Could a Vertebral Mass be the Cause of Unsuccessful Spinal Anesthesia? Case Report Başarısız Spinal Anestezinin Nedeni Vertebral Kitle Olabilir mi? Olgu Sunumu
Anestezi Dergisi, vol.34, no.2, pp.168-171, 2026 (Scopus, TRDizin)
- Publication Type: Article / Article
- Volume: 34 Issue: 2
- Publication Date: 2026
- Doi Number: 10.54875/jarss.2026.18863
- Journal Name: Anestezi Dergisi
- Journal Indexes: Scopus, Central & Eastern European Academic Source (CEEAS), EMBASE, TR DİZİN (ULAKBİM), Academic Search Ultimate (EBSCO)
- Page Numbers: pp.168-171
- Keywords: failed spinal anesthesia, Regional anesthesia, vertebral mass
- Yozgat Bozok University Affiliated: Yes
Abstract
Spinal anesthesia is generally considered safe and effective; however, its failure may occasionally indicate an underlying spinal pathology. We present the case of a 79-year-old female who experienced repeated unsuccessful attempts at spinal anesthesia despite the use of appropriate technique and drug administration. Postoperative thoracic-lumbar magnetic resonance imaging revealed a thoracic vertebral mass causing spinal cord compression. This case underscores the importance of considering asymptomatic vertebral lesions as a potential cause of spinal anesthesia failure and highlights the critical role of imaging in such scenarios.