Anesthetic management of a parturient with spondylocostal dysostosis (Jarcho-Levin syndrome) for cesarean delivery

Mohamed A. Ibrahim, Roshdi R. Almetwalli

Research output: Contribution to journalArticlepeer-review


Jarcho Levin syndrome was first described by Saul Jarcho and Paul Levin in 1938. The syndrome is characterized by multiple skeletal deformities due to axial skeletal developmental defects during the embryologic stage. Generalized vertebral defects include fused, missing, or deformed vertebrae, and these are seen throughout the cervical, thoracic, and lumbar spine. The patients have short stature and kyphoscoliosis. In pregnancy, these skeletal defects may have pronounced effects on the parturient and the baby, so special considerations are needed by the obstetricians as well as the obstetric anesthesiologists. This case report highlights the challenges our anesthesiology team faces while providing patient care and points out the different anesthetic management approaches that can be used in cesarean delivery for parturients with spondylocostal dysostosis.

Original languageEnglish (US)
Pages (from-to)780-782
Number of pages3
JournalAnaesthesia, Pain and Intensive Care
Issue number6
StatePublished - Dec 1 2023
Externally publishedYes


  • Abnormalities
  • Anesthesia
  • Congenital
  • Growth Disorders
  • Hereditary
  • Jarcho-Levin Syndrome
  • Physical Appearance

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Anesthesiology and Pain Medicine


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