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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 May 22, 2018

Wani T, et al. - Considering the dura to spinal cord distance as a critical factor in avoiding the potential for neurological injury caused by needle trauma after a dural puncture, researchers measured dura to spinal cord distance at two thoracic levels T6-7, T9-10, and one lumbar level L1-2 using MRI images. At the T5-6 level, the dura to spinal cord distance is largest, and the shortest dura to spinal cord distance is noted at the L1-2 level. In the dorsal subarachnoid space at the thoracic level, substantially more room was indicated. Findings suggested greater risk of spinal cord damage resulting from accidental epidural needle advancement 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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