRhn0qrGassbxbHxAoTUilV127bOOyuEBMcau-wDDuBgQ6qfXptizsl5Y8OEU4jDlDD0hjPzbcB05mTAnAyYxcACsn_gmMIR03we-QLh7mEl
CitedBy_id crossref_primary_10_4103_sja_sja_850_22
Cites_doi 10.1007/BF03013437
10.1007/bf03021434
10.1002/jcu.20588
10.4103/1658-354X.57879
10.4103/1658-354x.159481
10.4103/0259-1162.103370
ContentType Journal Article
DBID AAYXX
CITATION
DOI 10.18231/j.ijca.2020.126
DatabaseName CrossRef
DatabaseTitle CrossRef
DatabaseTitleList CrossRef
DeliveryMethod fulltext_linktorsrc
EISSN 2394-4994
EndPage 702
ExternalDocumentID 10_18231_j_ijca_2020_126
GroupedDBID 7UP
AAYXX
ALMA_UNASSIGNED_HOLDINGS
CITATION
ID FETCH-LOGICAL-c1306-83747d63edab8200104c7bc8c1b71abf232487069dddefec2243e0bc4733133e3
ISSN 2394-4781
IngestDate Thu Apr 24 23:08:59 EDT 2025
Tue Jul 01 00:43:18 EDT 2025
IsDoiOpenAccess false
IsOpenAccess true
IsPeerReviewed false
IsScholarly true
Issue 4
Language English
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-c1306-83747d63edab8200104c7bc8c1b71abf232487069dddefec2243e0bc4733133e3
OpenAccessLink https://doi.org/10.18231/j.ijca.2020.126
PageCount 3
ParticipantIDs crossref_citationtrail_10_18231_j_ijca_2020_126
crossref_primary_10_18231_j_ijca_2020_126
ProviderPackageCode CITATION
AAYXX
PublicationCentury 2000
PublicationDate 2020-11-28
PublicationDateYYYYMMDD 2020-11-28
PublicationDate_xml – month: 11
  year: 2020
  text: 2020-11-28
  day: 28
PublicationDecade 2020
PublicationTitle Indian journal of clinical anaesthesia
PublicationYear 2020
References ref8
ref7
ref9
ref4
ref3
ref6
ref5
ref2
ref1
References_xml – ident: ref1
– ident: ref4
– ident: ref2
– ident: ref3
  doi: 10.1007/BF03013437
– ident: ref6
  doi: 10.1007/bf03021434
– ident: ref5
  doi: 10.1002/jcu.20588
– ident: ref7
  doi: 10.4103/1658-354X.57879
– ident: ref8
  doi: 10.4103/1658-354x.159481
– ident: ref9
  doi: 10.4103/0259-1162.103370
SSID ssib044739238
ssj0002140566
Score 2.1306038
Snippet We report a case which was managed by spinal anaesthesia using Taylor's approach. The patient had an altered spine anatomy due to previous L4-L5 laminectomy...
SourceID crossref
SourceType Enrichment Source
Index Database
StartPage 700
Title Taylors approach as a savior in difficult spine anatomy
Volume 7
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1LS8NAEF60XryIouKbPXiREtsmm2x6VKmooCcLvZV9BVNqFFOFevC3O7PZpFErWAmEsGyGpjPMa2e-IeQ40ULFsWh7MuTMY0GkPYGAAFEC9k77IVzYjXx7F1312c0gHMxqVW13yUSeqve5fSX_4SqsAV-xS3YBzlZEYQGegb9wBw7D_W88tuF2XgGD49AY0cxt370tc8WEDGJrNPNn9CZFBiH245eD3OvMYhPUACSqXknYDSbjweSpmOmpsS54fJ6-iXyWShYvYiocGkE6btrC7Sp5g8n5dDwtMrgjMXXpVpdrgMCy0yl7t61KwjnqHjanFtajttYtRhWXOpXXRIfV9CNvt2umlttm659aHI8mrRpPRwqxoXwEwZgDmP3NkFXlhRjYIA2IbJDCECkMgcIyWfE5uFhY4fnRK9UOYxycRKeG0ID7EHSGUTGW0H2vO-BGoq1vP6vm0NQ8k_t1suZCCnpWyMcGWTLZJuFONmgpG1TAMy1kg6YZrWSDWtmgTja2SP-yd39x5bkhGZ4C9yPy4gACQh0FRgsZ-xZuSXGpYtWRvCNkgh4znmV3NRiyxChw2QLTlorhsM4gMME2aWRPmdkhtJsYIwIdgvnmTIVKwi6mufK7Rsc-V7ukVX7pUDkEeRxkMh7-9ofvkpPqjecCPeXXvXsL7N0nqzPxPCCNycurOQTncCKPLGs_AdIWYzs
linkProvider ISSN International Centre
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Taylors+approach+as+a+savior+in+difficult+spine+anatomy&rft.jtitle=Indian+journal+of+clinical+anaesthesia&rft.au=Halder%2C+Bivash&rft.au=Narayan%2C+Anil+Kumar&rft.au=Shandilya%2C+Ajay+S&rft.date=2020-11-28&rft.issn=2394-4781&rft.eissn=2394-4994&rft.volume=7&rft.issue=4&rft.spage=700&rft.epage=702&rft_id=info:doi/10.18231%2Fj.ijca.2020.126&rft.externalDBID=n%2Fa&rft.externalDocID=10_18231_j_ijca_2020_126
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2394-4781&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2394-4781&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2394-4781&client=summon