The patients with spine abnormalities, present unique challenges to the health care provider responsible for administrating sedation and anaesthesia during surgical and technical procedures. Spinal deformities may cause difficulties with both tracheal intubation and regional anaesthesia. This report describes the anaesthetic management for orthopaedic procedure that were performed in a patient with severe thoracolumbar kyphoscoliosis. After examining the risk factors, spinal block by injecting single dose hyperbaric local anaesthetic solution to intrathecal space was chosen to provide anaesthesia. Interathecal hyperbaric bupivacaine 0.5% 10mg (2ml) was used, motor and sensory blockade T10 was achieved. The patient reported satisfactory anaesthesia and developed no complications. In conclusion, spinal anaesthesia can be successful even in case of thoracolumbar kyphoscoliosis.

Keywords: Kyphoscoliosis; Spinal Anaesthesia.