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Dura to spinal cord distance at different vertebral levels in children and its implications on epidural analgesia: A retrospective MRI-based study

Paediatric Anaesthesia Feb 21, 2018

Wani T, et al. - The dura to spinal cord distance may be a critical factor in avoiding the potential for neurological injury caused by needle trauma after a dural puncture. Herein, researchers used MRI images to measure dura to spinal cord distance at two thoracic levels T6-7, T9-10, and one lumbar level L1-2. As per findings, the largest dura to spinal cord distance is found at the T5-6 level, and the shortest dura to spinal cord distance at the L1-2 level. There appeared to be substantially more room in the dorsal subarachnoid space at the thoracic level. In addition, it was observed that the risk of spinal cord damage resulting from accidental epidural needle advancement may be greater in the lumbar region due to a more dorsal location of the spinal cord in the vertebral canal compared to the thoracic region.
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