title: Successful spinal anesthesia after inadequate epidural block in a parturient with prior surgical correction of scoliosis.
abstract: BACKGROUND
  Lumbar epidural anesthesia is safe in patients with previous spinal surgery, but it is not always successful or easily performed.
  
  
  METHODS
  The authors present the case of a parturient with Harrington rod insertion, scheduled for cesarean delivery, whose epidural anesthetic could not be extended beyond the T10 level.
  
  
  RESULTS
  After letting the epidural block recede below the lumbar level, a successful spinal anesthetic was administered producing a sensory level to T4.
authors.affiliation: Department of Anesthesiology, Albert Einstein College of Medicine, Bronx, New York 10461.
authors.forename: H F
authors.initials: HF
authors.lastname: Pascoe
authors.forename: G S
authors.initials: GS
authors.lastname: Jennings
authors.forename: G F
authors.initials: GF
authors.lastname: Marx
mesh_terms: D000328:Adult; D000767:Anesthesia, Epidural; D000773:Anesthesia, Obstetrical; D000775:Anesthesia, Spinal; D002585:Cesarean Section; D005260:Female; D006801:Humans; D009984:Orthopedic Fixation Devices; D011247:Pregnancy; D012600:Scoliosis / Q000601:surgery*