Neuraxial anesthesia in obstetric patients with rare spinal pathologies: a scoping review
Authors' conclusion
Neuraxial anesthesia remains feasible for these obstetric patients with careful pre-procedural planning, individualized technique modifications, and imaging guidance.
Study context
- Population
- Obstetric patients with rare spinal pathologies (prevalence ≤50 per 100,000) receiving neuraxial anesthesia; case reports to cohort studies, 2012–202451 publications
- Participants
- 121 patients
- Outcome
- Success rates and complications of neuraxial anesthesia
Methodological detailsSearched PubMed, Embase, Scopus and Web of Science; English-language publications 2012–2024
- Searched PubMed, Embase, Scopus and Web of Science; English-language publications 2012–2024
Main finding
As reported in the abstract
Anesthetic technique and neuraxial success
- Vaginal deliveries
- 33
- Cesarean deliveries
- 88
- Successful neuraxial procedures
- 68
- Primary GA without prior neuraxial attempt
- 46
- Unsuccessful neuraxial attempts converted to GA
- 7
Safety
Complications in successful neuraxial procedures
- Multiple attempts, multiple operators, high spinal block, local anesthetic resistance, spinal cord injury (dural puncture)
Original publication
Neuraxial anesthesia in obstetric patients with rare spinal pathologies: a scoping review. Int J Obstet Anesth. Published 6 March 2026. doi:10.
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