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Ankylosing Spondylitis (AS) patients present specific challenges to the anaesthetist. Both airway management and neuraxial access may prove to be difficult. The trend has been to deal with the airway challenge, and avoid neuraxial anaesthesia. In many cases this may lead to unnecessarily denying the patient neuraxial anesthesia (NA). We retrospectively reviewed the operative anaesthetic management of 51 consecutive AS patients who underwent 82 perineal or lower limb procedures and concurrent anaesthetic management at the Vancouver Hospital and Health Sciences Center from 1984 through 1994 (inclusive).

Ankylosing spondylitis and neuraxial anaesthesia — A 10 year review