Spinal Anaesthesia for Posterior Spinal Decompression in a Patient with Intracoronary Stent: A Case Report

Background: Anaesthesia for posterior spinal decompression poses significant challenge for the anaesthetist because of awkward patient prone position, and this challenge becomes complex when the patient has a pre-existing cardiac dysfunction. This report shows the complexity of managing a middle aged man with intracoronary stent for posterior spinal decompression under spinal anaesthesia. Case Presentation: A 52year old businessman with intracoronary stent who was managed for L5 region spinal canal mass with chronic cauda equina syndrome on the background of L3/L4 disc disease. Multidisciplinary Pre–operative assessment and preparation was done with a clear plan for the management of double anti-platelet therapy. He had posterior spinal decompression with uneventful intraoperative and postoperative period. Conclusion: Multidisciplinary preoperative preparation, intraoperative precautions and monitoring as well as adequate postoperative management is needed to navigate the complexity of anaesthesia for intracoronary stent for posterior spinal decompression.