Roth JD, et al. - Researchers tested the presumption that thoracic epidural placement in the T9-T10 interspace was safe and decreased narcotic requirements in low-level spina bifida (LLSB) patients following major open lower urinary tract reconstruction (LUTR). A safe and effective opioid sparing option to assist with post-operative pain management following lower urinary tract reconstruction in LLSB patients was thoracic epidural analgesia. In the epidural group, pain scores were similar or improved.