Anestezi Dergisi, cilt.34, sa.2, ss.168-171, 2026 (Scopus, TRDizin)
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.