Percutaneous Nephrolithotomy in an Elderly Female with Severe Kyphoscoliosis: Modified Prone Position

Abstract

Percutaneous nephrolithotomy (PCNL) is one of the important options in the management of large (>2 cms) and complex renal calculi. Traditionally the prone position has been used to access the pelvicaliceal system as well as to remove renal calculi. Several modifications to this position have been suggested and reported by several urologists. We performed PCNL in an elderly female with a severe kyphoscoliosis by modifying the classical prone position.

Percutaneous Nephrolithotomy in a Patient With Cervical and Dorsolumbar Ankylosing Spondylitis

“…Treatment of renal stones in such patients with cervical spinal deformity raises a serious problem both for the anesthetists and treating urologists. The cervical deformities caused by ankylosing spondylitis makes intubation difficult and similarly causes difficulty in positioning the patient for percutaneous nephrolithotomy (PCNL) [1].…”