Document Detail

The reproducibility of the iliac crest as a marker of lumbar spine level.
MedLine Citation:
PMID:  8943605     Owner:  NLM     Status:  MEDLINE    
The postero-anterior lumbar spine X rays of 163 patients undergoing investigation for back pain were reviewed and the spinal level marking the intersection of a line joining the iliac crests was determined. This point coincided with the L4 spinous process or the L4-5 interspace in 78.6% of patients but was as high as the L3-4 interspace in 3.7% of cases. Reliance on this landmark might lead to more cranial placement of epidural or spinal needles than was intended and this may increase the risk of spinal cord damage.
C A Render
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Anaesthesia     Volume:  51     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  1996 Nov 
Date Detail:
Created Date:  1996-12-17     Completed Date:  1996-12-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1070-1     Citation Subset:  AIM; IM    
Southampton Genral Hospital.
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MeSH Terms
Anesthesia, Epidural*
Back Pain / radiography
Ilium / anatomy & histology*
Lumbar Vertebrae / anatomy & histology*,  radiography
Comment In:
Anaesthesia. 1997 Aug;52(8):811   [PMID:  9291794 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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