Ultrasound-Guided Lumbar Puncture:Experience in Two Difficult Cases

Si CHEN; Jiao ZHANG; Min QIAN; Yi DAI; Shengnan YANG; Xulei CUI

doi:10.3881/j.issn.1000-503X.17186

PDF(2200 KB)

Acta Academiae Medicinae Sinicae ›› 2026, Vol. 48 ›› Issue (4) : 771-775. DOI: 10.3881/j.issn.1000-503X.17186

Case Reports

Ultrasound-Guided Lumbar Puncture:Experience in Two Difficult Cases

Si CHEN ¹ ,
Jiao ZHANG ¹ ,
Min QIAN ² ,
Yi DAI ² ,
Shengnan YANG ³ ,
Xulei CUI ¹

Author information +

History +

Abstract

Lumbar puncture is an important clinical technique.In patients with spinal deformities or those who undergo lumbar surgery,using surface anatomical landmarks for localization is often challenging,and real-time ultrasound guidance can be employed to complete the procedure.This article reports two representative difficult cases of lumbar puncture and provides a detailed review and summary of the application and clinical experience of ultrasound-guided lumbar puncture in these types of patients.

Key words

ultrasound / lumbar puncture / spine deformity

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

Si CHEN , Jiao ZHANG , Min QIAN , et al . Ultrasound-Guided Lumbar Puncture:Experience in Two Difficult Cases[J]. Acta Academiae Medicinae Sinicae. 2026, 48(4): 771-775 https://doi.org/10.3881/j.issn.1000-503X.17186

References

List( Publishing order | Descend order by publishing year | Descend order by cited within ) Chart analysis

[1]	Kim KT. Lumbar puncture:considerations,procedure,and complications[J]. Encephalitis, 2022, 2(4):93-97.DOI:10.47936/encephalitis.2022.00045. Cited in this article [1]

[2]	Lin JS, Gimarc DC, Adler RS, et al. Ultrasound-guided musculoskeletal injections[J]. Semin Musculoskelet Radiol, 2021, 25(6):769-784.DOI:10.1055/s-0041-1740349. Cited in this article [1]

[3]	Chen S, Zhang J, Zhang Y, et al. Role of a route map in learning lumbar spinal ultrasonography:a study protocol for a randomised,controlled teaching study[J]. BMJ Open, 2024, 14(11):e089131.DOI:10.1136/bmjopen-2024-089131. Cited in this article [1]

[4]	Zhang J, Cui X, Chen S, et al. Ultrasound-guided nusinersen administration for spinal muscular atrophy patients with severe scoliosis:an observational study[J]. Orphanet J Rare Dis, 2021, 16(1):274.DOI:10.1186/s13023-021-01903-4. Cited in this article [1]

[5]	Wei C, Liang Z, Wu Y, et al. Ultrasound-guided interlaminar approach for nusinersen administration in patients with spinal muscular atrophy with spinal fusion or severe scoliosis[J]. Orphanet J Rare Dis, 2023, 18(1):30.DOI:10.1186/s13023-023-02630-8. Cited in this article [1]

[6]	Zanfini BA, Patanella AK, Vassalli F, et al. Ultrasound-assisted and landmark-based nusinersen delivery in spinal muscular atrophy adults:a retrospective analysis[J]. Australas J Ultrasound Med, 2024, 27(4):210-217.DOI:10.1002/ajum.12401. Cited in this article [1]

[7]	Cauley KA. Fluoroscopically guided lumbar puncture[J]. AJR Am J Roentgenol, 2015, 205(4):W442-W450.DOI:10.2214/AJR.14.14028. Cited in this article [1]

[8]	Ökçesiz İ, Dönmez H, Herdem N, et al. Computed tomography-guided lumbar puncture:advantages and disadvantages[J]. J Comput Assist Tomogr, 2022, 46(2):269-273.DOI:10.1097/RCT.0000000000001260. Cited in this article [1]

[9]	Bhatia A, Brull R. Review article:is ultrasound guidance advantageous for interventional pain management? A systematic review of chronic pain outcomes[J]. Anesth Analg, 2013, 117(1):236-251.DOI:10.1213/ANE.0b013e31828f5ee4. Cited in this article [1]

[10]	Jeyakumar A, Weaver JJ, Chick JFB, et al. Spinal ultrasound after failed landmarked-based lumbar puncture:a single institutional experience[J]. Pediatr Radiol, 2021, 51(2):289-295.DOI:10.1007/s00247-020-04831-w. Cited in this article [1]

[11]	Honarbakhsh S, Osman C, Teo JT, et al. Ultrasound-guided lumbar puncture as a diagnostic aid to reduce number of attempts and complication rates[J]. Ultrasound, 2013, 21(4):170-175.DOI:10.1177/1742271X13504332. Cited in this article [1]

[12]	Park SK, Bae J, Yoo S, et al. Ultrasound-assisted versus landmark-guided spinal anesthesia in patients with abnormal spinal anatomy:a randomized controlled trial[J]. Anesth Analg, 2020, 130(3):787-795.DOI:10.1213/ANE.0000000000004600. Cited in this article [1]

[13]	Park SK, Yoo S, Kim WH, et al. Ultrasound-assisted vs. landmark-guided paramedian spinal anaesthesia in the elderly:a randomised controlled trial[J]. Eur J Anaesthesiol, 2019, 36(10):763-771.DOI:10.1097/EJA.0000000000001029. Cited in this article [1]

[14]

Wang

, Feng

, Jiao

, et al. Unilateral interlaminar fenestration on the convex side provides a reliable access for intrathecal administration of nusinersen in spinal muscular atrophy:a retrospective study[J]. Orphanet J Rare Dis, 2023, 18(1):369.DOI:10.1186/s13023-023-02972-3.

Cited in this article [1]

[15]	Ke X, Wu Y, Yang R, et al. Real-time ultrasound-guided intrathecal delivery of nusinersen in adult patients with spinal muscular atrophy and complex spinal anatomy[J]. Pain Physician, 2025, 28(6):E695-E703. Cited in this article [1]

[16]	Avellanal M, Riquelme I, Ferreiro A, et al. Neuraxial pathology and regional anesthesia:an education guide to decision-making[J]. Reg Anesth Pain Med, 2024, 49(11):832-839. DOI:10.1136/rapm-2023-105106. Cited in this article [1]

[17]	Uppot RN. Technical challenges of imaging & image-guided interventions in obese patients[J]. Br J Radiol, 2018, 91(1089):20170931.DOI:10.1259/bjr.20170931. Cited in this article [1]

[18]	Tubben RE, Jain S, Murphy PB. Introduction[M]// TubbenRE, JainS, MurphyPB. Epiduralblood patch. Treasure Island (FL): StatPearls Publishing, 2023. Cited in this article [1]