Comparision of Taylor’s Approach Vs Lumbar Approach for Below Unbilicus Surgeries in Cases of Patients with Deformed Spines

Background and Aim: The paramedian technique was popular in patients with abnormal anatomy. Taylor modified the paramedian technique (Taylor’s approach) which is reliable and less traumatic alternative in deformed spine for establishing the subarachnoid block. The present study was aimed to compare midline lumbar approach vs Taylor’s approach in patients with deformed spine.Materials and methods: Total of 50 patients was included in the study had deformed spine with physical status I to III. The study conducted randomized into two equal groups of anaesthetist (A&B). Group A performed Taylor’s approach as method of the subarachnoid block while Group B performed lumbar technique. Level of decrease in blood pressure, patient rated pain and satisfaction and success of neuraxial blockade compared.Results: The success rate of neuraxial blockade was found to be 94%, patient satisfaction was 100%, reduction in the incidence of hypotension in the Taylor’s approach.Conclusion: Excellent operating conditions with less side effect is the benefit of subarachnoid anaesthesia, however in patient with severe arthritis, anatomical problems and with scoliosis there is challenging task to perform good subarachnoid block. Taylor’s approach could provide a reliable and less traumatic alternative to midline approach for lumber puncture in deformed spine.