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

ConclusionThe present study reports that 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 appears to be substantially more room in the dorsal subarachnoid space at the thoracic level. 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.

Source: Pediatric Anesthesia - February 1, 2018 Category: Anesthesiology Authors: Tariq Wani, Ralph Beltran, Giorgio Veneziano, Faris AlGhamdi, Hatem Azzam, Nahida Akhtar, Dmitry Tumin, Yasser Majid, Joseph D. Tobias Tags: RESEARCH REPORT Source Type: research