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Counting from the top of the lumbar vertebrae, the lumbar puncture is usually done between L3&L4 or between L4&L5. The reason for the choice is because the spinal cord ends with the Cauda Equina (essentially horse hair or horse tail) somewhere around L1 or L2. At this point one no longer has a spinal cord, but rather separate nerves. So, above L1, there would be a significant risk of sticking the needle into the solid spinal cord causing pain and damage. Below L3 the individual nerves will move out of the way of the needle and there is less risk of hitting the spinal cord.

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14y ago
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13y ago

The epidural space in the cervical/ midthoracic regions is extremely narrow. It is more effective to do a lumbar puncture in the lower lumbar region because it is somewhat broader.

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14y ago

how am i supposed to know jk jk i havent learned that yet

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13y ago

The L4-L5 interspace is the preferred site for an LP due to the fact that it is well below the end of the spinal cord itself, but still accessible to spinal fluid (below the cord).

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10y ago

There is a wide space there.

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Q: Where in the vertebral column is a lumbar puncture generally done and why is it the site of choice?
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