ABSTRACT : Management Of Case Of A Case Of Ankylosing Spondylitis With Right Foot Gangrene With Paramedian Approach

METHODS : 25 G Spinal Needle Was Used ,Sab Arachnoid Block Given With ParamedianApproacch In L3-L4 Interspace With Patient In Left Lateral Position

RESULTS : This case shows that PARAMEDIAN APPROACH can be a alternative tool for in patients where central neuraxial block placement where technical difficulty exists

CONCLUSIONS : Paramedia Approach Can Be Alternative Tool In Management Of Akylosing Spondylitis